Urinary exosomal transcription factors, a new class of biomarkers for renal disease
Urinary exosomes are excreted from all nephron segments and constitute a rich source of intracellular kidney injury biomarkers. To study whether they contain transcription factors, we collected urine from two acute kidney injury models (cisplatin or ischemia-reperfusion), two podocyte injury models...
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Published in | Kidney international Vol. 74; no. 5; pp. 613 - 621 |
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Main Authors | , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
New York, NY
Elsevier Inc
01.09.2008
Nature Publishing Elsevier Limited |
Subjects | |
Online Access | Get full text |
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Abstract | Urinary exosomes are excreted from all nephron segments and constitute a rich source of intracellular kidney injury biomarkers. To study whether they contain transcription factors, we collected urine from two acute kidney injury models (cisplatin or ischemia-reperfusion), two podocyte injury models (puromycin-treated rats or podocin-Vpr transgenic mice) and from patients with focal segmental glomerulosclerosis, acute kidney injury and matched controls. Exosomes were isolated by differential centrifugation and found to contain activating transcription factor 3 (ATF3) and Wilms Tumor 1 (WT-1) proteins detected by Western blot. These factors were found in the concentrated exosomal fraction, but not in whole urine. ATF3 was continuously present in urine exosomes of the rat models following acute injury at times earlier than the increase in serum creatinine. ATF3 was found in exosomes isolated from patients with acute kidney injury but not from patients with chronic kidney disease or controls. Urinary WT-1 was present in animal models before significant glomerular sclerosis and in 9/10 patients with focal segmental glomerulosclerosis but not in 8 controls. Our findings suggest that transcription factor ATF3 may provide a novel renal tubular cell biomarker for acute kidney injury while WT-1 may detect early podocyte injury. Measurement of urinary exosomal transcription factors may offer insight into cellular regulatory pathways. |
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AbstractList | Urinary exosomes are excreted from all nephron segments and are a rich source of kidney injury biomarkers. Because exosomes contain intracellular proteins, we asked if transcription factors (TF) can be measured in urinary exosomes. We collected urine from two acute kidney injury (AKI) models (cisplatin or ischemia/reperfusion) and two podocyte injury models (puromycin-treated rats and podocin/Vpr transgenic mice). Human urine was obtained from patients with AKI, focal segmental glomerulosclerosis (FSGS), and matched controls. After isolating urine exosomes by differential centrifugation, activating transcription factor 3 (ATF3) and Wilms Tumor 1 (WT-1) were detected by western blot. ATF3 was continuously detected in urine exosomes 2–24 hr after ischemia/reperfusion and in a biphasic pattern after cisplatin. In both models, urinary ATF3 was detected earlier than serum creatinine. Urinary ATF3 was detected in AKI patients but not in normal subjects or patients with chronic kidney disease (CKD). Urinary WT-1 was detected in animal models before significant glomerular sclerosis. Urinary WT-1 was detected in 9/10 FSGS patients, but not in 8 controls. Transcription factors can be detected in urine exosomes, but not in whole urine. Urinary ATF3 may be a novel renal tubular cell injury biomarker for detecting early AKI, whereas urinary WT-1 may detect early podocyte injury. Urinary exosomal TFs represent a new class of biomarkers for acute and chronic renal diseases and may offer insight into cellular regulatory pathways. Urinary exosomes are excreted from all nephron segments and constitute a rich source of intracellular kidney injury biomarkers. To study whether they contain transcription factors, we collected urine from two acute kidney injury models (cisplatin or ischemia-reperfusion), two podocyte injury models (puromycin-treated rats or podocin-Vpr transgenic mice) and from patients with focal segmental glomerulosclerosis, acute kidney injury and matched controls. Exosomes were isolated by differential centrifugation and found to contain activating transcription factor 3 (ATF3) and Wilms Tumor 1 (WT-1) proteins detected by Western blot. These factors were found in the concentrated exosomal fraction, but not in whole urine. ATF3 was continuously present in urine exosomes of the rat models following acute injury at times earlier than the increase in serum creatinine. ATF3 was found in exosomes isolated from patients with acute kidney injury but not from patients with chronic kidney disease or controls. Urinary WT-1 was present in animal models before significant glomerular sclerosis and in 9/10 patients with focal segmental glomerulosclerosis but not in 8 controls. Our findings suggest that transcription factor ATF3 may provide a novel renal tubular cell biomarker for acute kidney injury while WT-1 may detect early podocyte injury. Measurement of urinary exosomal transcription factors may offer insight into cellular regulatory pathways. Urinary exosomes are excreted from all nephron segments and constitute a rich source of intracellular kidney injury biomarkers. To study whether they contain transcription factors, we collected urine from two acute kidney injury models (cisplatin or ischemia-reperfusion), two podocyte injury models (puromycin-treated rats or podocin-Vpr transgenic mice) and from patients with focal segmental glomerulosclerosis, acute kidney injury and matched controls. Exosomes were isolated by differential centrifugation and found to contain activating transcription factor 3 (ATF3) and Wilms Tumor 1 (WT-1) proteins detected by Western blot. These factors were found in the concentrated exosomal fraction, but not in whole urine. ATF3 was continuously present in urine exosomes of the rat models following acute injury at times earlier than the increase in serum creatinine. ATF3 was found in exosomes isolated from patients with acute kidney injury but not from patients with chronic kidney disease or controls. Urinary WT-1 was present in animal models before significant glomerular sclerosis and in 9/10 patients with focal segmental glomerulosclerosis but not in 8 controls. Our findings suggest that transcription factor ATF3 may provide a novel renal tubular cell biomarker for acute kidney injury while WT-1 may detect early podocyte injury. Measurement of urinary exosomal transcription factors may offer insight into cellular regulatory pathways.Urinary exosomes are excreted from all nephron segments and constitute a rich source of intracellular kidney injury biomarkers. To study whether they contain transcription factors, we collected urine from two acute kidney injury models (cisplatin or ischemia-reperfusion), two podocyte injury models (puromycin-treated rats or podocin-Vpr transgenic mice) and from patients with focal segmental glomerulosclerosis, acute kidney injury and matched controls. Exosomes were isolated by differential centrifugation and found to contain activating transcription factor 3 (ATF3) and Wilms Tumor 1 (WT-1) proteins detected by Western blot. These factors were found in the concentrated exosomal fraction, but not in whole urine. ATF3 was continuously present in urine exosomes of the rat models following acute injury at times earlier than the increase in serum creatinine. ATF3 was found in exosomes isolated from patients with acute kidney injury but not from patients with chronic kidney disease or controls. Urinary WT-1 was present in animal models before significant glomerular sclerosis and in 9/10 patients with focal segmental glomerulosclerosis but not in 8 controls. Our findings suggest that transcription factor ATF3 may provide a novel renal tubular cell biomarker for acute kidney injury while WT-1 may detect early podocyte injury. Measurement of urinary exosomal transcription factors may offer insight into cellular regulatory pathways. |
Author | Hiramatsu, Noriyuki Star, Robert A. Cheruvanky, Anita Leelahavanichkul, Asada Hu, Xuzhen Doi, Kent Illei, Gabor G. Yuen, Peter S.T. Kopp, Jeffrey B. Austin, Howard A. Balow, James E. Zhou, Hua Matsumoto, Takayuki Berger, Alexandra Cho, Monique E. Chawla, Lakhmir S. |
AuthorAffiliation | 1 Renal Diagnostics and Therapeutics Unit, National Institutes of Health, Bethesda, MD 4 Division of Renal Diseases and Hypertension, Department of Medicine, George Washington University Medical Center, Washington, DC, USA 2 Kidney Disease Section, NIDDK, National Institutes of Health, Bethesda, MD 3 Gene Therapy and Therapeutics Branch, NIDCR, National Institutes of Health, Bethesda, MD |
AuthorAffiliation_xml | – name: 2 Kidney Disease Section, NIDDK, National Institutes of Health, Bethesda, MD – name: 3 Gene Therapy and Therapeutics Branch, NIDCR, National Institutes of Health, Bethesda, MD – name: 4 Division of Renal Diseases and Hypertension, Department of Medicine, George Washington University Medical Center, Washington, DC, USA – name: 1 Renal Diagnostics and Therapeutics Unit, National Institutes of Health, Bethesda, MD |
Author_xml | – sequence: 1 givenname: Hua surname: Zhou fullname: Zhou, Hua organization: Renal Diagnostics and Therapeutics Unit, National Institutes of Health, Bethesda, Maryland, USA – sequence: 2 givenname: Anita surname: Cheruvanky fullname: Cheruvanky, Anita organization: Renal Diagnostics and Therapeutics Unit, National Institutes of Health, Bethesda, Maryland, USA – sequence: 3 givenname: Xuzhen surname: Hu fullname: Hu, Xuzhen organization: Renal Diagnostics and Therapeutics Unit, National Institutes of Health, Bethesda, Maryland, USA – sequence: 4 givenname: Takayuki surname: Matsumoto fullname: Matsumoto, Takayuki organization: Kidney Disease Section, NIDDK, National Institutes of Health, Bethesda, Maryland, USA – sequence: 5 givenname: Noriyuki surname: Hiramatsu fullname: Hiramatsu, Noriyuki organization: Kidney Disease Section, NIDDK, National Institutes of Health, Bethesda, Maryland, USA – sequence: 6 givenname: Monique E. surname: Cho fullname: Cho, Monique E. organization: Kidney Disease Section, NIDDK, National Institutes of Health, Bethesda, Maryland, USA – sequence: 7 givenname: Alexandra surname: Berger fullname: Berger, Alexandra organization: Division of Renal Diseases and Hypertension, Department of Medicine, George Washington University Medical Center, Washington, District of Columbia, USA – sequence: 8 givenname: Asada surname: Leelahavanichkul fullname: Leelahavanichkul, Asada organization: Renal Diagnostics and Therapeutics Unit, National Institutes of Health, Bethesda, Maryland, USA – sequence: 9 givenname: Kent surname: Doi fullname: Doi, Kent organization: Renal Diagnostics and Therapeutics Unit, National Institutes of Health, Bethesda, Maryland, USA – sequence: 10 givenname: Lakhmir S. surname: Chawla fullname: Chawla, Lakhmir S. organization: Division of Renal Diseases and Hypertension, Department of Medicine, George Washington University Medical Center, Washington, District of Columbia, USA – sequence: 11 givenname: Gabor G. surname: Illei fullname: Illei, Gabor G. organization: Gene Therapy and Therapeutics Branch, NIDCR, National Institutes of Health, Bethesda, Maryland, USA – sequence: 12 givenname: Jeffrey B. surname: Kopp fullname: Kopp, Jeffrey B. organization: Kidney Disease Section, NIDDK, National Institutes of Health, Bethesda, Maryland, USA – sequence: 13 givenname: James E. surname: Balow fullname: Balow, James E. organization: Kidney Disease Section, NIDDK, National Institutes of Health, Bethesda, Maryland, USA – sequence: 14 givenname: Howard A. surname: Austin fullname: Austin, Howard A. organization: Kidney Disease Section, NIDDK, National Institutes of Health, Bethesda, Maryland, USA – sequence: 15 givenname: Peter S.T. surname: Yuen fullname: Yuen, Peter S.T. organization: Renal Diagnostics and Therapeutics Unit, National Institutes of Health, Bethesda, Maryland, USA – sequence: 16 givenname: Robert A. surname: Star fullname: Star, Robert A. email: Robert_Star@nih.gov organization: Renal Diagnostics and Therapeutics Unit, National Institutes of Health, Bethesda, Maryland, USA |
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Keywords | FSGS transcription factor WT-1 exosomes ATF3 AKI Kidney disease Urine Nephrology Urinary system disease Biological marker Biological indicator Urology Signal transduction Transcription factor ATF3 Nephropathy Exosome Renal failure Transcription factor |
Language | English |
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Snippet | Urinary exosomes are excreted from all nephron segments and constitute a rich source of intracellular kidney injury biomarkers. To study whether they contain... Urinary exosomes are excreted from all nephron segments and are a rich source of kidney injury biomarkers. Because exosomes contain intracellular proteins, we... |
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SubjectTerms | Activating Transcription Factor 3 - urine Acute Kidney Injury - chemically induced Acute Kidney Injury - urine Adult Aged AKI Animals ATF3 Biological and medical sciences Biomarkers - urine Case-Control Studies Cisplatin - toxicity exosomes FSGS Gene Products, vpr - genetics Glomerulosclerosis, Focal Segmental - urine Humans Intracellular Signaling Peptides and Proteins - genetics Kidney - injuries Kidney Diseases - urine Male Medical sciences Membrane Proteins - genetics Mice Mice, Transgenic Middle Aged Nephrology. Urinary tract diseases Nephropathies. Renovascular diseases. Renal failure Podocytes - drug effects Podocytes - pathology Podocytes - physiology Rats Rats, Sprague-Dawley Renal failure Reperfusion Injury - urine transcription factor Transcription Factors - urine WT-1 WT1 Proteins - urine |
Title | Urinary exosomal transcription factors, a new class of biomarkers for renal disease |
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