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 inKidney international Vol. 74; no. 5; pp. 613 - 621
Main Authors Zhou, Hua, Cheruvanky, Anita, Hu, Xuzhen, Matsumoto, Takayuki, Hiramatsu, Noriyuki, Cho, Monique E., Berger, Alexandra, Leelahavanichkul, Asada, Doi, Kent, Chawla, Lakhmir S., Illei, Gabor G., Kopp, Jeffrey B., Balow, James E., Austin, Howard A., Yuen, Peter S.T., Star, Robert A.
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.09.2008
Nature Publishing
Elsevier Limited
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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.
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
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  fullname: Matsumoto, Takayuki
  organization: Kidney Disease Section, NIDDK, National Institutes of Health, Bethesda, Maryland, USA
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  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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https://www.ncbi.nlm.nih.gov/pubmed/18509321$$D View this record in MEDLINE/PubMed
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10.1016/S0272-6386(03)00744-3
10.1093/ndt/12.9.1883
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Issue 5
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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  doi: 10.1016/S0272-6386(03)00744-3
– volume: 12
  start-page: 1883
  year: 1997
  ident: 10.1038/ki.2008.206_bb0100
  article-title: Urinary and serum type III collagen: markers of renal fibrosis
  publication-title: Nephrol Dial Transplant
  doi: 10.1093/ndt/12.9.1883
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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
URI https://dx.doi.org/10.1038/ki.2008.206
https://www.ncbi.nlm.nih.gov/pubmed/18509321
https://www.proquest.com/docview/210150292
https://www.proquest.com/docview/69436385
https://pubmed.ncbi.nlm.nih.gov/PMC2562924
Volume 74
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