Title ITGA8 i VANGL2 kao prognostički markeri urođenih anomalija bubrega i mokraćnog trakta u čovjeka i miša
Title (english) ITGA8 and VANGL2 as prognostic markers of congenital anomalies of the kidney and urinary tract in a human and a mouse
Author Nikola Pavlović
Mentor Katarina Vukojević (mentor)
Committee member Snježana Mardešić (predsjednik povjerenstva)
Committee member Sandra Kostić (član povjerenstva)
Committee member Benjamin Benzon (član povjerenstva)
Granter University of Split School of Medicine Split
Defense date and country 2025-03-28, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Basic Medical Sciences Cytology, Histology and Embryology
Universal decimal classification (UDC ) 61 - Medical sciences
Abstract UVOD: Urođene anomalije bubrega i mokraćnog trakta (CAKUT) čine skup strukturnih i funkcionalnih anomalija koje nastaju tijekom razvoja bubrega i mokraćnog trakta u embrionalnom razdoblju. S učestalošću od jednog slučaja na 500 novorođenčadi, ove anomalije spadaju među najčešće urođene poremećaje. CAKUT uključuje širok raspon nepravilnosti koje se mogu pojaviti izolirano ili kao dio sindromskih poremećaja, često dovodeći do teških oštećenja bubrega i mokraćnog trakta. Unatoč ranoj dijagnozi, značaj CAKUT-a ne ograničava se samo na neonatalno razdoblje jer predstavlja vodeći uzrok kroničnog bubrežnog zatajenja u djece. Bubrežna displazija i hipoplazija odgovorne su za približno 20% ovih slučajeva, dok nasljedne bolesti poput policistične bolesti bubrega u odrasloj dobi uzrokuju 10% kroničnih zatajenja bubrega. CILJ ISTRAŽIVANJA: Cilj ovog istraživanja je analizom imunofluorescencije utvrditi prostornu i vremensku raspodjelu proteina ITGA8 i VANGL2 u bubrezima zdravih, normalnih te CAKUT ljudskih fetalnih uzoraka. Također, istraživanje ima za cilj ispitati utjecaj utišavanja gena Dab1 na izražaj proteina Itga8 i Vangl2 u embrionalnim i postnatalnim uzorcima miša. MATERIJALI I METODE: U ovom istraživanju analizirani su obrasci izražaja kandidata gena za CAKUT, integrina alfa-8 (ITGA8) i Van Gogh-like 2 (VANGL2), primjenom imunohistokemije i imunofluorescencije u ljudskim fetalnim tkivima zdravih i CAKUT bubrega, kao i u modelu yotari (yot) miševa s mutacijom u genu Dab1. REZULTATI: Rezultati su pokazali da izražaj Itga8 i Vangl2 varira pod uvjetima CAKUT-a te je značajno povišena u embrionalnim bubrezima yotari (yot) miševa u usporedbi s divljim tipom (wt), dok se u postnatalnim bubrezima nisu uočile značajne promjene. Prostorno, Itga8 je najizraženiji u metanefričkom mezodermu i bubrežnim vezikulama/nezrelim glomerulima, dok je Vangl2 pokazao izraženu prisutnost u metanefričkom mezodermu, vezikulama, nezrelim glomerulima te sabirnim kanalićima. Uz to, otkriveno je da u ljudskim uzorcima VANGL2 zadržava stalan izražaj tijekom fetalnog sazrijevanja, dok izražaj ITGA8 varira. U usporedbi sa zdravim bubrezima (CTRL), ITGA8 je slabije izražen u bubrezima s udvostručenim ureterom (DK) i displastičnim bubrezima (DYS), dok je VANGL2 značajno izražen u displastičnim (DYS), a slabije u hipoplastičnim bubrezima (HYP). ZAKLJUČAK: Ovi rezultati predlažu da poremećaji izražaja ITGA8 i VANGL2, uzrokovani genetskim čimbenicima poput mutacije gena Dab1, pridonose razvojnim defektima bubrega povezanima s CAKUT fenotipovima. Identifikacija ovih proteina kao potencijalnih prognostičkih pokazatelja i terapijskih ciljeva za CAKUT otvara mogućnosti za daljnje istraživanje molekularnih mehanizama koji leže u pozadini diferencijalnog izražaja ITGA8 i VANGL2.
Abstract (english) INTRODUCTION: Congenital anomalies of the kidney and urinary tract (CAKUT) represent a group of structural and functional abnormalities that arise during the development of the kidneys and urinary tract in the embryonic period. With an incidence of one case per 500 newborns, these anomalies rank among the most common congenital disorders. CAKUT encompasses a broad spectrum of defects that can occur as isolated anomalies or as part of syndromic disorders, often leading to significant damage to the kidneys and urinary tract. Despite early diagnosis, the importance of CAKUT extends beyond the neonatal period, as it remains a leading cause of chronic kidney failure in children. Renal dysplasia and hypoplasia are responsible for approximately 20% of these cases, while hereditary diseases such as polycystic kidney disease account for 10% of chronic kidney failure in adults. AIM OF THE STUDY: This study uses immunofluorescence analysis to determine the spatial and temporal distribution of ITGA8 and VANGL2 proteins in the kidneys of healthy, normal, and CAKUT human fetal samples. Additionally, it aims to investigate the impact of Dab1 gene silencing on the expression of Itga8 and Vangl2 proteins in embryonic and postnatal mouse samples. MATERIALS AND METHODS: In this study, we analyzed the expression patterns of CAKUT candidate genes, integrin alpha-8 (ITGA8) and Van Gogh-like 2 (VANGL2), using immunohistochemistry and immunofluorescence in human fetal tissues of healthy and CAKUT-affected kidneys, and in the yotari (yot) mouse model carrying a Dab1 gene mutation. RESULTS: The results showed that the expression of Itga8 and Vangl2 varies under CAKUT conditions and is significantly elevated in embryonic kidneys of yotari (yot) mice compared to wild-type (wt) mice. At the same time, no significant differences were observed in postnatal kidneys. Spatially, Itga8 exhibited the strongest expression in the metanephric mesenchyme and renal vesicles/immature glomeruli, whereas Vangl2 demonstrated pronounced expression in the metanephric mesenchyme, vesicles, immature glomeruli, and collecting ducts. Additionally, VANGL2 maintained a constant expression in human samples during fetal maturation, while ITGA8 expression varied. Compared to healthy kidneys (CTRL), ITGA8 was poorly expressed in duplex kidneys (DK) and dysplastic kidneys (DYS). At the same time, VANGL2 showed significant expression in dysplastic kidneys (DYS) and lower expression in hypoplastic kidneys (HYP). CONCLUSION: These findings suggest that disruptions in ITGA8 and VANGL2 expression, caused by genetic factors such as Dab1 gene mutations, contribute to kidney developmental defects associated with CAKUT phenotypes. Identifying these proteins as potential prognostic markers and therapeutic targets for CAKUT opens opportunities for further research into the molecular mechanisms underlying the differential expression of ITGA8 and VANGL2.
Keywords
urogenitalne abnormalnosti
CAKUT
ITGA8
VANGL2
bubreg
Keywords (english)
Urogenital Abnormalities
CAKUT
ITGA8
VANGL2
Kidney
Language croatian
URN:NBN urn:nbn:hr:171:692720
Project Number: IP-2022-10-8720 Title: Genetska dijagnostika malformacija bubrega i mokraćnog sustava Title: Genetic diagnosis of kidney and urinary tract malformations Acronym: NEPHROGEN Leader: Katarina Vukojević Jurisdiction: Croatia Funder: Hrvatska zaklada za znanost Funding stream: Research Projects
Study programme Title: Translational Research in Biomedicine - TRIBE Study programme type: university Study level: postgraduate Academic / professional title: doktor/doktorica znanosti, interdisciplinarna područja znanosti (doktor/doktorica znanosti, interdisciplinarna područja znanosti)
Type of resource Text
File origin Born digital
Access conditions Open access
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Created on 2025-03-31 09:13:22