Why the study?
Whether renal artery stenosis alters renal endogenous repair mechanisms, such as scattered tubular-like cells, remains unknown.
Does renal artery stenosis alter the gene expression profile and reparative capacity of scattered tubular-like cells in a swine model?
Does renal artery stenosis alter the gene expression profile and reparative capacity of scattered tubular-like cells in a swine model?
Renal artery stenosis in swine alters the gene expression profile of scattered tubular-like cells, leading to increased activation but impaired proliferation, suggesting a blunted reparative capacity.
Answers are grounded in this paper and cite their sources.
STC reparative impairment in swine RAS warrants caution in extrapolating to humans; leaves open mechanistic and therapeutic relevance in clinical renovascular disease.
BACKGROUND: Scattered tubular-like cells (STCs) proliferate and differentiate to support neighboring injured renal tubular cells during recovery from insults. Renal artery stenosis (RAS) induces renal ischemia and hypertension and leads to loss of kidney function, but whether RAS alters renal endogenous repair mechanisms, such as STCs, remains unknown. We hypothesize that RAS in swine modifies the messenger RNA (mRNA) profile of STCs, blunting their in vitro reparative capacity. METHODS: = 3 each) and their gene cargo analyzed using high-throughput mRNAseq. Expression profiles for upregulated and downregulated mRNAs in RAS-STCs were functionally interpreted by gene ontology analysis. STC activation was assessed by counting the total number of STCs in pig kidney sections using flow cytometry, whereas cell proliferation was assessed in vitro. RESULTS: Of all expressed genes, 1430 genes were upregulated and 315 downregulated in RAS- versus Normal-STCs. Expression of selected candidate genes followed the same fold change directions as the mRNAseq findings. Genes upregulated in RAS-STCs were involved in cell adhesion, extracellular matrix remodeling, and kidney development, whereas those downregulated in RAS-STCs are related to cell cycle and cytoskeleton. The percentage of STCs from dissociated kidney cells was higher in RAS versus Normal pigs, but their proliferation rate was blunted. CONCLUSIONS: Renal ischemia and hypertension in swine induce changes in the mRNA profile of STCs, associated with increased STC activation and impaired proliferation. These observations suggest that RAS may alter the reparative capacity of STCs.
No takes yet. Share an insight, caveat, or question.
Nargesi et al. (2019) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: