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BASIC RESEARCH |

* Section of Nephrology, Department of Medicine, Yale University, New Haven, Connecticut; and
Department of Nephrology, Hannover Medical School, Hannover, Germany
Correspondence: Dr. Roland Schmitt, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625 Hannover, Germany. Phone: +49-511-60060418; Fax: +49-511-552366; E-mail: schmitt.roland{at}mh-hannover.de; or Dr. Lloyd G. Cantley, Yale University School of Medicine, 333 Cedar Street, P.O. Box 208029, New Haven, CT 06510. Phone: 203-785-7110; Fax: 203-785-4904; E-mail: lloyd.cantley{at}yale.edu
Received for publication January 11, 2008. Accepted for publication June 26, 2008.
Recovery after acute kidney injury is impaired in the elderly, but mechanistic information regarding why this occurs is limited. In this study, aged mouse kidneys displayed a reduced epithelial proliferative reserve in vivo and in vitro. Microarray analysis identified increased expression of zinc-
(2)-glycoprotein (Zag) in aged proximal tubular cells. The addition of recombinant Zag to primary renal epithelial cell cultures decreased proliferation, whereas knockdown of Zag increased proliferation. In vivo, systemic small interference RNA suppressed expression of Zag in the mouse proximal tubule; this increased the rate of epithelial cell proliferation after renal ischemia/reperfusion in aged mice but also increased parenchymal fibrosis. These results demonstrate that increased Zag expression in the aged kidney acts to suppress the proliferative response to injury and introduce Zag as a modifier of the aging phenotype.
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