2009
DOI: 10.2353/ajpath.2009.090227
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Pkd2 Dosage Influences Cellular Repair Responses following Ischemia-Reperfusion Injury

Abstract: Autosomal dominant polycystic kidney disease (ADPKD) results from mutations in either PKD1 or PKD2 and accounts for 10% of all patients on renal replacement therapy. The kidney disease phenotype is primarily characterized by cyst formation, but there are also prominent interstitial changes (inflammation, apoptosis, proliferation, and fibrosis). Using a model of unilateral ischemia-reperfusion injury, we tested the hypothesis that Pkd2 heterozygous kidneys are more sensitive to injury and that this could lead t… Show more

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Cited by 70 publications
(66 citation statements)
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References 42 publications
(52 reference statements)
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“…18 Indeed, Src is activated in tubule epithelial cells in response to ischemia reperfusion injury and appears to participate in tubular regeneration. 67 PC1 expression is increased after renal ischemia reperfusion injury, 68 and the cleaved PC1 tail accumulates in tubule epithelial cells in response to ureteral obstruction. 6 Therefore, we speculate that the PC1-p30/Src/STAT3 pathway is normally activated in response to renal insults and integrates signaling inputs (such as EGF and cAMP) to provide a proliferative outcome to facilitate tissue regeneration.…”
Section: Discussionmentioning
confidence: 99%
“…18 Indeed, Src is activated in tubule epithelial cells in response to ischemia reperfusion injury and appears to participate in tubular regeneration. 67 PC1 expression is increased after renal ischemia reperfusion injury, 68 and the cleaved PC1 tail accumulates in tubule epithelial cells in response to ureteral obstruction. 6 Therefore, we speculate that the PC1-p30/Src/STAT3 pathway is normally activated in response to renal insults and integrates signaling inputs (such as EGF and cAMP) to provide a proliferative outcome to facilitate tissue regeneration.…”
Section: Discussionmentioning
confidence: 99%
“…82 PC1 and PC2 are critical for cellular repair and controlled growth, as well as for division of tubule cells after kidney injury, thus explaining the injury sensitivity of ADPKD kidneys. 83,84 ADPKD leads to kidney enlargement with increasing numbers and size of cysts over time because of abnormal renal epithelial cell growth, together with a disturbed fluid transport resulting in end-stage renal disease in 50% of patients.…”
Section: Autophagy and Ciliummentioning
confidence: 99%
“…13 Both Pkd1 and Pkd2 heterozygotes are especially sensitive to renal injury, resulting in increased inflammation, apoptosis, and fibrosis 18 and hastening the development of microcysts. 19,20 In addition, altered water balance (antidiuresis), with high urine and low plasma osmolality, has been noted in Pkd1 Ï©/ÏȘ mice, whereas cells from patients with PKD2 have altered Ca 2Ï© homeostasis. 21 Together, these data indicate that polycystin 1 and 2 are proteins that are sensitive to heterozygous dosage reduction.…”
mentioning
confidence: 99%