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1 The Water and Salt Research Center, University of Aarhus, Aarhus C, Denmark; Institute of Anatomy, University of Aarhus, Aarhus C, Denmark
2 Department of Physiology, College of Medicine, University of Arizona, Tucson, USA
3 The Water and Salt Research Center, University of Aarhus, Aarhus C, Denmark; Department of Biochemistry and Cell Biology, School of Medicine, Kyungpook National University, Taegu, Korea, Republic of
4 The Water and Salt Research Center, University of Aarhus, Aarhus C, Denmark; Institute of Clinical Medicine, Aarhus University Hospital, Aarhus N, Denmark
* To whom correspondence should be addressed. E-mail: sn{at}ana.au.dk.
Lithium treatment is associated with development of nephrogenic diabetes insipidus (NDI), caused in
part by downregulation of collecting duct AQP2 and AQP3 expression. In the present study we
carried out cDNA microarray screening of gene expression in the inner medulla (IM) of
lithium-treated and control rats, and selected genes were then investigated at the protein level by
immunoblotting and/or immunohistochemistry. The following genes exhibited significantly altered
transcription and mRNA expression levels, and these were compatible with the changes in protein
expression. The 11-beta-hydroxysteroid dehydrogenase type 2 (11-
-HSD2) protein expression in
the IM was markedly increased (198 ± 25 % of controls, n=6) and immunocytochemistry
demonstrated an increased labeling of IMCD principal cells. This indicated altered renal
mineralocorticoid/glucocorticoid responses in lithium-treated rats. The inhibitor of cyclin-dependent
kinases p27 (KIP) protein expression was significantly decreased or undetectable in the IMCD cells,
pointing to increased cellular proliferation and remodeling. Heat shock protein 27 (Hsp27) protein
expression was decreased in the IM (64 ± 6 % of controls, n=6), likely to be associated with the
decreased medullary osmolality in lithium-treated rats. Consistent with this, lens aldose reductase
(AR) protein expression was markedly decreased in the IM (16 ± 2 % of controls, n=6) and
immunocytochemistry revealed decreased expression in the thin limb cells in the middle and terminal
parts of the IM. Ezrin protein expression was upregulated in the IM (158 ± 16 % of controls, n=6),
where it was predominantly expressed in the apical and cytoplasmic domain of the IMCD cells.
Increased ezrin expression indicated remodeling of actin cytoskeleton and/or altered regulation of
IMCD transporters. In conclusion, the present study demonstrates changes in gene expression not
only in the collecting duct but also in the thin limb of the loop of Henle in inner medulla, and several
of these genes are linked to altered sodium and water reabsorption, cell cycling, and changes of
interstitial osmolality.
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