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Human Molecular Genetics Advance Access published online on October 17, 2006

Human Molecular Genetics, doi:10.1093/hmg/ddl418
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© The Author 2006. Published by Oxford University Press. All rights reserved
Received August 13, 2006
Revised October 14, 2006
Accepted October 14, 2006

Article

Regulation of c-Ret in the developing kidney is responsive to Pax2 gene dosage

Jason C. Clarke 1, Sanjeevkumar R. Patel 2, Richard M. Raymond Jr. 1, Scott Andrew 3, Bruce G. Robinson 4, Gregory R. Dressler 5, and Patrick D. Brophy 6 *

1 University of Michigan, Department of Pediatrics, Ann Arbor, Michigan, 48109, USA
2 University of Michigan, Department of Internal Medicine, Ann Arbor, Michigan, 48109, USA
3 Queens University, Department of Pathology, Kingston, Ontario, K7L 3N6, Canada; Kolling Institute, Royal North Shore Hospital, St Leonards and University of Sydney, Cancer Genetics Laboratory, New South Wales, 2065, AU
4 Kolling Institute, Royal North Shore Hospital, St Leonards and University of Sydney, Cancer Genetics Laboratory, New South Wales, 2065, AU
5 University of Michigan, Department of Pathology, Ann Arbor, Michigan, 48109, USA
6 University of Michigan, Department of Pediatrics, 1150 West Medical Center Drive, MSRB I Rm 4500, Ann Arbor, Michigan, 48109, USA

* To whom correspondence should be addressed.
Patrick D. Brophy, E-mail: pbrophy{at}umich.edu


   Abstract

During kidney development, Pax2 and Pax8 are expressed very early in the mammalian nephric duct and both precede the expression of receptor tyrosine kinase, c-Ret. However, in Pax2-/- mutant mice, expression of c-Ret is lost after embryonic day 10.5. As the Ret/Gdnf pathway is necessary for renal development and there is a temporal and spatial relationship of Pax2 and c-Ret expression in the developing genitourinary system, we postulate that Pax2 is necessary for c-Ret expression in the developing kidney. In vitro, Pax2 protein is capable of physically interacting with a c-RET promoter, and both Pax2 and Pax8 can activate the expression of a reporter gene driven by the c-RET promoter. Compound heterozygous null mice (Pax2 + /-: Ret + /-) display an increased incidence of unilateral and bilateral renal agenesis, and smaller kidneys with fewer nephrons. Furthermore, the expression of Gdnf is reduced 2-3 fold, whereas c-Ret expression is reduced 9-47 fold in Pax2 heterozygous embryonic kidneys as detected by Real Time Quantitative RT-PCR. The data demonstrate that Pax2 plays an integral role in the initiation and maintenance of the Ret/Gdnf pathway by not only activating the ligand of the pathway, but by also enhancing the expression of the pathway receptor Ret. The effects of reduced Pax2 gene dosage are thus amplified resulting in a haploinsufficient phenotype.


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