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BASIC SCIENCE |


*Institute of Clinical Pharmacology and Toxicology and
Department of Nephrology, Campus Benjamin Franklin, CharitéUniversitätsmedizin Berlin, Berlin, Germany; and
Institute for Arteriosclerosis Research, Westfälische-Wilhelms-Universität Münster, Münster, Germany
Correspondence to Dr. Reinhold Kreutz, CharitéUniversitätsmedizin Berlin, Campus Benjamin Franklin, Freie Universität Berlin, Hindenburgdamm 30, 12200 Berlin, Germany. Phone: +49-30-8445-2280; Fax: +49-30-8445-4482; E-mail: kreutz{at}medizin.fu-berlin.de
| Abstract |
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| Introduction |
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We have recently demonstrated in the MWF model the possibility to dissect the genetic basis of increased UAE by quantitative trait loci (QTL) mapping analysis and demonstrated the polygenetic determination of increased UAE (4). The aim of the current report was to further analyze the genetic basis for the early onset of UAE in the MWF rat and to investigate the potential link between the development of UAE and RIF in an appropriate experimental setting. To this endand in contrast to our recent study in which we used the normotensive Lewis rat as an experimental counterpart with low UAE (4)the MWF strain was studied in an experimental backcross experiment with a spontaneously hypertensive rat (SHR) strain as a contrasting model. SHR show similar hypertension compared with MWF; more importantly, this strain shows contrasting low UAE rates (10) and significantly less RIF compared with MWF. We therefore performed an experimental crossbreeding study between MWF and SHR for genome-wide QTL analysis to analyze the genetic basis of UAE and RIF in the background of two strains with similar arterial hypertension.
| Materials and Methods |
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Phenotyping
In the parental MWF and SHR rats (n = 8 each) systolic BP (SBP) and UAE were measured at 14 wk of age, respectively. To account for age of onset effect in the backcross population, UAE and total urinary protein excretion (UPE) were measured in young animals at 8 wk of age and in adult animals at 14 and 24 wk, respectively. SBP was measured at 14 wk of age by a noninvasive tail-cuff method in awake animals using a computer-assisted oscillatory detection device (TSE, Bad Homburg, Germany) as described previously (11). Two training periods were performed on two separate days. The final BP measurements were subsequently recorded on the three consecutive days. Due to three sets of two measurements at each session, the individual BP phenotype that was accepted for linkage analysis was based on a maximum of 18 and a minimum of 12 measurements for each rat (11).
For urine analysis, rats were placed into metabolic cages and urine was collected over a 24-h period. Albumin concentrations were measured by a sensitive and rat-specific ELISA-technique established in our laboratory (11) using a rat-specific antibody (ICN Biomedicals, Eschwege, Germany). UPE was determined by the Bradford method. Plasma glucose and serum creatinine were measured with standard methods. Parental rats were subsequently sacrificed under ether anesthesia at 18 wk and backcross animals at 24 wk of age, respectively. The spleen and both kidneys were excised. The body and total kidney weights were determined. For light microscopy evaluation, a mid-coronal section of the left kidney was immersed in Dubosq-Brasil solution and embedded in paraffin for histologic studies. The 3-µm sections of the kidneys were stained with the periodic acid-Schiff technique (PAS) for the determination of glomerulosclerosis index (GSI) by using a semiquantitative scoring system analyzing both superficial and juxtamedullary glomeruli (12).
RIF was determined after staining of sections with Sirius red following previous recommendations (8). Quantification was performed with use of a video camera combined with a video control system (Sony MC-3255, AVT-horn GmbH) adapted to a Zeiss Axiophot microscope. Image analysis was performed with the use of freely available software (Scion Image 1.62a, Scion Co) on a Power Macintosh 8200/120 computer. After digitalization, gray-scale images were transformed into binary images, and the relation of Sirius redstained interstitial area to total area of image was determined; ten sections per animal were averaged to obtain individual RIF phenotypes for each rat.
Two phenotypes for the presence of superficial glomeruli were determined: first, the number of surface glomeruli per section with direct contact to the surface was counted; second, all superficial glomeruli present in the renal cortex corticis zone but without direct surface contact were counted in three mid-coronal sections for each animal, respectively (4).
Genotype Determination and QTL Mapping
In the backcross population, a complete genome screen on all chromosomes except the Y-chromosome was performed. The interval between the polymorphic simple sequence length polymorphism (SSLP) markers was on average 10 centiMorgans (cM). The information and primer sequences of SSLP markers were obtained from databases provided by the rat genome database (RGD) at the Medical College of Wisconsin (http://www.rgd.mcw.edu/) and the Massachusetts Institute of Technology (http://www-genome.wi.mit.edu/rat/ public/). Genotyping was performed by amplification of SSLP markers by PCR as described previously (13). The forward primer was labeled with [
32P] ATP by T4 polynucleotide kinase. PCR products were processed and subsequently analyzed by autoradiography after polyacrylamide gel electrophoresis. All genotypes were independently analyzed by two investigators (AS and RK). After linkage analysis, genotypes were ordered along chromosomes in computer spreadsheets and checked for potential errors, e.g., unlikely double crossovers in relatively small regions, by visual inspection after color-coding and by the error-checking module in the MAPMAKER program. Linkage analysis was performed as previously reported (4) with the MAPMAKER/EXP and MAPMAKER/QTL 3.0b programs (14). A QTL was considered to be significant if the logarithm of odds (LOD) score was more than 3.3 and suggestive if the LOD score was between 1.9 and 3.3 (15).
Statistical Analyses
Statistical analyses were performed using ANOVA followed by Bonferroni adjustment and by Mann-Whitney U-test and Kruskal-Wallis test, as appropriate. Analysis of correlation was performed using the Pearson coefficient. Data are presented as means ± SD.
| Results |
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Linkage to BP
Total genome screen analysis revealed no suggestive or significant linkages between SBP and any marker position in the genome (data not shown). The highest LOD value for SBP was observed at D7Rat7. At this locus, homozygosity for the MWF allele accounted for a 6-mmHg increase in SBP compared with heterozygous animals. Although, the significance at this locus (LOD = 1.7, P < 0.0057) was still below the threshold for suggestive linkage, the same region demonstrated suggestive linkage to UAE, thus pointing to a possible link to both SBP and UAE at this locus.
Linkage to UAE and UPE
We detected eight QTL on rat chromosomes (RNO) RNO2, RNO4, RNO6, RNO7, RNO8, RNO9, RNO15, and RNO X, demonstrating suggestive or significant linkage to UAE. The linkage results according to the marker locus demonstrating the highest LOD scores at each QTL are summarized in Table 4, and the placement on the chromosomes for the significant QTL on RNO1, RNO6, RNO8, and RNO9 are shown in Figure 3. In general, UPE demonstrated linkage to the same chromosomal fragments, but with weaker statistical significance. One exception was detected on RNO15, where an additional QTL demonstrated suggestive linkage to UPE but no linkage to UAE (Table 4). Taken together, the four QTL with significant linkage on RNO1, RNO6, RNO8, and RNO9 explained 50% of the total variance of UAE in this backcross population. The strongest effects were observed on RNO6 and RNO8; the two QTL accounted for 33.5% of the total variance of UAE. The QTL on RNO6 appears of special importance, because it demonstrated significant linkage (LOD 4.3) already in young animals at 8 wk of age (Table 4). Second, homozygosity for the MWF allele at this QTL demonstrated a strong phenotypic effect and accounted for a threefold elevation of UAE compared with heterozygous animals at 24 wk of age. Third, a similar although weaker statistical and phenotypic effect on early onset UAE at 8 wk of age was recently demonstrated in the same region in a backcross population between MWF and normotensive Lewis animals (Figure 4) (4).
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| Discussion |
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In the current experiment in which MWF rats were studied in a different genetic background by using the SHR model as a contrasting strain, the previously (in the backcross between MWF and Lewis animals) identified QTL on RNO1, RNO12, and RNO17 were not linked to UAE. This demonstrates the importance of genetic background effects in the polygenetic determination of UAE. The QTL on RNO6, in contrast, appeared already of interest in the backcross between MWF and Lewis, because it showed almost suggestive linkage to early-onset albuminuria in young animals at 8 wk of age (Figure 4) (4). The potential importance of this QTL for early onset albuminuria was clearly confirmed in the current study. Moreover, in contrast to the previous report the QTL on RNO6 showed a strong phenotypic effect with significant and increasing LOD values in adult animals. The other strong QTL on RNO8 identified here demonstrated no significant linkage in the previous backcross between MWF and Lewis and is thus dependent on the SHR background. Both QTL on RNO6 and RNO8 and the QTL on RNO1 and RNO9 show a potential co-localization with UAE or UPE QTL that have recently been identified in experimental crosses with Dahl SS rats (10,20). SS rats demonstrate an early onset of increased UAE that is independent from salt-loading, and the data obtained in the MWF and SS strains point to the possibility that the two models with genetic albuminuria share common disease loci for this phenotype. The homologous regions in the human genome for the UAE QTL RNO6 and RNO8 map to human chromosomes 14q24 and 15q, respectively (http://www.rgd.mcw.edu/VCMAP/). The discussion on the co-localization of potential candidate genes in such QTL intervals is always somewhat premature by virtue of the relatively large size of the chromosomal fragments that may contain many known candidate genes as well as many genes of unknown functional relevance for renal disease. Within the QTL on RNO6, we could, however, identify by comparative mapping analysis candidates such as
-actinin1 (Actn1), transforming growth factor
3 (Tgfb3), and arginase 2 (Arg2). These candidates could probably influence the development of glomeruli (Tgfb3) or the permeability of the glomerular filtration barrier by modulating podocyte function (Actn1) or glomerular nitric oxide metabolism (Arg2). The role of these candidates and of all other genes that are localized in the chromosomal fragment identified on RNO6 have to be analyzed by functional analyses in future studies and most importantly by positional analysis in congenic strains (21,22).
Male and female MWF animals exhibit a significant sexual dimorphism in UAE, UPE, and the development of progressive renal disease (2,11). Fassi et al. (2) have previously shown that both male and female MWF rats exhibit a similar reduction in the number of glomeruli per kidney due to an inborn nephron deficit compared with normal Wistar rats, whereas only MWF males are prone to develop progressive renal disease. We have recently shown that the lower UAE observed in MWF female animals can be increased by a high-NaCl diet and a concomitant increase in SBP due to their salt-sensitive hypertension (11). Whether or not a Y-chromosomal effect contributes to this sexual dimorphism in UAE has not been addressed in our study, because we generated no reciprocal crosses in which both parental strains contributed their Y chromosome to the backcross population. We performed the backcross only in one direction by using male parental MWF animals only, such as that all male backcross animals carried the Y-chromosome from the MWF strain. Therefore, we cannot exclude the possibility that a Y-chromosomal effect contributes to the sexual dimorphism of UAE in the MWF model. A genetic effect of the Y-chromosome on BP regulation has indeed been shown to contribute to the hypertension in spontaneously hypertensive rats (23).
An important additional goal of this report was to analyze the genetic relation between UAE and RIF. By using the SHR strain as a reference for MWF, it was possible to contrast the two hypertensive strains not only for low and high UAE levels but also for low and high RIF values. The quantification of RIF in parental strains revealed that the amount of RIF was 2.7-fold higher in SHR compared with MWF in the face of similar SBP. One might conclude that the contrasting RIF phenotype between SHR and MWF is related to the increased UAE observed in the MWF model, because increased albumin reabsorption in proximal tubular cells has been shown to trigger an interstitial inflammatory response that may eventually result in increased RIF (6,7). To test this potential link between UAE and RIF, we performed cosegregation and linkage analyses for both parameters in our backcross population between MWF and SHR. Overall, we found a moderate correlation between UAE and RIF in the total backcross population (r = 0.21), indicating that only 4.4% of the total variance of RIF can be attributed to variation of UAE. Interestingly, the UAE QTL on RNO6, which was linked to early onset albuminuria and demonstrated a pronounced effect on UAE, was also linked to the amount of RIF. Homozygosity for the MWF allele at this locus led to early-onset albuminuria in young animals and to higher UAE and RIF levels in adult animals. From a pathophysiologic point of view, the linkage of the QTL on RNO6 to both early-onset UAE and RIF appears reasonable, because RIF is a long-term consequence of increased glomerular albumin filtration. This could also explain the finding that animals with two MWF alleles at the QTL on RNO6 demonstrated no significant correlation between UAE and RIF values, because UAE levels in these animals are shifted to higher levels; this precluded the correlation that was seen in heterozygous animals (Figure 5). The influence of this locus on early-onset albuminuria on the other hand was sufficient to establish genetic linkage to RIF in adult animals. Our study demonstrates the power of genetic cosegregation and linkage analyses for the dissection of physiologic pathways involved in renal disease progression and establishes a genetic link between early-onset albuminuria and RIF at the QTL on RNO6. Notwithstanding, it should not be dismissed that the QTL on RNO6 was also linked to the increased numbers of superficial and surface glomeruli, which represent additional traits that are inherited in the MWF rat (24). We can therefore not exclude the possibility that a common molecular variant on RNO6 is responsible for the overlapping QTL for UAE, UPE, RIF, superficial and surface glomeruli, and thus for both the structural and functional phenotypes linked to this chromosomal region. Whether or not this holds true can be tested in future studies by transferring the chromosomal fragment spanning these QTL on RNO6 from the SHR strain into the contrasting MWF background by breeding congenic strains reference (21,22).
Interestingly, in our previous study (4) and in the experiment presented here, higher numbers for homozygous compared with heterozygous animals were particularly observed at SSLP markers that are linked to superficial glomeruli (Table 5), while the expected genotype ratio in a backcross study is 1:1. Systematic genotyping errors could be excluded by our described method for genotype determination and by consistent data after duplicate and independent analyses. Thus, a potential biologic explanation could be that homozygosity at these loci leads to a selection advantage during development. On the other hand, it is still possible that these observations are only chance findings.
It is currently unclear whether genetic variation at the nephrin locus (i.e., NPHS1) or at other loci such as podocin (i.e., NPHS2) that are responsible for monogenetic forms of nephrotic syndromes in humans confer genetic susceptibility for the manifestation and progression of proteinuria in more common chronic nephropathies. A recent report excluded linkage of these candidates as susceptibility loci for end-stage renal disease in diabetic nephropathy (25). Animal models such as the MWF rat represent valuable models to substitute the investigation of the polygenetic basis of common forms of chronic proteinuric nephropathies (1,4). Indeed, susceptibility loci identified in rodent models have been shown to be predictive for human genetic studies using the comparative genomic approach (26,27). Such susceptibility loci may provide target regions for subsequent studies using single nucleotide polymorphisms and linkage disequilibrium mapping in association studies in human patient populations (2830). Interestingly, a major QTL termed Rf-1, which has been linked to UAE and UPE in the Fawn Hooded rat (19,31), has recently been implicated as a susceptibility locus for chronic renal disease or renal dysfunction in several independent human populations (25,32,33). We propose that particularly the further characterization of the QTL on RNO6 characterized here could lead to the identification of new targets for both the manifestation and progression of chronic proteinuric nephropathies.
| Acknowledgments |
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