Proximal tubular cells contain a phenotypically distinct, scattered cell population involved in tubular regeneration

B Smeets, P Boor, H Dijkman, SV Sharma, P Jirak, F Mooren, K Berger, J Bornemann, IH Gelman, J Floege, der Vlag J van, JFM Wetzels, MJ Moeller

Research output: Contribution to journalArticlepeer-review

Abstract

<jats:title>Abstract</jats:title><jats:p><jats:bold>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 <jats:styled-content style="fixed-case">CD24</jats:styled-content>‐, <jats:styled-content style="fixed-case">CD133</jats:styled-content>‐, and vimentin‐positive subpopulation of cells scattered throughout the proximal tubule in normal human kidney. Compared to adjacent ‘normal’ proximal tubular cells, these <jats:styled-content style="fixed-case">CD24</jats:styled-content>‐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 <jats:styled-content style="fixed-case">CD24</jats:styled-content>. In human biopsies of patients with acute tubular necrosis (<jats:styled-content style="fixed-case">ATN</jats:styled-content>), the number of <jats:styled-content style="fixed-case">CD24</jats:styled-content>‐positive tubular cells was increased. In both normal human kidneys and the <jats:styled-content style="fixed-case">ATN</jats:styled-content> biopsies, around 85% of proliferating cells were <jats:styled-content style="fixed-case">CD24</jats:styled-content>‐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 (<jats:styled-content style="fixed-case">UUO</jats:styled-content>), the novel cell population was detected in significant amounts in the injured kidney. In summary, in human renal biopsies, the <jats:styled-content style="fixed-case">CD24</jats:styled-content>‐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 <jats:styled-content style="fixed-case">UUO</jats:styled-content>, they appeared <jats:italic>de novo</jats:italic> – 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 &amp; Sons, Ltd.</jats:bold></jats:p>
Original languageEnglish
Pages (from-to)645-659
Number of pages0
JournalThe Journal of Pathology
Volume229
Issue number5
Early online date13 Mar 2013
DOIs
Publication statusPublished - Apr 2013

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