A SALT-SENSITIVE GENETIC BACKGROUND STRONGLY SUPPRESSES MEDULLARY CYST FORMATION IN ARPKD RAT MODEL

 

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https://storage.unitedwebnetwork.com/files/1099/9bbf86c7f01e128107e70255492de4bc.pdf
A SALT-SENSITIVE GENETIC BACKGROUND STRONGLY SUPPRESSES MEDULLARY CYST FORMATION IN ARPKD RAT MODEL

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Aya
Yoshimura
Aya Yoshimura ayoshimu@fujita-hu.ac.jp Fujita Health University Advanced Medical Research Center for Animal Models of Human Diseases Toyoake Japan *
Takahiro Shirozu takahiro.shirozu@fujita-hu.ac.jp Fujita Health University Advanced Medical Research Center for Animal Models of Human Diseases Toyoake Japan -
Masanori Kugita m-kugi@fujita-hu.ac.jp Fujita Health University Advanced Medical Research Center for Animal Models of Human Diseases Toyoake Japan -
Kanakko Kumamoto kumamoto@fujita-hu.ac.jp Fujita Health University Advanced Medical Research Center for Animal Models of Human Diseases Toyoake Japan -
Akiko Takizawa atakizawa@mcw.edu Medical College of Wisconsin Department of Physiology Milwaukee United States -
Melinda R Dwinell mrdwinel@mcw.edu Medical College of Wisconsin Genomic Sciences and Precision Medicine Center Milwaukee United States -
Masumi Hirabayashi mhirarin@nips.ac.jp National Institute for Physiological Sciences Center for Genetic Analysis of Behavior Okazaki Japan -
Kazuo Takahashi kazuot@fujita-hu.ac.jp Fujita Health University School of Medicine Department of Biomedical Molecular Sciences Toyoake Japan -
Tamio Yamaguchi tyamaguc@suzuka-u.ac.jp Suzuka University of Medical Science Department of Medical Technology Suzuka Japan -
Shizuko Nagao shizun@fujita-hu.ac.jp Fujita Health University Advanced Medical Research Center for Animal Models of Human Diseases Toyoake Japan -
 
 
 
 
 

Autosomal recessive polycystic kidney disease (ARPKD) is caused by mutations in the PKHD1 gene, leading to dilated collecting ducts. In PCK rats, a well-established ARPKD model, salt-related factors are known to influence the progression of collecting duct cysts. To investigate this relationship, we generated a novel ARPKD model with salt-sensitive hypertension by introducing a mutant Pkhd1 allele from PCK rats into Dahl/salt-sensitive (SS) rats. Under normal salt conditions, SS-PCK rats exhibited higher blood pressure and renal lesions than SS rats. However, unlike PCK rats, SS-PCK rats displayed markedly reduced medullary cyst formation with smaller cyst size. Therefore, this study aimed to identify factors that suppress medullary cyst development in SS-PCK rats under conditions that exacerbate medullary cystogenesis in PCK rats.

SS-PCK rats were established by introducing the Pkhd1 gene from PCK rats through crossbreeding with SS rats for five generations at the Medical College of Wisconsin. SS rats were also procured from the same institution. Both strains were subsequently bred and maintained at Fujita Health University. Sprague–Dawley (SD) rats (control), and PCK rats were obtained from The Jackson Laboratories Japan, Inc. Male rats from all four strains were fed a standard chow diet (MF: Oriental Yeast Co. Ltd.). Furthermore, SS-PCK rats were subjected to either high salt loading, or treated with desmopressin, a synthetic vasopressin analog.

SS-PCK rats fed a standard salt diet exhibited significantly elevated blood pressure and serum creatinine levels. Histologically, the kidneys showed cyst formation and glomerular lesions predominantly in the cortex, differing from PCK rats, which developed cysts mainly in the medulla. High-salt feeding (4% NaCl for 5 weeks from 5 weeks of age) further increased blood pressure and renal injury in SS-PCK rats but did not enhance medullary cyst formation. In contrast, desmopressin administration (10 ng/hour/100 g body weight via osmotic pump from 5 to 11 weeks of age) increased kidney-to-body weight ratio and cell proliferation in medullary collecting ducts.

These findings suggest that a salt-sensitive genetic background strongly suppresses medullary cyst progression of ARPKD in SS-PCK rats. We plan to further explore this mechanism by inhibiting epithelial sodium channel (ENaC) activity, which was upregulated in the collecting ducts of SS-PCK rats. Given that ENaC activation has been implicated in medullary cyst formation in PCK rats, this approach may provide key insights into the mechanisms underlying cyst suppression in SS-PCK rats.

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