title: Nephron-deficient Fvb mice develop rapidly progressive renal failure and heavy albuminuria involving excess glomerular GLUT1 and VEGF.
abstract: Reduced nephron numbers may predispose to renal failure. We hypothesized that glucose transporters (GLUTs) may contribute to progression of the renal disease, as GLUTs have been implicated in diabetic glomerulosclerosis and hypertensive renal disease with mesangial cell (MC) stretch. The Os (oligosyndactyly) allele that typically reduces nephron number by approximately 50%, was repeatedly backcrossed from ROP (Ra/+ (ragged), Os/+ (oligosyndactyly), and Pt/+ (pintail)) Os/+ mice more than six times into the Fvb mouse background to obtain Os/+ and +/+ mice with the Fvb background for study. Glomerular function, GLUT1, signaling, albumin excretion, and structural and ultrastructural changes were assessed. The FvbROP Os/+ mice (Fvb background) exhibited increased glomerular GLUT1, glucose uptake, VEGF, glomerular hypertrophy, hyperfiltration, extensive podocyte foot process effacement, marked albuminuria, severe extracellular matrix (ECM) protein deposition, and rapidly progressive renal failure leading to their early demise. Glomerular GLUT1 was increased 2.7-fold in the FvbROP Os/+ mice vs controls at 4 weeks of age, and glucose uptake was increased 2.7-fold. These changes were associated with the activation of glomerular PKCbeta1 and NF-kappaB p50 which contribute to ECM accumulation. The cyclic mechanical stretch of MCs in vitro, used as a model for increased MC stretch in vivo, reproduced increased GLUT1 at 48 h, a stimulus for increased VEGF expression which followed at 72 h. VEGF was also shown to act in a positive feedback manner on MC GLUT1, increasing GLUT1 expression, glucose uptake and fibronectin (FN) accumulation in vitro, whereas antisense suppression of GLUT1 largely blocked FN upregulation by VEGF. The FvbROP Os/+ mice exhibited an early increase in glomerular GLUT1 leading to increased glomerular glucose uptake PKCbeta1, and NF-kappaB activation, with excess ECM accumulation. A GLUT1-VEGF-GLUT1 positive feedback loop may play a key role in contributing to renal disease in this model of nondiabetic glomerulosclerosis.
authors.affiliation: Department of Medicine, University of Chicago, Chicago, IL, USA.
authors.forename: Youli
authors.initials: Y
authors.lastname: Wang
authors.forename: Kathleen O
authors.initials: KO
authors.lastname: Heilig
authors.forename: Andrew W
authors.initials: AW
authors.lastname: Minto
authors.forename: Shenglin
authors.initials: S
authors.lastname: Chen
authors.forename: Minghui
authors.initials: M
authors.lastname: Xiang
authors.forename: David A
authors.initials: DA
authors.lastname: Dean
authors.forename: Richard C
authors.initials: RC
authors.lastname: Geiger
authors.forename: Anthony
authors.initials: A
authors.lastname: Chang
authors.forename: Dimitrina D
authors.initials: DD
authors.lastname: Pravtcheva
authors.forename: Martin
authors.initials: M
authors.lastname: Schlimme
authors.forename: Dilip K
authors.initials: DK
authors.lastname: Deb
authors.forename: Ying
authors.initials: Y
authors.lastname: Wang
authors.forename: Charles W
authors.initials: CW
authors.lastname: Heilig
mesh_terms: D000419:Albuminuria / Q000209:etiology*; D000483:Alleles; D000818:Animals; D002478:Cells, Cultured; D003404:Creatinine / Q000378:metabolism; D018450:Disease Progression; D016326:Extracellular Matrix Proteins / Q000378:metabolism; D005920:Glomerular Mesangium / Q000378:metabolism / Q000473:pathology; D051272:Glucose Transporter Type 1 / Q000378:metabolism*; D007150:Immunohistochemistry; D007527:Isoenzymes / Q000378:metabolism; D007668:Kidney / Q000254:growth & development / Q000378:metabolism / Q000473:pathology; D007678:Kidney Glomerulus / Q000378:metabolism / Q000473:pathology; D051379:Mice; D008810:Mice, Inbred C57BL; D008817:Mice, Mutant Strains / Q000235:genetics / Q000378:metabolism*; D008854:Microscopy, Electron; D016328:NF-kappa B / Q000378:metabolism; D009399:Nephrons / Q000002:abnormalities*; D011493:Protein Kinase C / Q000378:metabolism; D051437:Renal Insufficiency / Q000209:etiology* / Q000503:physiopathology*; D013314:Stress, Mechanical; D013576:Syndactyly / Q000235:genetics; D053773:Transforming Growth Factor beta1 / Q000378:metabolism; D015854:Up-Regulation; D042461:Vascular Endothelial Growth Factor A / Q000378:metabolism*
chemical_list: D016326:Extracellular Matrix Proteins; D051272:Glucose Transporter Type 1; D007527:Isoenzymes; D016328:NF-kappa B; C495678:Slc2a1 protein, mouse; D053773:Transforming Growth Factor beta1; D042461:Vascular Endothelial Growth Factor A; C467480:vascular endothelial growth factor A, mouse; D003404:Creatinine; D011493:Protein Kinase C