Vol. 275, Issue 1, F173-F182, July 1998
Activation of kininogen expression during distal nephron
differentiation
Samir S.
El-Dahr1,
Susana
Dipp1,
Igor V.
Yosipiv1, and
Luis A.
Carbini2
1 Section of Pediatric Nephrology,
Tulane University School of Medicine, New Orleans, Louisiana 70112;
and 2 Eye Care Services,
Henry Ford Health System, Detroit, Michigan 48202
 |
ABSTRACT |
Previous studies have shown that the epithelial precursors of
the connecting tubule and collecting duct express tissue kallikrein and
bradykinin B2 receptors,
respectively, suggesting the presence of a local
kinin-producing/responsive system in the maturing distal nephron.
However, evidence for the existence of kininogen in the developing
nephron is still lacking. This study examined the spatiotemporal relationships between segmental nephron differentiation and the ontogeny of kininogen and kinins in the rat. Kininogen immunoreactivity is detectable in the metanephros as early as embryonic
day 15. In the
nephrogenic zone, the terminal ureteric bud branches are the main
kinin-expressing segments. Kininogen is also observed in the stromal
mesenchyme. In contrast, proximal ureteric bud branches,
metanephrogenic mesenchyme, and pretubular aggregates express little or
no kininogen. After completion of nephrogenesis, kininogen distribution
assumes its classic "adult" pattern in the collecting ducts. Peak
kininogen mRNA and protein expression occur perinatally, corresponding
to the period of active nephrogenesis in the rat, and declines
gradually thereafter. Estimations made by RT-PCR, Western blotting, and
radioimmunoassays indicate that renal kininogen mRNA and protein levels
are at least 20-fold higher in newborn than adult rats. Likewise,
immunoreactive tissue kinin levels are 2.3-fold higher in newborn than
adult kidneys (P < 0.05). In
summary, the present study demonstrates the activation of kininogen
gene expression and kinin production in the developing kidney. The
terminal ureteric bud branches and their epithelial derivatives are the
principal kinin-producing segments in the maturing nephron. The results
suggest an autocrine/paracrine role for the kallikrein-kinin system in
distal nephron maturation.
development; kidney; kallikrein-kinin system; messenger ribonucleic
acid; immunohistochemistry
 |
INTRODUCTION |
HIGH- AND LOW-MOLECULAR-weight kininogens (HKG and
LKG), the precursors of endogenous kinins, are generated by
differential splicing of a primary transcript encoded by a single gene
called K-KG (18). HKG is the preferred substrate for plasma kallikrein, whereas LKG is preferentially cleaved by tissue kallikreins, a multigene family of serine proteases (for a review, see Ref. 2). The
rat liver also expresses an LKG-related protein of unknown function
called T-KG. Unlike LKG, however, T-KG is not cleaved by plasma or
tissue kallikreins. Studies in adult kidneys indicate that LKG mRNA is
expressed in the collecting ducts (14, 17), suggesting that
kinin-producing cells are of ureteric bud origin. However, evidence for
the production of kininogen and kinins in the developing kidney remains
lacking.
It is now established that endogenous kinins modulate renal
hemodynamics and urinary sodium excretion (19, 26, 27). Furthermore,
transgenic mice harboring the human tissue kallikrein gene are
hypotensive (30). Conversely, mice with targeted disruption of the
bradykinin B2 receptor gene
manifest decreased renal blood flow and salt-sensitive hypertension
(1), thus providing direct evidence for the involvement of kinins in
renal function and blood pressure homeostasis.
Although the role of kinins in the adult animal is in great part
understood, the role of kinins during early development is virtually
unknown. Initial studies by Robillard and colleagues (25) found a
significant correlation between the developmental changes in renal
blood flow and renal kallikrein activity. Studies from our laboratory
utilizing a selective B2-receptor
antagonist have shown that endogenous kinins, acting via
B2 receptors, counteract angiotensin II-mediated renal vasoconstriction in the developing rat
(12). Furthermore, there is evidence that the activation of kinin B2 receptor gene
expression in the neonatal kidney is involved in maintaining the
high-proliferative activity during the later stages of nephrogenesis
(31). Other studies performed in an inbred rat strain with low renal
kallikrein have shown that these rats manifest reduced renal growth and
poor glomerular development (23). The presence of the mRNAs and
proteins for tissue kallikrein (8, 11, 29), kininase II
(angiotensin-converting enzyme) (32, 33), and bradykinin
B2 receptors (10) in the fetal and
newborn kidney provides further support for the involvement of kinins
in kidney maturation. However, evidence that the tissue kallikrein
substrate, LKG, is expressed in the developing nephron is still
lacking. Accordingly, the present study was designed to examine the
ontogeny and intrarenal localization of LKG during rat nephrogenesis.
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METHODS |
Time-dated pregnant and adult male Sprague-Dawley rats (200-250 g)
were purchased from Charles River Breeding Laboratories (Wilmington,
MA) and fed regular rat chow (Purina 5012; Ralston-Purina, St. Louis,
MO) and tap water until the day of study.
Detection of LKG mRNA by reverse
transcription-polymerase chain reaction. Total kidney
RNA from fetuses (gestation days 16, 18, and
20), newborn (days
1 and 5), weanling
(day 20), and adult rats was
extracted by the guanidinium isothiocyanate protocol of Chomczynski and
Sacchi (7). LKG mRNA was detected by RT-PCR, and liver RNA served as a
positive control. The RT mixture (12 µl) contained 3 µg of total
RNA, 1 ng of random hexamers, 1 µl of 10 mM dNTP, 2 µl of 10×
RT buffer [200 mM Tris · HCl (pH 8.4), 500 mM
KCl, 15 mM MgCl2], and 200 U
of Moloney leukemia virus reverse transcriptase Superscript II
(GIBCO-BRL, Life Technologies). RT was performed using
Perkin-Elmer Gene Amp PCR System 2400 (Cetus Instruments, Norwalk, CT)
at 37°C for 50 min, and the RT enzyme was inactivated by heating at
70°C for 10 min. The template mRNA was degraded by incubating the
samples with 2 units of Escherichia coli RNase H at 37°C for 20 min. cDNA was amplified
from 25% of RT mixture by PCR, using LKG-specific primers (25 pmol of
each), 1 unit of thermostable Taq
polymerase, 5 µl of 10× PCR buffer, and 1 µl of 10 mM dNTP
(35 cycles at 94°C for 5 min, 55°C for 1 min, 72°C for 1 min). This was followed by a 7-min elongation period at 60°C.
Exponential amplification of LKG cDNA was documented at 35 cycles of
PCR. The primers used were 5' ACATCACAGGTGGTTGCTGGA 3'
(upstream), corresponding to nucleotides 918-938 of K-KG mRNA (exon 7), and 5' TGAGAGTCTGCCCTTGTACT 3' (downstream),
corresponding to nucleotides 1215-1234 of K-KG mRNA (exon 11)
(15). Because the sequence encoded by exon 11 is only present in LKG
mRNA, the RT-PCR product (314) is specifically derived from LKG
message. This was further confirmed by Southern blot hybridization to a radiolabeled LKG-specific oligonucleotide, 5'
TCCGAAAAAGTGAGCTCCACG 3'.
As an internal standard for the efficiency of amplification, one-fifth
of the RT product was also used to amplify glyceraldehyde-3-phosphate dehydrogenase (GAPDH) mRNA sequences. The upstream primer (5' AATGCATCCTGCACCACCAACTGC 3') corresponds to nucleotides
524-547, and the downstream primer (5'
GGCGGCCATGTAGGCCATCTGGAG 3') is complementary to nucleotides
1055-1078 of rat GAPDH cDNA. PCR conditions were as follows:
94°C for 5 min, 55°C for 1 min, and 72°C for 7 min. The
predicted size of the PCR product is 555 bp. Southern blots were
hybridized to 32P-labeled GAPDH
cDNA. Relative band intensities were determined by scanning
densitometry (Ultroscan, LKB Biotechnology).
Western blot analysis. Kidneys from
fetal, neonatal, weanling, and adult rats were removed, rinsed
thoroughly, and homogenized in PBS (pH 7.2) on ice. Homogenate was
centrifuged at 600 g for 20 min
(4°C), and the supernatant was treated with deoxycholate (0.5%
wt/vol) for 30 min at room temperature and centrifuged at 20,000 g for 30 min at 4°C. The samples
were subsequently assayed for protein concentration, according to the
method of Lowry et al. (20), using bovine serum albumin (BSA) as a
standard. Aliquots of kidney extracts (50 µg total protein) were
separated by 3-12% stacking SDS-PAGE [12% acrylamide, 5 mM
bis (Bio-Rad Laboratories, Richmond, CA), 0.38 M
Tris · HCl, pH 8.8, 0.1% SDS, 0.1% ammonium persulfate, and 0.025%
N,N,N',N'-tetramethylethylenediamine
(Bio-Rad)]. Rainbow molecular weight markers
(14,300-200,000; Amersham, Arlington Heights, IL) were used to
determine approximate molecular weights. Electrophoresis was carried
out at 60 V for 3 h in duplicate. One gel was stained with 0.1%
Coomassie blue stain R250 to visualize the protein bands. The proteins
from the second gel were electrophoretically transferred to
nitrocellulose in a Genie Electrophoretic Blotter (Idea Scientific,
Corvallis, OR) at 20 V for 90 min. Transfer buffer is Tris-glycine (25 mM Tris, 0.2 M glycine), pH 8.3, in 20% methanol. After transblotting,
the nitrocellulose was washed in PBS, pH 7.2, and incubated overnight
at 4°C in PBS containing 3% BSA as a blocking agent. After rinsing
in 0.05% Tween 20 in PBS for 20 min at room temperature, the
nitrocellulose was incubated with a polyclonal anti-rat LKG antibody
(from Dr. Julie Chao) diluted 1:1,000 in PBS-Tween 20 for 2 h at room
temperature. This antibody recognizes LKG but not HKG (5, 6).
In other experiments, we used a monoclonal bradykinin-directed anti-KG
antibody (1D10), which
recognizes the kinin moiety in all KGs (5). The nitrocellulose blots
were then washed in PBS-Tween 20, followed by PBS alone, and incubated
at room temperature for 1 h with anti-mouse IgG peroxidase conjugate
(Sigma Chemical, St. Louis, MO; diluted 1:2,000 in PBS-Tween 20 with
3% BSA). After blots were washed in PBS, visualization of
antigen-antibody reaction products was accomplished by enhanced
chemiluminescence (ECL, Amersham) per manufacturer's instructions or
by 4-chloronaphthol, as previously described (9). Relative band
intensities were determined by scanning laser densitometry (Ultroscan,
LKB Biotechnology).
Immunohistochemistry. Twenty-four rat
fetuses (gestation ages 15 and 17-20 days), eight newborns
(days 1 and
5), and four adult rats were
examined for the immunolocalization of LKG. Tissues were fixed from
4-12 h in Bouin's fixative (4% paraformaldehyde, 1% picric
acid, 5% glacial acetic acid), dehydrated, and embedded in paraffin
blocks. Serial 5- to 7-µm sections were immunostained for KG by the
immunoperoxidase technique. After deparafinization and hydration, the
sections were washed in PBS for 5 min. Quenching of endogenous
peroxidase activity was achieved by incubating the sections for 30 min
in 0.3%
H2O2
in methanol. After washing in PBS for 20 min, the sections were
incubated with normal horse serum for 20 min. Thereafter, the sections
were incubated for 90 min with LKG antibody diluted 1:2,000 in PBS
containing 1% BSA. Sections were rinsed in PBS for 10 min and
subsequently incubated with IgG-biotinylated antibody for 30 min.
Subsequently, the sections were washed in PBS for 10 min and incubated
for 45 min with the avidin-biotinylated horseradish peroxidase complex
(Vectastain ABC reagent; Vector Laboratories, Burlingame, CA) and
exposed for 3-5 min to 0.1% diaminobenzidine tetrahydrochloride
and 0.2% H2O2.
The sections were then washed in tap water and counterstained with
hematoxylin or periodic acid-Schiff (PAS) as a marker of proximal
tubular brush border. As negative controls, the primary antibody was
omitted or replaced by nonimmune serum.
Immunostained sections were reviewed by light microscopy at ×100
and ×200 magnifications. The segmental localization of LKG immunoreactivity in developing and adult kidneys was recorded for each
age group of rats. In addition a semiquantitative score was obtained
for the intensity of staining as follow: 0, no staining; +, weak; ++,
moderate; and +++, strong staining. An average of 2-3 sections per
animal were examined, and all comparisons were done on tissue sections
that were immunostained during the same run.
Tissue kininogen and kinin RIA. Kidney
KG levels were measured by a direct RIA (6) on pooled tissue samples
from 4-5 animals in each group. The kinin RIA was performed in
individual kidney tissue samples, as described by Campbell et al. (3).
Briefly, the rats (4 adults, 12 five day old) were killed by
decapitation without prior anesthetic, and the kidneys rapidly removed
and weighed. The kidneys were immediately homogenized in 4 M guanidine thiocyanate (GTC) and 1% trifluoracetic acid (TFA) in water at room
temperature. The time delay between decapitation of the animal and
kidney tissue homogenization was less than 60 s. To obtain sufficient
kidney tissues from young rats, four pools (3 rats each) were made.
Kidneys were homogenized in 20 ml GTC/TFA. Tissue homogenate was
sonicated briefly and then centrifuged at 5,000 g for 20 min.
For the extraction of bradykinin from tissues, 10 ml of the supernatant
from each homogenate was extracted on a Sep-Pak
C18 cartridge (Waters
Chromatography Division, Milford, MA). The eluate was collected into a
siliconized 13 × 100-mm bortosilicate glass tube and evaporated
to dryness in a vacuum centrifuge. Each extract was then dissolved in 1 ml of 1 M hydrochloric acid and was extracted twice with 1 ml diethyl
ether. The extracts were then evaporated to dryness again before
performing the RIA (3). A rabbit polyclonal COOH-terminal-directed
bradykinin (BK)-(1-9) antibody was used in the RIA.
It has been shown previously that the predominant BK peptides in kidney
are BK-(1-7) and BK-(1-9), with low levels of BK-(1-8) and
BK-(4-9) detectable (3). Monoiodinated
125I-tyr-BK-(1-9) was used as
a tracer for the COOH-terminal-directed RIA. The standard for the
COOH-terminal RIA was BK-(1-9).
Statistical analysis. Comparisons
between groups were performed by one-way ANOVA or unpaired
t-test.
P < 0.05 was considered significant.
 |
RESULTS |
Developmental changes in renal LKG
protein and mRNA. As shown in Fig.
1, renal LKG levels, measured by Western
blotting and a specific RIA, are elevated in the fetus and newborn and
decline postnatally. Peak LKG levels are observed during the perinatal period and are ~40-fold higher than the levels observed in the adult
kidney. Western blot analysis also shows that the KG antibody is
specific for LKG (68 kDa). Immunoblotting with a BK-directed anti-KG
antibody revealed qualitatively similar results (Fig. 1B). The presence of a 68-kDa
doublet is probably related to the codetection of LKG and T-KG because
the utilized antibodies recognize both molecules.

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Fig. 1.
Developmental changes in renal immunoreactive low-molecular-weight
kininogen (LKG) assessed by Western blotting
(A and
B) and RIA
(C). LKG protein levels are high in
the developing kidney and decrease during postnatal maturation.
E, embryonic day;
D, postnatal day.
B: 25-kDa band is probably a
degradation product.
|
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To determine whether LKG is synthesized in the developing kidney, we
used a sensitive RT-PCR assay to detect LKG mRNA sequences. The RT-PCR
strategy allows the distinction of LKG from HKG and T-KG. As shown in
Fig. 2, LKG mRNA is expressed in the fetal
kidney as early as embryonic day 16 (E16). The abundance of LKG mRNA increases toward the end of gestation and peaks perinatally only to
decline thereafter. The difference in LKG mRNA levels between day 1 or
5 kidneys and adult kidneys varied
between 5- and 20-fold (3 separate assays). This temporal pattern of
expression parallels that of LKG protein detected by Western blotting
and RIA, indicating that the renal KG gene is developmentally
regulated.

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Fig. 2.
Developmental changes in renal KG gene expression evaluated by RT- PCR
(top) and Southern blot hybridization (bottom)
specific for LKG. LKG mRNA is expressed at relatively high levels
during fetal and neonatal development. GAPDH,
glyceraldehyde-3-phosphate dehydrogenase; A, adult; LV, adult liver
(positive control).
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Developmental changes in immunoreactive renal kinin
contents. Kidney immunoreactive kinins were measured
utilizing a COOH-terminal kinin RIA in 5-day-old newborn and adult male
rats (n = 4/group). Renal tissue kinin
contents were 2.3-fold higher in the newborn than adult rats (214 ± 9 vs. 93 ± 10 fmol/g; P < 0.05, t-test) (Fig.
3). Addition of carboxypeptidase B to the
assay sample, which removes the COOH-terminal arginine of BK, abolished
the immunoreactivity indicating that the antibody used in this assay recognizes a true kinin moiety.
Intrarenal localization of KG in the developing
kidney. Sections of liver and submandibular gland (SMG)
from E15 and
-17 rat fetuses, respectively, were
used as positive controls for the LKG immunostaining. The rat liver
synthesizes LKG as early as E11 of
gestation (28). LKG immunoreactivity in the fetal liver is observed in
the cytoplasm of differentiating hepatocytes in a perinuclear
distribution (Fig.
4A). In
the SMG, LKG is observed primarily in the ductal epithelial cells and
in the developing glandular structures (Fig.
4B). The loose periductal mesenchyme expresses LKG but at lower intensity.

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Fig. 4.
LKG immunolocalization in fetal tissues.
A: fetal liver on
E15 of gestation (hematoxylin;
magnification, ×170). LKG immunoreactivity is present in the
perinuclear cytoplasm of immature hepatocytes.
B: fetal submandibular gland on
E17 of gestation (hematoxylin;
magnification, ×170). LKG is expressed in the differentiating
ductal and glandular epithelium and to a lesser extent in the
surrounding loose mesenchyme. C: fetal
kidney on E17 (hematoxylin;
magnification, ×85). UB, main ureteric bud branches are LKG
negative. Bulk of LKG immunostaining is seen in the nephrogenic zone.
D: same fetal kidney shown in
C (magnification, ×340) showing
two immature nephrons expressing LKG in the differentiating terminal
ureteric branches [future collecting ducts (CD);
C,
inset]. Scattered LKG
immunoreactivity is present in the loose mesenchymal stroma.
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In the developing kidney, three temporal stage-specific patterns of LKG
expression were identified during nephrogenesis. During early-to-mid-fetal nephrogenesis
(E15-17), LKG immunoreactivity is mainly observed in the terminal branches of the ureter (future collecting ducts) (Fig. 4, C and
D). Only few LKG-positive cells are
observed within the main branches of the ureter. LKG is not observed in
the nephrogenic mesenchyme but is expressed at low levels in stromal
interstitial cells of the cortex and medulla (Fig.
4D). PAS-counterstained kidney
sections at E19 confirmed that
PAS-positive maturing proximal tubules are LKG negative (Fig. 5).

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Fig. 5.
Immunolocalization of LKG in the fetal rat kidney at
E19 [periodic acid-Schiff (PAS);
magnification, ×200]. Distinct localization of LKG in the
collecting tubules. PAS-positive proximal tubules do not contain LKG
immunoreactivity. Arrowheads, collecting ducts; P, proximal tubule.
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During the later stages of nephrogenesis (day
5), LKG immunostaining is seen mainly in the
collecting ducts (Fig.
6A).
Intraglomerular LKG staining decreases in maturing glomeruli where it
appears to be predominantly expressed in the capillary loops and in the peritubular capillary network (Fig.
6B). After completion of
nephrogenesis, LKG assumes its classic adult-type distribution within
the collecting ducts (Fig.
7B).
In the adult kidney, higher concentrations of LKG antibody (1:1,000)
were needed to reveal immunostaining due to the declining abundance of
LKG with age. In addition to the collecting ducts, LKG immunostaining
is observed in the peritubular capillary network of the outer and inner
medulla (Fig. 7B). No specific
staining was observed in control sections incubated with a nonimmune
rabbit serum (Fig. 7A) or in the
absence of the primary antibody (not shown). We also observed that the
overall intensity of LKG immunostaining decreases with postnatal
maturation. A summary of the segmental localization and
semiquantitative assessment of the intensity of LKG immunostaining are
presented in Table 1.

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Fig. 6.
LKG immunolocalization in the kidney of a 5-day-old newborn rat.
A: LKG is expressed primarily in the
collecting ducts of deeper more mature nephrons. Some staining is seen
in the peritubular capillaries. At this maturational stage, intrarenal
LKG localization begins to resemble that of the adult (hematoxylin;
magnification, ×200). B: mature
inner cortical nephron showing a glomerulus surrounded by
LKG-containing tubules. Note the basal subnuclear localization of
immunoreactive LKG (arrows). LKG immunoreactivity is also seen in
maturing glomeruli and peritubular capillaries (hematoxylin;
magnification, ×400).
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Fig. 7.
LKG immunolocalization in adult rat kidney with PAS staining.
A: control section incubated
with a rabbit nonimmune serum in lieu of the LKG antibody
(magnification, ×200). B: LKG is
localized in the collecting ducts (CD, arrowheads; magnification,
×400).
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 |
DISCUSSION |
The present study documents that the developing rat kidney expresses
LKG mRNA and protein. The ontogenetic changes in LKG expression are
accompanied by significant shifts in the intrarenal segmental
localization of LKG. During early nephrogenesis, LKG is mainly
expressed in the terminal ureteric bud branches. As glomerulogenesis
proceeds, LKG is also observed in capillary loop stage glomeruli but
disappears later in fully mature glomeruli. During the later stages of
nephrogenesis, LKG assumes its classic adult location in the collecting
ducts.
Bradykinin is a short-lived peptide, and therefore it operates in a
paracrine manner at or near its site of synthesis and release. In the
adult kidney, tissue kallikrein, LKG, and kinin B2 receptors are all expressed in
the distal nephron (13, 14, 17). Emerging evidence indicates that
the developing kidney may also be endowed with a local
kallikrein-kinin system. The genes encoding rat tissue kallikrein and
bradykinin B2 receptors are
expressed in the upper limb of S-shaped nephrons and maturing collecting ducts, respectively (8, 10). This study presents new
evidence that KG gene expression is activated during kidney development, and that LKG is localized to epithelial elements destined
to give rise to the collecting duct. Collectively, the results
demonstrate the presence of a complete kallikrein-kinin system in the
differentiating distal nephron.
The higher levels of immunoreactive kinins in developing than adult
kidneys is in agreement with the observation that the intensity of LKG
immunostaining is also higher in newborn than adult animals. Kininase
II levels are low in the developing rat kidney and do not increase
until the end of the 2nd week of postnatal life (32). In addition,
there is evidence for the presence of high kininase II levels in the
collecting duct, the site of kinin formation (4). Thus the elevated
kinin levels in the newborn kidney are likely to result from a
combination of increased production and decreased
degradation.
The liver is the major source of circulating KG. HKG and LKG are
encoded by differentially spliced mRNAs transcribed from a single gene
called K-KG (18). The nine exons upstream of the kinin sequence code
for the same amino acids in both HKG and LKG; the portion of exon 10 downstream of the kinin sequence is unique to HKG mRNA, whereas exon 11 is expressed in only LKG mRNA. LKG (68 kDa) is the substrate for tissue
kallikrein, whereas HKG (100-120 kDa, depending on the species)
serves as the substrate for plasma kallikrein. The rat liver expresses
an additional unique KG molecule, called T-KG, which displays 90%
sequence homology with LKG (2). T-KG is a product of an acute-phase
gene that is stimulated by interleukin-6 in inflammatory conditions.
The mRNAs encoding LKG and T-KG are differentially regulated. Both
transcripts of the K-KG gene (i.e., HKG and LKG) are expressed
constitutively during rat liver development (9). On the other hand,
T-KG expression is induced immediately after birth (9). The present
study shows that the K-KG gene is induced in the developing kidney.
Thus the ontogeny of K-KG gene expression is controlled by
tissue-specific factors. The molecular basis for the differential
tissue-specific and developmental expression of KG is an interesting
topic for future investigation. This study focused on LKG, rather than
HKG or T-KG, because LKG is the main physiological substrate for renal tissue kallikrein.
The recent availability of highly potent and selective bradykinin
receptor antagonists has permitted the evaluation of the role of
the kallikrein-kinin system in renal and cardiovascular homeostasis. In the adult, acute kinin
B2 receptor blockade decreases renal blood flow and reduces papillary blood flow and the natriuretic response to volume loading (26, 27). The role of kinins in blood
pressure regulation is further illustrated by the findings that chronic
administration of angiotensin II to kininogen-deficient rats or kinin
receptor antagonist-treated rats results in hypertension (22, 24) and
that transgenic mice overexpressing human tissue kallikrein are hypotensive (30). In contrast, that targeted disruption of the B2 receptor gene
confers salt sensitivity (1).
The functional relevance of intrarenal kinins in the developing animal
is not entirely clear. Recent studies using selective B2 receptor antagonists have
demonstrated that endogenous kinins tonically oppose
angiotensin-mediated renal vasoconstriction in newborn rats (12). Also,
kinin B2 receptor blockade in
neonatal (but not adult) rats suppresses renal growth and DNA synthesis (31). A role for the renal kallikrein-kinin system during fetal life
has also been suggested. Gestational blockade of
B2 receptors in salt-treated
pregnant rats compromises fetal metanephrogenesis and leads to adult
hypertension (21). Ongoing studies in mice with genetic ablation of
B2 receptors should be informative
with regard to the developmental role of kinins.
There is evidence that the intact LKG molecule may have additional
functions independently from kinins. The KG molecules are potent
inhibitors of lysosomal cysteine proteases, such as cathepsin B, H, and
L (2). During the period of rapid cell growth and proliferation, these
enzymes may be released from apoptotic cells and, if activated in an
acid microenvironment, can induce substantial injury or extensive
remodeling of the extracellular matrix in the immature kidney. We
therefore postulate that the developmentally programmed activation of
KG gene expression may represent an intrinsic defensive mechanism to
protect the differentiating renal epithelial cells against endogenous
cysteine proteases released from neighboring apoptotic mesenchymal
cells. In support of this hypothesis, preliminary studies by Vattimo et
al. (28) have suggested a role for cysteine proteinase activity in
growth factor-induced tubulogenesis. Clearly, future studies are needed
to test this hypothesis.
In summary, this study demonstrates that LKG is highly expressed during
rat nephrogenesis. The differentiating collecting duct, the site of
kinin B2 receptor expression, is
also the principal LKG-expressing segment in the developing nephron.
Based on the infrequent expression of KG in the main ureteric branches
or metanephric mesenchyme, we speculate that kinins are not involved in
the regulation of branching morphogenesis or early
mesenchymal-epithelial differentiation. On the other hand, the
spatially restricted expression of LKG (along with
B2 receptors, Ref. 10) in the
differentiating collecting duct system supports the idea that kinins
and/or KGs may be important for distal nephron growth or the
acquisition of a differentiated phenotype.
 |
ACKNOWLEDGEMENTS |
We are grateful to Drs. Julie Chao (Medical University of South
Carolina) and Gloria Scicli (Henry Ford Health System) for help in
measurement of immunoreactive kininogen and kinins, respectively.
 |
FOOTNOTES |
The present study was supported by National Institute of Diabetes and
Digestive and Kidney Diseases Grant DK-53595 and Grant-in-Aid 96-008140 from the American Heart Association, National Center (to
S. S. El-Dahr). S. S. El-Dahr is a recipient of National Kidney Foundation Clinical Scientist Award.
Address for reprint requests: S. S. El-Dahr, Dept. of Pediatrics,
Tulane Univ. School of Medicine, 1430 Tulane Ave., New Orleans, LA
70112.
Received 1 December 1997; accepted in final form 2 April 1998.
 |
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