Nephron Number is Variable
and Declines with Age
Slide 2
Unilateral Renal Hypoplasia
Renal Dysplasia
Hypoplasia and Dysplasia Account for 50% of Abdominal Masses of the Newborn
(Prevalence 0.5% of all Pregnancies)
Kidney
Development<<>>Urological Development
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How to make a nephron |
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How to make 106 nephrons. |
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How to connect nephrons from kidney to
bladder. |
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How nephron formation is related to
hypoplasia and dysplasia and how these are related to abnormalities of the
urinary track. |
Concepts
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Lineage marker |
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Epiboly and experiments that
investigated the “duct”. |
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The plasticity of the duct systems. |
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Induction and Reciprocal Induction |
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Mesenchymal to epithelial conversion |
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Monopodial & dipodial branching |
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Stephen’s Hypothesis and the “shared
molecule hypothesis” |
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The Central Mechanism of
Kidney Development is
the Conversion of
Mesenchyme into Epithelia
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MET: Kidney and Testis |
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EMT: Neural Crest, Endocardial cushion,
Carcinoma, Damage to Tubules. |
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Mesenchyme Epithelia |
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Motile, migratory Sessile |
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Few Cellular Contacts Tightly
Adherent |
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NCAM E-cadherin, ZO-1 |
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Diffuse Extracellular
Matrix Localized Matrix (basal) |
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Collagen I III Collagen IV |
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Polarity by leading edge Polarity
Apical-Basal |
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Vimentin IF Cytokeratin IF |
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The Intermediate
Mesoderm
“TheCord”
Wolffian Duct Forms in One
Day
How Does the Wolffian Duct
Form So Quickly?
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H:A tubule forms in the cranial part of
the cord and then the epithelial cells proliferate and migrate caudally. |
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Exp: Coherent growth of an epithelial
cord; very high replication rate in these cells. |
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H: A wave of Mesenchymal to Epithelial
Conversion. 1.Cells could incorporate along the length of the cord as they
convert into epithelia. |
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Exp: the tubule to be a mosaic of
cells. |
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2.Cord is formed and then converts in
situ in a two step process. |
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Exp: We could dissociate cord
formation and epithelialization. |
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Slide 12
How Does the Wolffian Duct
Form So Quickly?
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H:A tubule forms in the cranial part of
the cord and then the epithelial cells proliferate and migrate caudally. |
|
Exp: Coherent growth of an epithelial
cord; very high replication rate in these cells. |
|
H: A wave of Mesenchymal to Epithelial
Conversion. 1.Cells could incorporate along the length of the cord as they
convert into epithelia. |
|
Exp: the tubule to be a mosaic of
cells. |
|
2.Cord is formed and then converts in
situ in a two step process. |
|
Exp: We could dissociate cord
formation and epithelialization. |
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|
Slide 14
Slide 15
Concepts
|
|
|
Lineage marker |
|
Epiboly and experiments that
investigated the “duct”. |
|
The plasticity of the duct systems. |
|
Mesenchymal to epithelial conversion |
|
Induction and Reciprocal Induction |
|
Monopodial & dipodial branching |
|
Stephen’s Hypothesis and the “shared
molecule hypothesis” |
|
|
|
|
Wolffian Duct>>?
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Changes the surrounding duct cells to
express Pax-2. |
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Pax-2 is required for all subsequent
steps. |
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As the Wolffian duct advances caudally,
nephrons appear on either side of the duct. The nephrons form perpendicular
to the cord. The are called ‘mesonephric tubules’. 20-30 tubules form. It is
functional in amphibia and fish, but in mammals only the cranial 4-6 attach
to the Wolffian duct, and the rest will degenerate. |
Slide 18
Slide 19
Slide 20
Concepts
|
|
|
Lineage marker |
|
Epiboly and experiments that
investigated the “duct”. |
|
The plasticity of the duct systems. |
|
Mesenchymal to epithelial conversion |
|
Induction and Reciprocal Induction |
|
Monopodial & dipodial branching |
|
Stephen’s Hypothesis and the “shared
molecule hypothesis” |
|
|
|
|
Slide 22
Slide 23
Slide 24
Reciprocal Induction
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Mutual Dependency |
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Implies that factors made in
Mesenchyme>>Ureteric bud>>Mesenchyme |
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Hence any interruption of the signaling
between these compartments must affect both compartments. |
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Determination of targeting and
downstream signaling is complex because a factor may come from the mesenchyme
to instruct the ureteric bud to synthesize a factor important in the
mesenchyme. |
Reciprocal Induction
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Ureteric Bud>Mesenchyme |
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Wnt6, Wnt9a,Wnt-11, FGF-2,9,18, TIMP,
IL-6 Cytokines, BMP-7. |
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Mesenchyme>Ureteric Bud |
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GDNF, FGF-7, pleiotrophin, BMP-4, HGF, amphiregulin. |
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Stroma>Ureteric Bud |
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RA dependent factor, BMP-4, BMP-6. |
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Ureteric Bud>Stroma |
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Unknown signal. |
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Mesenchyme>Stroma |
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BMP-7. |
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Stroma>Mesenchyme |
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Unknown Signal. |
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Slide 27
Slide 28
Slide 29
Concepts
|
|
|
Lineage marker |
|
Epiboly and experiments that
investigated the “duct”. |
|
The plasticity of the duct systems. |
|
Mesenchymal to epithelial conversion |
|
Induction and Reciprocal Induction |
|
Monopodial & dipodial branching |
|
Stephen’s Hypothesis and the “shared
molecule hypothesis” |
|
|
|
|
Slide 31
RET
Slide 33
Slide 34
Slide 35
Slide 36
Slide 37
Slide 38
Slide 39
Two Pathways to Form
Epithelia
in the Metanephric Kidney
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Mesenchymal Cells into Epithelial
Cells-Nephron, A Sequence |
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1. Proliferation of mesenchymal cells. |
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2. De novo expression of competency
factors (Pax-2, WT-1). |
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3. De novo expression of conversion
factors (Wnt-4). |
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4. De novo expression of junctional
proteins (NCAM>Cad6>E-cadherin>ZO-1). |
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5. De novo expression of matrix
proteins (collagen I/III, Fn >laminin alpha5, collagen IV). |
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6. De novo expression of cytoskeletal
proteins (vimentin>cytokeratin). |
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Branching Morphogenesis- Ureteric Bud,
A Sequence |
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1. Proliferation of epithelia |
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2. Transient loss of epithelial
organizers such as E-cadherin |
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3. But retention of other components
of polarity such as Zo-1 |
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4. Coherent growth of the tubule. |
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5. Distinct populations of tip cells
which can act as pathfinders, or have different rates of replication. Ret+ |
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6. 3 types of branching-terminal
bifid, arcade and cortical lateral-Regulatory events? |
Concepts
|
|
|
Lineage marker |
|
Epiboly and experiments that
investigated the “duct”. |
|
The plasticity of the duct systems. |
|
Mesenchymal to epithelial conversion |
|
Induction and Reciprocal Induction |
|
Monopodial & dipodial branching |
|
Stephen’s Hypothesis and the “shared
molecule hypothesis” |
|
|
|
|
Slide 42
Slide 43
Slide 44
Slide 45
Slide 46
Slide 47
Kidney
Development<<>>Urological Development
|
|
|
How to make a nephron |
|
How to make 106 nephrons. |
|
How to make the connection from kidney
to bladder. |
|
How nephron formation is related to
hypoplasia and dysplasia and how these are related to abnormalities of the
urinary track. |
Concepts
|
|
|
Nephron number is variable, hypolasia,
dysplasia |
|
Mesenchymal to epithelial conversion |
|
Lineage marker |
|
Epiboly and experiments that
investigated the “duct”. |
|
The plasticity of the duct systems. |
|
Induction and Reciprocal Induction |
|
Monopodial & dipodial branching |
|
Stephen’s Hypothesis and the “shared
molecule hypothesis” |
|
|
|
|
Epithelia
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Mesenchymal to Epithelial Conversion |
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Tubule elongation and branching |
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Tubules-sheets of cells |
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Tubules being used for multiple
purposes. |