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Section of Pediatric Nephrology, Department of Pediatrics, Tulane University Health Sciences Center, New Orleans, Louisiana
Submitted 1 February 2006 ; accepted in final form 8 March 2006
In response to gestational high salt intake, BdkrB2/ embryos acquire an aberrant renal phenotype mimicking renal dysplasia in humans. Genetic analysis identified p53 as a mediator of the renal dysplasia in salt-stressed BdkrB2/ mice, acting partly via repression of terminal epithelial differentiation genes. The present study tested the hypothesis that inactivation of BdkrB2 predisposes the salt-stressed embryo to p53-mediated metanephric apoptosis. Newborn BdkrB2/ pups exhibited hyperphosphorylation of metanephric p53 on serine 20 (mouse serine 23), a modification known to increase p53 stability and apoptotic activity. As a result, there was widespread, ectopic expression of p53 in the BdkrB2/ kidney. However, no differences were found in the apoptosis index or gene expression in BdkrB2/ and +/+ kidneys, indicating that p53 stabilization as a result of BdkrB2 inactivation is not sufficient to induce metanephric apoptosis. On gestational salt stress, fulminant metanephric apoptosis and enhanced Bax gene expression occurred in BdkrB2/ but not their +/ or +/+ littermates. Germline deletion of p53 from BdkrB2/ mice prevented Bax activation and normalized the apoptosis index. Rescue of metanephric apoptosis in BdkrB2/ mice was similarly achieved by Bax gene deletion. Aberrant apoptosis in salt-stressed BdkrB2/ mice was triggered on embryonic day E15.5 and involved both ureteric bud (UB) and metanephric mesenchyme-derived nephron elements. Cultured E12.5 salt-stressed BdkrB2/ metanephroi manifested stunted UB branching compared with +/ and +/+ littermates; the abnormal UB branching was corrected by p53 deletion. Our results suggest a model whereby a seemingly silent genetic mutation of BdkrB2 predisposes mice to renal dysplasia by creating a "preapoptotic" state through p53 activation.
kidney development; ureteric bud branching; kallikrein-kinin system
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