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Am J Physiol Renal Physiol 296: F1166-F1178, 2009. First published February 4, 2009; doi:10.1152/ajprenal.90550.2008
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Deficiency in Six2 during prenatal development is associated with reduced nephron number, chronic renal failure, and hypertension in Br/+ adult mice

Ben Fogelgren,1 Shiming Yang,1 Ian C. Sharp,1 Odaro J. Huckstep,1 Wenbin Ma,2 S. J. Somponpun,3 Edward C. Carlson,4 Catherine F. T. Uyehara,3 and Scott Lozanoff1

1Department of Anatomy, Biochemistry, and Physiology, John A. Burns School of Medicine, University of Hawaii, Honolulu; 3Department of Clinical Investigation, Tripler Army Medical Center, Honolulu, Hawaii; 2Laboratory of Retrovirus Research, Division of Viral Products, Center for Biologics Evaluation and Research, United States Food and Drug Administration, Rockville, Maryland; and 4Department of Anatomy and Cell Biology, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, North Dakota

Submitted 15 September 2008 ; accepted in final form 2 February 2009

The Br/+ mutant mouse displays decreased embryological expression of the homeobox transcription factor Six2, resulting in hertitable renal hypoplasia. The purpose of this study was to characterize the renal physiological consequences of embryonic haploinsuffiency of Six2 by analyzing renal morphology and function in the adult Br heterozygous mutant. Adult Br/+ kidneys weighed 50% less than those from wild-type mice and displayed glomerulopathy. Stereological analysis of renal glomeruli showed that Br/+ kidneys had an average of 88% fewer glomeruli than +/+ kidneys, whereas individual glomeruli in Br/+ mice maintained an average volume increase of 180% compared with normal nephrons. Immunostaining revealed increased levels of endothelin-1 (ET-1), endothelin receptors A (ETA) and B (ETB), and Na-K-ATPase were present in the dilated renal tubules of mutant mice. Physiological features of chronic renal failure (CRF) including elevated mean arterial pressure, increased plasma creatinine, and dilute urine excretion were measured in Br/+ mutant mice. Electron microscopy of the Br/+ glomeruli revealed pathological alterations such as hypercellularity, extracellular matrix accumulation, and a thick irregular glomerular basement membrane. These results indicate that adult Br/+ mice suffer from CRF associated with reduced nephron number and renal hypoplasia, as well as glomerulopathy. Defects are associated with embryological deficiencies of Six2, suggesting that proper levels of this protein during nephrogenesis are critical for normal glomerular development and adult renal function.

Br mutant mouse; glomerulus



Address for reprint requests and other correspondence: S. Lozanoff, Depts. of Anatomy and Reproductive Biology, John A. Burns School of Medicine, Univ. of Hawaii, 651 Ilalo St. BSB 110, Honolulu, HI 96813 (e-mail: lozanoff{at}hawaii.edu)







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