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Am J Physiol Renal Physiol 287: F1123-F1130, 2004. First published August 24, 2004; doi:10.1152/ajprenal.00444.2003
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Overexpression of RET leads to vesicoureteric reflux in mice

O. H. Yu,1,2 I. J. Murawski,1,2 D. B. Myburgh,1 and I. R. Gupta1,2

1Departments of Pediatrics and 2Human Genetics, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada H3H 1P3

Submitted 17 December 2003 ; accepted in final form 18 August 2004

RET, a tyrosine kinase receptor essential for kidney development, has recently been shown to be important for the formation of the urinary tract. When RET is overexpressed in the HoxB7/Ret transgenic mouse, kidneys are small and cystic, and in some of the mice, the ureters are grossly dilated. Here, we report that the observed ureteral dilatation is associated with the urinary tract abnormality vesicoureteric reflux (VUR), in which urine flows retrogradely from the bladder to the ureter. Reflux was determined in vitro by injecting methylene blue into the bladders of HoxB7/Ret and wild-type mice. At postnatal day 1, 30% of HoxB7/Ret mice had VUR compared with 4% of wild-type mice (P < 0.05). The length of the intravesical ureteral tunnel was shorter in HoxB7/Ret mice compared with wild-type mice, on both the right and the left sides (P < 0.05), suggesting a basis for the higher incidence of VUR in these mutants. At embryonic day 11, the ureteric bud was found to exit more caudally from the mesonephric duct in HoxB7/Ret mice, and this may predispose them to VUR (P < 0.05). Wild-type and HoxB7/Ret mice were tested for reflux at embryonic day 17, and both showed a high frequency of VUR (59 and 75%, respectively). These results suggest that VUR may occur transiently during normal urinary tract development before the ureter has completed its insertion into the bladder. In the HoxB7/Ret mouse, overexpression of RET appears to delay the maturation of the distal ureter, resulting in postnatal VUR. The HoxB7/Ret mouse is thus an important model in which to examine how vesicoureteric reflux arises during urinary tract development.

kidney defect; urinary tract defect; ureteric bud



Address for reprint requests and other correspondence: I. R. Gupta, Montreal Children's Hospital, 2300 Tupper St., Montreal, Quebec, Canada H3H 1P3 (E-mail: indra.gupta{at}muhc.mcgill.ca)




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