POLYCYSTIC KIDNEY DISEASE LEADS TO COGNITIVE IMPAIRMENT IN A RAT MODEL OF DISEASE

 

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POLYCYSTIC KIDNEY DISEASE LEADS TO COGNITIVE IMPAIRMENT IN A RAT MODEL OF DISEASE

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Brooke
Huuskes
Quynh Nhu Dinh quynh.dinh@rmit.edu.au RMIT University School of Health and Biomedical Sciences Bundoora Australia - La Trobe University Centre for Cardiovascular Biology and Disease Research, Department of Microbiology, Anatomy, Physiology and Pharmacology Bundoora Australia
Emily Major 20362283@students.latrobe.edu.au La Trobe University Centre for Cardiovascular Biology and Disease Research, Department of Microbiology, Anatomy, Physiology and Pharmacology Bundoora Australia -
Jemma Gasperoni j.gasperoni@latrobe.edu.au La Trobe University Centre for Cardiovascular Biology and Disease Research, Department of Microbiology, Anatomy, Physiology and Pharmacology Bundoora Australia -
Chris Sobey c.sobery@latrobe.edu.au La Trobe University Centre for Cardiovascular Biology and Disease Research, Department of Microbiology, Anatomy, Physiology and Pharmacology Bundoora Australia -
Grant Drummond g.drummond@latrobe.edu.au La Trobe University Centre for Cardiovascular Biology and Disease Research, Department of Microbiology, Anatomy, Physiology and Pharmacology Bundoora Australia -
Brooke Huuskes b.huuskes@latrobe.edu.au La Trobe University Centre for Cardiovascular Biology and Disease Research, Department of Microbiology, Anatomy, Physiology and Pharmacology Bundoora Australia *
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Polycystic kidney disease (PKD) is the most common form of inherited kidney disease and leads to a build-up of fluid-filled cysts. Progression of PKD can lead to complete kidney failure and the only treatment options for patients are dialysis or kidney transplantation. Patients with PKD have a 2-fild higher risk of developing cognitive impairment and dementia. Dementia is the second leading cause of death in Australia and a risk factor for cardiovascular disease. Currently, there are no disease modifying drugs available for dementia as the underlying causes are unclear. The pathogenesis of cognitive impairment in PKD is unknown, however periperial inflammation and vascular changes have been suggested to play a role. Therefore, the hypothesis of this study is to establish the first rat model of PKD-induced cognitive impairment and elucidate potential mechanisms that can contribute to the development of cognitive impairment.

Male and female Lewis wild-type (WT) and Lewis polycystic kidney (LPK) rats were studied at 6, 12 and 18 weeks of age. Blood pressure was measured by tail cuff. Cognition was assessed using the novel object recognition and Y-maze tests. Aortic thickening was assessed using histology. Inflammation was measured using flow cytometry.

LPKs had higher blood pressure compared to WT from 6 weeks (178±1 mmHg vs 132±1 mmHg, n=10, P<0.05) which was maintained at 12 and 18 weeks. LPK rats had heavier kidneys (P<0.001), hearts (P<0.05) and impaired kidney function (P<0.001). The thickness of the abdominal aortic wall increased in LPKs compared to WT from 6 weeks (0.36±0.01 mM vs 0.32±0.005 mM, n=9-10, P<0.05) to 18 weeks (0.64±0.06 mM vs 0.35±0.03 mM, n=6-7, P<0.05). Compared to WT, kidney T cells and macrophages were increased in LPKs at 6 weeks by 1.5-fold, and 12 weeks by 2.3- and 1.9- fold respectively (n=8-10, P<0.05). At 18 weeks, kidney T cells were similar between LPKs and WT while LPK kidney macrophages were reduced by 4-fold (n=8-10, P<0.05). LPK rats had intact recognition memory but spatial working memory was impaired at 12 and 18 weeks of age (n=9-10, P<0.05).

Cognitive impairment was observed in a rat model of PKD from 12 weeks of age after the onset of hypertension, aortic thickening and kidney inflammation. Aortic thickening is a marker of aortic stiffening which can promote cognitive impairment in other disease settings. The hypertension, aortic thickening and kidney inflammation may have contributed to the development of the cognitive impairment in this rat model of PKD.

Kewords