PMID- 34169210 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220424 IS - 2468-0249 (Electronic) IS - 2468-0249 (Linking) VI - 6 IP - 6 DP - 2021 Jun TI - Enhanced MCP-1 Release in Early Autosomal Dominant Polycystic Kidney Disease. PG - 1687-1698 LID - 10.1016/j.ekir.2021.03.893 [doi] AB - INTRODUCTION: Autosomal dominant polycystic kidney disease (ADPKD) causes kidney failure typically in adulthood, but the disease starts in utero. Copeptin, epidermal growth factor (EGF), and monocyte chemoattractant protein-1 (MCP-1) are associated with severity and hold prognostic value in adults but remain unstudied in the early disease stage. Kidneys from adults with ADPKD exhibit macrophage infiltration, and a prominent role of MCP-1 secretion by tubular epithelial cells is suggested from rodent models. METHODS: In a cross-sectional study, plasma copeptin, urinary EGF, and urinary MCP-1 were evaluated in a pediatric ADPKD cohort and compared with age-, sex-, and body mass index (BMI)-matched healthy controls. MCP-1 was studied in mouse collecting duct cells, human proximal tubular cells, and fetal kidney tissue. RESULTS: Fifty-three genotyped ADPKD patients and 53 controls were included. The mean (SD) age was 10.4 (5.9) versus 10.5 (6.1) years (P = 0.543), and the estimated glomerular filtration rate (eGFR) was 122.7 (39.8) versus 114.5 (23.1) ml/min per 1.73 m(2) (P = 0.177) in patients versus controls, respectively. Plasma copeptin and EGF secretion were comparable between groups. The median (interquartile range) urinary MCP-1 (pg/mg creatinine) was significantly higher in ADPKD patients (185.4 [213.8]) compared with controls (154.7 [98.0], P = 0.010). Human proximal tubular cells with a heterozygous PKD1 mutation and mouse collecting duct cells with a PKD1 knockout exhibited increased MCP-1 secretion. Human fetal ADPKD kidneys displayed prominent MCP-1 immunoreactivity and M2 macrophage infiltration. CONCLUSION: An increase in tubular MCP-1 secretion is an early event in ADPKD. MCP-1 is an early disease severity marker and a potential treatment target. CI - (c) 2021 International Society of Nephrology. Published by Elsevier Inc. FAU - Janssens, Peter AU - Janssens P AD - PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, KU Leuven, Leuven, Belgium. AD - Department of Nephrology, University Hospitals Brussels, Brussels, Belgium. FAU - Decuypere, Jean-Paul AU - Decuypere JP AD - PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, KU Leuven, Leuven, Belgium. FAU - De Rechter, Stephanie AU - De Rechter S AD - PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, KU Leuven, Leuven, Belgium. FAU - Breysem, Luc AU - Breysem L AD - Department of Radiology, University Hospitals Leuven, Leuven, Belgium. FAU - Van Giel, Dorien AU - Van Giel D AD - PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, KU Leuven, Leuven, Belgium. AD - Laboratory of Ion Channel Research, Department of Cellular and Molecular Medicine, Biomedical Sciences Group, KU Leuven, Leuven, Belgium. FAU - Billen, Jaak AU - Billen J AD - Department of Laboratory Medicine, University Hospitals Leuven, Belgium. FAU - Hindryckx, An AU - Hindryckx A AD - Department of Obstetrics and Gynecology, KU Leuven, Belgium. FAU - De Catte, Luc AU - De Catte L AD - Department of Obstetrics and Gynecology, KU Leuven, Belgium. FAU - Baldewijns, Marcella AU - Baldewijns M AD - Department of Pathology, University Hospitals Leuven, Leuven, Belgium. FAU - Claes, Kathleen B M AU - Claes KBM AD - Center for Medical Genetics, Ghent University Hospital, Gent, Belgium. FAU - Wissing, Karl M AU - Wissing KM AD - Department of Nephrology, University Hospitals Brussels, Brussels, Belgium. FAU - Devriendt, Koen AU - Devriendt K AD - Department of Human Genetics, KU Leuven, Leuven, Belgium. FAU - Bammens, Bert AU - Bammens B AD - Department of Nephrology, Dialysis and Renal Transplantation, University Hospitals Leuven, Leuven, Belgium. FAU - Meyts, Isabelle AU - Meyts I AD - Laboratory for Inborn Errors of Immunity, Department of Microbiology, Immunology and Transplantation, University Hospitals Leuven, Leuven, Belgium. AD - Laboratory for Inborn Errors of Immunity, Department of Pediatrics, University Hospitals Leuven, Leuven, Belgium. FAU - Torres, Vicente E AU - Torres VE AD - Division of Nephrology and Hypertension, Mayo Clinic College of Medicine, Rochester, Minnesota, USA. FAU - Vennekens, Rudi AU - Vennekens R AD - Laboratory of Ion Channel Research, Department of Cellular and Molecular Medicine, Biomedical Sciences Group, KU Leuven, Leuven, Belgium. FAU - Mekahli, Djalila AU - Mekahli D AD - PKD Research Group, Laboratory of Pediatrics, Department of Development and Regeneration, KU Leuven, Leuven, Belgium. AD - Department of Pediatric Nephrology and Organ Transplantation, University Hospitals Leuven, Leuven, Belgium. LA - eng PT - Journal Article DEP - 20210406 PL - United States TA - Kidney Int Rep JT - Kidney international reports JID - 101684752 PMC - PMC8207325 OTO - NOTNLM OT - ADPKD OT - chemokine OT - distal tubule OT - inflammation OT - pediatric nephrology OT - proximal tubule EDAT- 2021/06/26 06:00 MHDA- 2021/06/26 06:01 PMCR- 2021/04/06 CRDT- 2021/06/25 06:56 PHST- 2021/01/01 00:00 [received] PHST- 2021/03/07 00:00 [revised] PHST- 2021/03/22 00:00 [accepted] PHST- 2021/06/25 06:56 [entrez] PHST- 2021/06/26 06:00 [pubmed] PHST- 2021/06/26 06:01 [medline] PHST- 2021/04/06 00:00 [pmc-release] AID - S2468-0249(21)01041-X [pii] AID - 10.1016/j.ekir.2021.03.893 [doi] PST - epublish SO - Kidney Int Rep. 2021 Apr 6;6(6):1687-1698. doi: 10.1016/j.ekir.2021.03.893. eCollection 2021 Jun.