PMID- 11737583 OWN - NLM STAT- MEDLINE DCOM- 20020129 LR - 20061115 IS - 0085-2538 (Print) IS - 0085-2538 (Linking) VI - 60 IP - 6 DP - 2001 Dec TI - Increased renal expression of monocyte chemoattractant protein-1 and osteopontin in ADPKD in rats. PG - 2087-96 AB - BACKGROUND: Human autosomal-dominant polycystic kidney disease (ADPKD) is variable in the rate of deterioration of renal function, with end-stage renal disease (ESRD) occurring in only approximately 50% of affected individuals. Evidence suggests that interstitial inflammation may be important in the development of ESRD in ADPKD. Han:SPRD rats manifest ADPKD that resembles the human disease. Homozygous cystic (Cy/Cy) rats develop rapidly progressive PKD and die near age 3 weeks. Heterozygous (Cy/+) females develop slowly progressive PKD without evidence of renal dysfunction until the second year of life, whereas heterozygous (Cy/+) males develop more aggressive PKD with renal failure beginning by 8 to 12 weeks of age. METHODS: To examine the relationship between proinflammatory chemoattractants and the development of interstitial inflammation and ultimately renal failure in ADPKD, we evaluated monocyte chemoattractant protein-1 (MCP-1) and osteopontin mRNAs and proteins in kidneys from Han:SRPD rats. RESULTS: MCP-1 and osteopontin mRNAs, expressed at low levels in kidneys from normal (+/+) animals at all ages, were markedly elevated in kidneys from 3-week-old Cy/Cy animals. In kidneys from heterozygous (Cy/+) adults of either gender, MCP-1 and osteopontin mRNAs were more abundant than normal; MCP-1 mRNA was more abundant in Cy/+ males than in females. Thus, chemoattractant mRNA expression correlated with the development of renal failure in Cy/Cy and Cy/+ rats. Osteopontin mRNA, localized by in situ hybridization, was moderately expressed in the renal medulla of normal animals; however, this mRNA was expressed at very high levels in the cystic epithelia of Cy/+ and Cy/Cy animals. MCP-1 and osteopontin proteins, localized by immunohistochemistry, were weakly detected in +/+ kidneys but were densely expressed in Cy/Cy and in adult Cy/+ kidneys, primarily over cystic epithelium. Increased expression of chemoattractants was associated with the accumulation of ED-1 positive cells (macrophages) in the interstitium of cystic kidneys. CONCLUSIONS: We suggest that proinflammatory chemoattractants have a role in the development of interstitial inflammation and renal failure in ADPKD. FAU - Cowley, B D Jr AU - Cowley BD Jr AD - Division of Nephrology & Hypertension, Department of Medicine, Hershey Medical Center, Pennsylvania State University, Hershey, Pennsylvania, USA. Ben-Cowley@ouhsc.edu FAU - Ricardo, S D AU - Ricardo SD FAU - Nagao, S AU - Nagao S FAU - Diamond, J R AU - Diamond JR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 0 (Chemokine CCL2) RN - 0 (RNA, Messenger) RN - 0 (SPP1 protein, human) RN - 0 (Sialoglycoproteins) RN - 0 (Spp1 protein, rat) RN - 106441-73-0 (Osteopontin) SB - IM MH - Animals MH - Chemokine CCL2/genetics/*metabolism MH - Female MH - Heterozygote MH - Immunohistochemistry MH - In Situ Hybridization MH - Kidney/*metabolism/pathology MH - Macrophages/pathology MH - Male MH - Osteopontin MH - Polycystic Kidney, Autosomal Dominant/*metabolism/pathology MH - RNA, Messenger/metabolism MH - Rats MH - Rats, Inbred Strains MH - Reference Values MH - Sex Characteristics MH - Sialoglycoproteins/genetics/*metabolism EDAT- 2001/12/12 10:00 MHDA- 2002/01/30 10:01 CRDT- 2001/12/12 10:00 PHST- 2001/12/12 10:00 [pubmed] PHST- 2002/01/30 10:01 [medline] PHST- 2001/12/12 10:00 [entrez] AID - S0085-2538(15)48102-5 [pii] AID - 10.1046/j.1523-1755.2001.00065.x [doi] PST - ppublish SO - Kidney Int. 2001 Dec;60(6):2087-96. doi: 10.1046/j.1523-1755.2001.00065.x.