1. Proximal tubular cells contain a phenotypically distinct, scattered cell population involved in tubular regeneration.
- Author
-
Smeets B, Boor P, Dijkman H, Sharma SV, Jirak P, Mooren F, Berger K, Bornemann J, Gelman IH, Floege J, van der Vlag J, Wetzels JF, and Moeller MJ
- Subjects
- AC133 Antigen, Animals, Antigens, CD metabolism, Biomarkers metabolism, Biopsy, CD24 Antigen metabolism, Cell Dedifferentiation, Disease Models, Animal, Fluorescent Antibody Technique, Glycoproteins metabolism, Humans, Kidney Tubular Necrosis, Acute etiology, Kidney Tubular Necrosis, Acute immunology, Kidney Tubular Necrosis, Acute metabolism, Kidney Tubules, Proximal immunology, Kidney Tubules, Proximal metabolism, Male, Microscopy, Electron, Transmission, Microscopy, Fluorescence, Microscopy, Immunoelectron, Mitochondria ultrastructure, Peptides metabolism, Phenotype, Rats, Rats, Wistar, Ureteral Obstruction complications, Ureteral Obstruction pathology, Vimentin metabolism, Cell Proliferation, Kidney Tubular Necrosis, Acute pathology, Kidney Tubules, Proximal ultrastructure, Regeneration
- Abstract
Regeneration of injured tubular cells occurs after acute tubular necrosis primarily from intrinsic renal cells. This may occur from a pre-existing intratubular stem/progenitor cell population or from any surviving proximal tubular cell. In this study, we characterize a CD24-, CD133-, and vimentin-positive subpopulation of cells scattered throughout the proximal tubule in normal human kidney. Compared to adjacent 'normal' proximal tubular cells, these CD24-positive cells contained less cytoplasm, fewer mitochondria, and no brush border. In addition, 49 marker proteins are described that are expressed within the proximal tubules in a similar scattered pattern. For eight of these markers, we confirmed co-localization with CD24. In human biopsies of patients with acute tubular necrosis (ATN), the number of CD24-positive tubular cells was increased. In both normal human kidneys and the ATN biopsies, around 85% of proliferating cells were CD24-positive - indicating that this cell population participates in tubular regeneration. In healthy rat kidneys, the novel cell subpopulation was absent. However, upon unilateral ureteral obstruction (UUO), the novel cell population was detected in significant amounts in the injured kidney. In summary, in human renal biopsies, the CD24-positive cells represent tubular cells with a deviant phenotype, characterized by a distinct morphology and marker expression. After acute tubular injury, these cells become more numerous. In healthy rat kidneys, these cells are not detectable, whereas after UUO, they appeared de novo - arguing against the notion that these cells represent a pre-existing progenitor cell population. Our data indicate rather that these cells represent transiently dedifferentiated tubular cells involved in regeneration., (Copyright © 2012 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.)
- Published
- 2013
- Full Text
- View/download PDF