The effects of intrinsic apoptosis on cystogenesis in PKD1-deficient ADPKD pig model

Apoptosis is a form of cell death that plays a critical role in the maintenance of tissue homeostasis involving the development and elimination of unwanted cells. Dysregulation of apoptosis appears to be associated in the pathogenesis of many human diseases. Autosomal dominant polycystic kidney disease (ADPKD) is a common monogenetic disease and is mainly caused by mutations in PKD1. Previous studies proved that increased cell death occurred in ADPKD patients and animal models. However, the role of apoptosis in kidney cystogenesis is not clear.

In current study, due to the high similarities between human and pig, PKD1-deficient (PKD1^+/-) pigs and PKD1-knockdown (PKD1^KD) pig kidney epithelial cells were used to investigate the mechanisms of apoptosis in driving cystogenesis.

In PKD1^+/- pigs, increased intrinsic and extrinsic apoptosis were found at ages of 1 month and 3 months, whereas the autophagy and pyroptosis were not altered. Meanwhile, the intrinsic apoptosis was activated along with untouched extrinsic apoptosis in PKD1^KD pig kidney cells. Thus, the intrinsic apoptosis played important roles in cystogenesis.

This work provides detail analysis of the roles of different cell death types during cystogenesis in ADPKD pig model. The results suggested a potential new strategy for the diagnosis and treatment of ADPKD by targeting intrinsic apoptosis.