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First published online March 15, 2004
doi: 10.1242/10.1242/dev.01089


Development 131, 1449-1462 (2004)
Published by The Company of Biologists 2004


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Branching morphogenesis and kidney disease

Mita M. Shah*, Rosemary V. Sampogna*, Hiroyuki Sakurai, Kevin T. Bush and Sanjay K. Nigam{dagger}

Departments of Pediatrics, Medicine, and Cellular and Molecular Medicine, University of California, San Diego, CA 92093-0693, USA



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Fig. 1. (A) Stages of renal branching morphogenesis and nephron formation. Ureteric bud (UB) outgrowth from the Wolffian duct is induced by signals from the metanephric mesenchyme (MM) (A). (B,C) Invasion of the MM by the UB is followed by iterative branching of the UB and elongation of UB stalks. (D) At the tips of the branches, the epithelium induces the mesenchyme to form pre-tubular aggregates, which are stimulated to undergo mesenchymal to epithelial transformation (E,F) through the formation of comma-shaped (E) and S-shaped (F) bodies to form components of the nephron (G): renal tubules (proximal and distal) and the epithelial component of the glomerulus. (B) Nephron endowment is thought to be largely determined through branching of the UB. (Left) The UB adopts a strategy of lateral branching followed by bifurcation of a stem into two daughter branches (terminal bifid branching) to form the collecting system of the kidney. Nephrons are induced at UB tips but are also formed around the stem of elongating branches during the later branching iterations (arcades) and late-phase lateral branching. (Right) The segments of the collecting system proximal to the ureter (the renal pelvis and calyces) are formed from early branching segments of the UB that have dilated.

 


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The interactions between soluble morphogens, metanephric mesenchyme and matrix molecules during the branching process of the ureteric tree. (A) Local and possibly global gradients of soluble branch promoting growth factors, such as pleiotrophin and fibroblast growth factors, may promote vectorial branching and elongation of the ureteric bud (UB) stalks (Qiao et al., 2001Go; Sakurai et al., 2001Go). (B) Inhibitory growth factors such as transforming growth factor ß and the bone morphogenetic proteins may negatively feed back to regulate growth and branching and may also function to maintain luminal caliber (Santos and Nigam, 1993Go; Dunn et al., 1997Go; Bush et al., 2004aGo). These stimulatory and inhibitory branching morphogens may govern the process of vectorial branching by altering expression of distal effector molecules at tips, branches and stalks, which are known to be important in branching morphogenesis, such as (C) proteinases [e.g. matrix metalloproteinases (Lelongt et al., 1997Go; Pohl et al., 2000aGo)], (D) inhibitors of proteinases (Sakurai and Nigam, 1997Go), (E) extracellular matrix proteins (e.g. proteoglycans) (Pohl et al., 2000bGo), and cell-adhesion molecules (e.g. integrins) (Qiao et al., 2001Go; Zent et al., 2001Go). Cell-cell contact with the metanephric mesenchyme may also be necessary for proper patterning (vectorial branching and stalk elongation) of the ureteric tree (Qiao et al., 1999aGo) (G). Adapted, with permission, from Stuart and Nigam (Stuart and Nigam, 1995Go).

 


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© The Company of Biologists Ltd 2004