Komić Jelena, Kelam Nela, Racetin Anita, Filipović Natalija, Saraga-Babić Mirna, Ihara Dai, Katsuyama Yu, Vukojević Katarina
Department of Family Medicine, Split-Dalmatia County Health Center, 21000 Split, Croatia.
Department of Anatomy, Histology and Embryology, University of Split School of Medicine, Šoltanska 2A, 21000 Split, Croatia.
Int J Mol Sci. 2025 Jul 3;26(13):6421. doi: 10.3390/ijms26136421.
Congenital anomalies of the kidney and urinary tract (CAKUT) are the third most common congenital anomaly and a significant public health concern. It is the predominant cause of chronic renal disease in pediatric populations and the principal reason for kidney replacement therapy in individuals under 20, as well as the fourth leading cause in adults. Five candidate genes, including , , and were identified as potential contributors to CAKUT. These genes had not been previously prioritized in CAKUT research, and our prior studies have demonstrated that the proteins encoded by these candidate genes display dysregulated expression across various CAKUT subgroups. Our research examined the expression patterns of EDA2R, PCDH9, and TRAF7 in mice at two embryonic stages (E13.5 and E15.5) and two postnatal stages (P4 and P14) to ascertain the potential correlation between Reelin-Dab1 signaling, previously linked to CAKUT phenotypes, and the aforementioned proteins through molecular and morphological analyses. All three observed proteins exhibited the highest area percentage at E13.5, with a trend of decline into postnatal stages, during which specific changes in protein expression were noted between the cortex and medulla of mice compared to wild-type mice. For TRAF7, a statistically significant difference in area percentage at E13.5 was observed, indicating a link with Reelin-Dab1 signaling and a potentially critical role in the pathophysiology of CAKUT, also marked by our prior study.
先天性肾脏和尿路畸形(CAKUT)是第三常见的先天性畸形,也是一个重大的公共卫生问题。它是儿科人群慢性肾病的主要原因,也是20岁以下个体进行肾脏替代治疗的主要原因,在成年人中是第四大主要病因。包括[具体基因名称未给出]、[具体基因名称未给出]和[具体基因名称未给出]在内的五个候选基因被确定为CAKUT的潜在促成因素。这些基因在CAKUT研究中此前未被列为优先研究对象,我们之前的研究表明,这些候选基因编码的蛋白质在不同的CAKUT亚组中表现出表达失调。我们的研究在两个胚胎阶段(E13.5和E15.5)以及两个出生后阶段(P4和P14)检测了[具体小鼠品系未给出]小鼠中EDA2R、PCDH9和TRAF7的表达模式,以通过分子和形态学分析确定先前与CAKUT表型相关的Reelin-Dab1信号通路与上述蛋白质之间的潜在关联。观察到的所有三种蛋白质在E13.5时面积百分比最高,在出生后阶段呈下降趋势,在此期间,与野生型小鼠相比,[具体小鼠品系未给出]小鼠的皮质和髓质之间蛋白质表达出现了特定变化。对于TRAF7,在E13.5时观察到面积百分比存在统计学显著差异,表明其与Reelin-Dab1信号通路有关,并且在CAKUT的病理生理学中可能起关键作用,我们之前的研究也有此发现。