14 research outputs found

    Noninvasive Assessment of Antenatal Hydronephrosis in Mice Reveals a Critical Role for Robo2 in Maintaining Anti-Reflux Mechanism

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    Antenatal hydronephrosis and vesicoureteral reflux (VUR) are common renal tract birth defects. We recently showed that disruption of the Robo2 gene is associated with VUR in humans and antenatal hydronephrosis in knockout mice. However, the natural history, causal relationship and developmental origins of these clinical conditions remain largely unclear. Although the hydronephrosis phenotype in Robo2 knockout mice has been attributed to the coexistence of ureteral reflux and obstruction in the same mice, this hypothesis has not been tested experimentally. Here we used noninvasive high-resolution micro-ultrasonography and pathological analysis to follow the progression of antenatal hydronephrosis in individual Robo2-deficient mice from embryo to adulthood. We found that hydronephrosis progressed continuously after birth with no spontaneous resolution. With the use of a microbubble ultrasound contrast agent and ultrasound-guided percutaneous aspiration, we demonstrated that antenatal hydronephrosis in Robo2-deficient mice is caused by high-grade VUR resulting from a dilated and incompetent ureterovesical junction rather than ureteral obstruction. We further documented Robo2 expression around the developing ureterovesical junction and identified early dilatation of ureteral orifice structures as a potential fetal origin of antenatal hydronephrosis and VUR. Our results thus demonstrate that Robo2 is crucial for the formation of a normal ureteral orifice and for the maintenance of an effective anti-reflux mechanism. This study also establishes a reproducible genetic mouse model of progressive antenatal hydronephrosis and primary high-grade VUR

    Blocking Ecm1 function alters <i>Ret</i> expression and branching.

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    <p>In vitro cultured kidneys from Hoxb7-GFP mice grown either in the absence (A, C, E and G) or in the presence(B, D, F and H) of the Ecm1 blocking antibody. A–D: Kidney rudiments were subjected to insitu hybridization and probed for <i>Ret</i> expression. E–H: Hoxb7-GFP kidneys showing branching of the ureteric bud tip. C and D: Arrowheads indicate the expression of <i>Ret</i> in the ub tips (C) or in the clefts (D).</p

    A) Stromal cell distribution depends on <i>Ret</i> and branching.

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    <p>Histological sections of Foxd1-LacZ kidneys during embryonic development showing the distribution of stromal cells (blue) in the cortical region of the kidney (a–f). (a) Ampulla stage of ureteric bud (shown in pink, ureteric bud, ub) surrounded by nephron progenitor cells (pink, condensing mesenchyme, cm) and Foxd1- lacZ stromal cells (blue). (b) Growing ampulla surrounded by nephron progenitors at the tips and cleft (yellow arrow head) at the center occupied by stromal cells. (d–e) Stromal cells occupy the cleft made by the bifurcating ureteric bud tips. (f) <i>Ret</i> expression in the ureteric bud tips (white arrows). B) In vitro cultures of Hoxb7-GFP and Foxd1-GFP embryonic kidneys grown either in the presence of RA (culture beads with 10 µg/mL of RA) (a–i) or in the absence of RA (culture beads with basal media) (j–r) for 24, 48 and 72 hours. Hoxb7-GFP kidney cultures were probed for <i>Ret</i> expression after culture at 24, 48 and 72 hours (a–c and j–l). Hoxb7-GFP kidneys showing ureteric bud branching (d–f and m–o). Foxd1-GFP kidneys showing stromal cell distribution (g–i and p–r), asterisks show the ureteric buds with stromal cells around them.</p

    Retinoic acid controls stromal cell fate: A–F: Histological sections of wild type, <i>Rara</i>; <i>Rarb2</i> double mutant and <i>Raldh2</i> embryonic kidneys.

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    <p>A and B: sections of wild type kidneys showing normal distribution of the nephrons. NZ- nephrogenic zone: region under the renal capsule where continuous branching of ub and induction of nephron occurs. DZ- differentiating zone: region containing medullary stroma, differentiating nephrons and collecting duct branches. C, D and E, F: sections of <i>Rara<sup>−/−</sup>; Rarβ<sup>−/−</sup></i> and <i>Raldh2</i> kidneys respectively showing reduced NZ region. In situ hybridization in cultured kidneys (G and H): <i>Foxd1LacZ</i> in vitro cultured kidneys probed for <i>Ret</i> expression. Expression of <i>FoxD1-lacZ</i> (blue) in the stromal cells of kidneys cultured in the presence of RA (G) or in the absence of RA (H) for 72 hours. Expression of <i>Ret</i> in the ureteric buds (shown in purple in G) is absent in kidneys cultured in the absence of RA (H). The expression of the stromal marker <i>Foxd1-LacZ</i> is shown in blue (G and H) in kidneys grown on RA+ or RA− media. I–L: wild type in vitro cultured kidneys; cultured in RA+ or RA− media. I and J: kidneys cultured for 24 hours and K and L kidneys cultured for 48 hours. Immunostaining with TUNEL to detect apoptotic cells (labeled in blue, I–L). Arrowheads in G and H indicate stromal cells, which are depleted in H. Arrowheads in J and L represent TUNEL positive cells which are increased in L.</p

    Validation of Microarray data. Kidneys cultured in the presence of RA (A, B, C) or absence of RA (F, G, H) and subjected to in situ hybridization of the various genes.

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    <p>Ecm1 is dependent on retinoic acid and regulates <i>Ret</i> expression in the ureteric bud clefts. <i>Ecm1</i> expression pattern in wild type (D wholemount and E section) and <i>Raldh2</i> kidneys (I wholemount and J section).</p
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