[HTML][HTML] Calcineurin is required in urinary tract mesenchyme for the development of the pyeloureteral peristaltic machinery

CP Chang, BW McDill, JR Neilson… - The Journal of …, 2004 - Am Soc Clin Investig
CP Chang, BW McDill, JR Neilson, HE Joist, JA Epstein, GR Crabtree, F Chen
The Journal of clinical investigation, 2004Am Soc Clin Investig
Congenital obstructive nephropathy is the principal cause of renal failure in infants and
children. The underlying molecular and cellular mechanisms of this disease, however,
remain largely undetermined. We generated a mouse model of congenital obstructive
nephropathy that resembles ureteropelvic junction obstruction in humans. In these mice,
calcineurin function is removed by the selective deletion of Cnb1 in the mesenchyme of the
developing urinary tract using the Cre/lox system. This deletion results in reduced …
Congenital obstructive nephropathy is the principal cause of renal failure in infants and children. The underlying molecular and cellular mechanisms of this disease, however, remain largely undetermined. We generated a mouse model of congenital obstructive nephropathy that resembles ureteropelvic junction obstruction in humans. In these mice, calcineurin function is removed by the selective deletion of Cnb1 in the mesenchyme of the developing urinary tract using the Cre/lox system. This deletion results in reduced proliferation in the smooth muscle cells and other mesenchymal cells in the developing urinary tract. Compromised cell proliferation causes abnormal development of the renal pelvis and ureter, leading to defective pyeloureteral peristalsis, progressive renal obstruction, and, eventually, fatal renal failure. Our study demonstrates that calcineurin is an essential signaling molecule in urinary tract development and is required for normal proliferation of the urinary tract mesenchymal cells in a cell-autonomous manner. These studies also emphasize the importance of functional obstruction, resulting from developmental abnormality, in causing congenital obstructive nephropathy.
The Journal of Clinical Investigation