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Microvascular aberrations found in human polycystic kidneys are an early feature in a Pkd1 mutant mouse model

Jafree, Daniyal J; Perera, Charith; Ball, Mary; Tolomeo, Daniele; Pomeranz, Gideon; Wilson, Laura; Davis, Benjamin; ... Long, David A; + view all (2025) Microvascular aberrations found in human polycystic kidneys are an early feature in a Pkd1 mutant mouse model. DMM Disease Models and Mechanisms 10.1242/dmm.052024. (In press). Green open access

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Abstract

Therapies targeting blood vessels hold promise for autosomal dominant polycystic kidney disease (ADPKD), the commonest inherited disorder causing kidney failure. However, the onset and nature of kidney vascular abnormalities in ADPKD are poorly defined. Accordingly, we employed a combination of single-cell transcriptomics, three-dimensional imaging with geometric, topological and fractal analyses, and multimodal magnetic resonance imaging with arterial spin labelling to investigate aberrant microvasculature in ADPKD kidneys. Within human ADPKD kidneys with advanced cystic pathology and excretory failure, we identified a molecularly distinct blood microvascular subpopulation, characterised by impaired angiogenic signalling and metabolic dysfunction, differing from endothelial injury profiles observed in non-cystic human kidney diseases. Next, Pkd1 mutant mouse kidneys were examined postnatally when cystic pathology is well-established, but before excretory failure. An aberrant endothelial subpopulation was also detected, concurrent with reduced cortical blood perfusion. Disorganised kidney cortical microvasculature was also present in Pkd1 mutant mouse fetal kidneys when tubular dilation begins. Thus, aberrant features of cystic kidney vasculature are harmonised between human and mouse ADPKD supporting early targeting of the vasculature as a strategy to ameliorate ADPKD progression.

Type: Article
Title: Microvascular aberrations found in human polycystic kidneys are an early feature in a Pkd1 mutant mouse model
Open access status: An open access version is available from UCL Discovery
DOI: 10.1242/dmm.052024
Publisher version: https://doi.org/10.1242/dmm.052024
Language: English
Additional information: © 2025. Published by The Company of Biologists This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution and reproduction in any medium provided that the original work is properly attributed
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Surgical Biotechnology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10206406
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