Impaired epithelial Na+ channel activity contributes to cystogenesis and development of autosomal recessive polycystic kidney disease in PCK rats. Pediatr Res 2015 Jan;77(1-1):64-9
Date
10/04/2014Pubmed ID
25279988Pubmed Central ID
PMC4268054DOI
10.1038/pr.2014.145Scopus ID
2-s2.0-84927926394 (requires institutional sign-in at Scopus site) 22 CitationsAbstract
BACKGROUND: Autosomal recessive polycystic kidney disease is a genetic disorder characterized by the development of renal cysts of tubular epithelial cell origin. Epithelial Na(+) channel (ENaC) is responsible for sodium reabsorption in the aldosterone-sensitive distal nephron. Here, we investigated the ENaC expression and activity in cystic tissue taken from rats with autosomal recessive polycystic kidney disease.
METHODS: Polycystic kidney (PCK) rats were treated with the selective ENaC inhibitor benzamil given in the drinking water, and after 4 or 12 wk, the severity of morphological malformations in the kidneys was assessed. ENaC and aquaporin-2 expression and ENaC activity were tested with immunohistochemistry and patch-clamp electrophysiology, respectively.
RESULTS: Treatment with benzamil exacerbated development of cysts compared with the vehicle-treated animals. In contrast, the 12 wk of treatment with the loop diuretic furosemide had no effect on cystogenesis. Single-channel patch-clamp analysis revealed that ENaC activity in the freshly isolated cystic epithelium was significantly lower than that in the noncystic collecting ducts isolated from PCK or normal Sprague-Dawley rats. Immunohistochemical analysis confirmed that β-ENaC and aquaporin-2 expressions in cysts are decreased compared with nondilated tubules from PCK rat kidneys.
CONCLUSION: We demonstrated that cystic epithelium exhibits low ENaC activity and this phenomenon can contribute to cyst progression.
Author List
Pavlov TS, Levchenko V, Ilatovskaya DV, Palygin O, Staruschenko AMESH terms used to index this publication - Major topics in bold
AldosteroneAmiloride
Animals
Aquaporin 2
Disease Models, Animal
Disease Progression
Epithelial Sodium Channels
Immunohistochemistry
Kidney
Patch-Clamp Techniques
Polycystic Kidney, Autosomal Recessive
Rats
Rats, Sprague-Dawley
Sodium