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BASIC RESEARCH |



Departments of * Cell Biology;
Neurobiology; and || Connective Tissue Biology;
The Water and Salt Research Center, Institute of Anatomy, University of Aarhus, Aarhus C, Denmark; and
Department of Histology and Embryology, China Medical University, Shen Yang, China
Correspondence: Dr. Erik Ilsø Christensen, Department of Cell Biology, Institute of Anatomy, University of Aarhus, DK-8000 Århus C, Denmark. Phone: +45-89-42-30-57; Fax: +45-86-19-86-64; E-mail: eic{at}ana.au.dk
Received for publication January 16, 2007. Accepted for publication June 19, 2007.
| Abstract |
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| Introduction |
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Histotopographic electron microscopic analyses12,13 and computer-assisted tracing of renal nephrons14 have determined that the DTL of SLN and long-loop nephrons (LLN) consist of four types of epithelial cells. Type 1 epithelium is characterized by a flat, simple epithelium that supposedly covers the entire thin limbs of SLN, whereas the other three epithelial types are distributed successively in the DTL and ascending thin limbs of LLN. Studies of microdissected rat renal tubules15 estimated that the number of AQP-1 molecules per tubule length in short-loop DTL type 1 epithelium was similar to that of segment 1 and segment 2 proximal tubules but seven-fold lower than that of type 2 epithelium of DTL of LLN.
The urea transporter UT-A2 is expressed in rats and mice in the inner stripe of the outer medulla (ISOM), where it is localized to the lower portions of the DTL of SLN8,16 and, under prolonged antidiuretic conditions, in the base of the inner medulla, where it is localized to the DTL of LLN.8 UT-A2 is proposed to be involved in urea recycling, a process whereby urea that is reabsorbed from the inner medullary collecting duct (IMCD) is secreted into the descending loop of Henle, causing it to be returned to the collecting duct lumen with the flow of tubule fluid, thereby maintaining a high medullary interstitium urea concentration and allowing the formation of a concentrated urine.17 In this study, we extensively examined the nephron location of both AQP-1 and UT-A2, based to a large extent on traced renal tubules from serial sections of mouse kidneys. Our results show that there is a complete absence of AQP-1 labeling in the type 1 epithelium of short-loop DTL of mouse kidneys, a finding that is also revealed in rat and human kidneys. These findings may have major implications on the understanding of the urinary concentrating mechanism, specifically the role of AQP-1 in countercurrent multiplication mechanisms in the ISOM.
| RESULTS |
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UT-A2
The terminal segment of the DTL of all mouse SLN expresses UT-A2. These labeled segments are located in the inner part of the ISOM (Figure 7), confirming previous studies.8 Uninterrupted labeling continued to the transition between the thin limb and the thick ascending limb (Figure 8). Zhai et al.14 classified mouse SLN into three different types according to their bends. For each of the three types of SLN, the length of the UT-A2–labeled segment was determined in one kidney to be 205 ± 55 µm (n = 13) for nephrons with type 1 bends, 238 ± 91 µm (n = 9) for nephrons with type 2 bends, and 353 ± 119 µm (n = 19) for nephrons with type 3 bends. SLN with either type 1 or type 2 bends originate from glomeruli located an average of 200 and 300 µm from the renal surface, respectively, and with bends located at the middle level of the ISOM. SLN with type 3 bends originate from nephrons with glomeruli located an average of 500 µm from the renal surface and with bends located at various levels of the inner half of the ISOM. Type 1 bends are covered with DTL epithelium continuing a short distance into the ascending limb, type 2 bends have an epithelial transition from DTL into thick ascending limb at the bend, and type 3 bends have a prebend thick ascending limb segment of varying length.14 For all three types of nephrons, UT-A2 labeling begins approximately 470 µm (232 to 623 µm) from the proximal straight tubule. The fraction of UT-A2–labeled thin-limb epithelium constituted 28, 35, and 44% of the total DTL length for the three types of SLN.
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| DISCUSSION |
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Our extensive analysis of AQP-1 expression from 147 DTL of SLN in three different mouse kidneys through their entire length demonstrates conclusively that in this species, DTL type 1 epithelium of SLN does not express AQP-1. This observation was further substantiated by demonstrating direct transitions of AQP-1–labeled pars recta of proximal tubules into unlabeled DTL. The nephrons demonstrating labeling of the first approximately 90 to 400 µm of the DTL that then transition into unlabeled DTL cells are very long SLN that have their bends close to the border between the outer and inner medulla. These very long SLN constitute a minor population of approximately 10% of all SLN.14 These nephrons have a short initial segment covered with type 2–like epithelial DTL cells very similar to the type 2 epithelium covering the DTL of LLN. Our findings in rat and human kidneys demonstrate that the lack of AQP-1 in DTL of SLN is not limited to mice but is probably a general feature of other species; however, in rats, the transitions from pars recta proximal tubule into type 1 epithelium seem to be less frequent than in mice.
Although the majority of our immunolabeling was performed on Epon sections, the AQP-1 labeling observed in these sections was not different from labeling of paraffin sections. Furthermore, the otherwise strong labeling of other nephron segments and of the descending vasa recta precludes the possibility that the lack of labeling of the DTL of SLN could be due to the preparation and treatment of the tissue.
Our findings are in contrast to previous studies that reported AQP-1 expression in SLN.7–9 Also, in a study by Maeda et al.15 on microdissected rat renal tubules quantifying AQP-1 abundance by ELISA, the number of AQP-1 molecules in DTL of SLN was estimated to be equally high per tubule length as segment 1 and 2 proximal tubules but a factor 7 less than that of type 2 epithelium of DTL of LLN. The most plausible reasons for these discrepancies may be difficulties in distinguishing short-loop DTL from descending vasa recta and long-loop DTL morphologically and during microdissection.
Anatomically, the ratio of SLN to LLN is 82:18 in mice,14 70:30 in rats, and 85:15 in humans (for a review, see Bankir and de Rouffignac18). Our data suggest that approximately 82% of all DTL in mice do not possess AQP-1. This figure may be somewhat lower for rats in part because of the difference in the ratio between SLN and LLN. Also, it is not known whether the rat has the very long type 3 SLN similar to those found in mice.14 Whereas the AQP-1–deficient DTL are located inside the vascular bundles in mice and at the periphery in rats, the DTL of LLN are located in the inter bundle regions of the ISOM in both species.14,19,20 In human kidney, both types of DTL are located in the inter bundle regions.21
From a physiologic perspective, the lack of AQP-1 in short DTL is intriguing. As originally described by Kuhn and Ramel,22 the urinary concentrating mechanism depends on the process of countercurrent multiplication, whereby the loops of Henle serve as a countercurrent multiplier system that generates and maintains a high medullary osmotic gradient and allows the osmotic extraction of water from the collecting duct system (see Knepper and Gamba23 for review). For the countercurrent multiplication to work effectively, osmotic equilibration in the descending limbs must occur and the tubule fluid of the DTL must become progressively more concentrated as it flows toward the papilla, a feature confirmed by early micropuncture studies.24 The mechanism by which osmotic equilibration occurs could be by solute entry, water exit, or both (discussed by Levine et al.25). Indeed, numerous studies in several species using the isolated perfused tubule technique have shown that the water permeability of DTL of LLN is extremely high as a result of the high abundance of AQP-111,26,27; however, to our knowledge, only one study measuring the water permeability of DTL of SLN has been performed,28 presumably because of the thin/fragile wall of the type 1 epithelium making intact tubules virtually impossible to isolate manually. This single study, performed in hamsters, indicated that the DTL of SLN are indeed permeable to water, but their osmotic water permeability is much lower than that of the DTL of LLN. Importantly, in these experiments, the authors stipulated that they could not discount the possibility that one or more of their perfused "type 1 epithelia" are indeed "type 2 epithelia"; therefore, the actual osmotic water permeability of the DTL of SLN may be even lower than actually reported. These results lead us to speculate that the lower water permeability observed in DTL of SLN is due to a lack of AQP-1. In addition, our results suggest, in part, that both the mechanism of solute entry and water removal may occur in the DTL of SLN and that osmotic equilibration can occur as a result of solute entry coupled to a small amount of water efflux independent of AQP; however, further studies examining the water permeability of SLN are required to clarify this issue, although such investigations are likely to be extremely technically challenging.
If AQP-1 is not expressed in DTL of SLN but the loops are permeable to water,28 then what accounts for this observed water permeability? Studies by Chou et al.11 clearly showed that even in the absence of AQP-1, DTL of LLN have a relatively high water permeability, and this may also be the case for DTL of SLN. One possible explanation for the observed water permeability28 is that another AQP water channel localizes to this nephron segment. Six other AQP have been localized to the mammalian nephron, but it is unlikely that any of these are suitable candidates because they all have been extensively studied; however, the possibility exists that another, as-yet-unidentified AQP localizes to the DTL of SLN, and further studies are required to investigate this. Another possibility for such a high water permeability is a paracellular pathway, but because the tight junctions of type 1 epithelium are characterized by a deep junctional complex12 containing several ramified junctional strands, characteristic of "tight " tight junctions, this pathway seems unlikely to be responsible. The final potential explanation is water movement through the lipid bilayer; however, because type 1 epithelia do not contain abundant convoluted apical and basolateral membranes, like the type 2 epithelium, the contribution of this pathway to membrane permeability remains speculative. In contrast, if the DTL of SLN are not permeable to water (because only one study has ever reported such findings), then further studies are required to investigate the nature of solute concentration along the descending limb.
Studies of mathematical models have given great insight into the role of a short portion of the DTL of SLN that is water impermeable but urea permeable. One such recent study, by Layton et al.,29 clearly showed that a water-impermeable segment of the DTL of SLN is actually beneficial to maximal urinary concentrating ability. In their studies, the replacement of a short water-impermeable and highly urea-permeable segment (so-called SDL2 segment) with a highly water-permeable and moderately urea-permeable segment (so-called SDL1 segment) reduced collecting duct osmolality, outer medullary free water absorption, and efficiency. The authors explanation for their findings was that the presence of the water-impermeable segment increases collecting duct fluid osmolality near the outer medulla–inner medulla boundary by eliminating the load that would otherwise arise from fluid absorbed from the terminal portion of the SDL. With respect to our findings, it would be interesting to model mathematically the same processes in a DTL of an SLN that has water permeability equivalent to that observed in DTL of LLN of AQP-1 knockout mice to examine the overall effect on concentrating ability.
In addition to our findings with respect to AQP-1, our studies determined that the facilitative urea transporter UT-A2 is expressed in all three types of SLN. On the basis of our tracing studies, the expression begins approximately 470 µm from the transition of the proximal straight tubule into the DTL and continues to the transition between the thin limb and the thick ascending limb. For water extraction from the vasopressin-sensitive collecting duct, a corticomedullary osmolality gradient must exist within the kidney, with a maximum osmolality at the tip of the inner medulla. In the inner medulla, this gradient is composed mainly of urea,30 which is passively reabsorbed from the IMCD via the urea transporters UT-A1 and UT-A3. Although the process of countercurrent exchange minimizes dissipation of urea from the inner medullary interstitium, it cannot completely eliminate urea loss because the volume flow rate of blood in the ascending vasa recta exceeds that in the descending vasa recta. Thus, in addition to countercurrent exchange, urea recycling is believed to provide an important means of maintaining a high level of urea in the renal inner medulla.17 Urea recycling occurs when the urea that is reabsorbed from the IMCD is re-secreted into the loop of Henle, causing it to be returned to the collecting duct lumen with the flow of tubule fluid. A major element of urea secretion into Henle's loop is believed to occur via transfer from the vasa recta (containing another facilitative urea transporter, UT-B) to the DTL of SLN in the vascular bundles of the outer medulla, where these two structures are closely associated.14,20 Our localization of UT-A2 suggests that intrarenal urea recycling must occur in a very specific location, although recent findings from knockout mice studies suggest that urea secretion into the DTL of Henle's loop does not seem to be as important in medullary urea accumulation as previously believed.31
This study has demonstrated that the majority of DTL of SLN in mouse, rat, and human kidneys do not express AQP-1, contrary to the general opinion. These findings are of great importance for the understanding of the urine concentrating mechanisms. We have further obtained data giving the exact lengths of the expression of UT-A2 in the same part of the nephron, data of importance for the mathematical modeling of transport mechanisms in the kidney.
| CONCISE METHODS |
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Effect of Hydration Status on AQP-1 Expression
Six mice were housed individually in normal cages and received free access to drinking water and pelleted diet for several days before experimental manipulation. Subsequently, the mice received a fixed daily ration of gelled diet containing either 2 ml of deionized water (water restricted) or 8 ml of deionized water (water loaded) as described previously.32 The mice did not have access to supplemental drinking water during this period. After 48 h, spot urine was collected, urine osmolalities were determined using a vapor pressure osmometer, and kidneys were processed for Epon embedding as detailed previously.
Antibodies
A commercial rabbit anti–AQP-1 (AB3065; Chemicon Int., Temecula, CA) was used at a dilution of 1:400. Rabbit anti–UT-A28 was used at dilutions of 1:200 to 1:800. Mouse anti–AQP-1 (ab6994) was obtained from Abcam (Cambridge, UK), and mouse anti-human CD34 was purchased from Immunotech (Marseilles, France) and used at dilutions of 1:100 and 1:400, respectively.
Immunohistochemistry
A total of 20, 2.5-µm-thick Epon sections (50 µm between the sections) from the start of the ISOM until the inner medulla were re-embedded in Epon and sectioned into two 0.5-µm-thick sections for each of the 2.5-µm-thick sections. Thus, the sections span the entire length of the DTL of SLN. The re-embedded sections originated from one of the three kidneys that have been three-dimensionally reconstructed and traced by Zhai et al.14 The sections were pretreated as described previously,33 and one glass was incubated with anti–AQP-1 and the other with anti–UT-A2, followed by incubation with peroxidase-conjugated secondary anti-rabbit antibody (DAKO A/S, Glostrup, Denmark). Sections from similar selected zones from the two other mice traced by Zhai et al. were treated identically. Consecutive paraffin sections from rat and human kidneys were incubated similarly with the same antibodies. Epon and paraffin sections from rat and paraffin sections from human kidneys were examined at the border of the inner and outer stripes of the outer medulla to visualize the transitions from the proximal tubule to the DTL. The sections were examined using a Leica (Herlev, Denmark) DMR microscope equipped with a Leica DFC320 camera. Images were acquired by the Leica TFC TWAIN 6.1.0 driver and processed using Adobe Photoshop 8.0 (Adobe, San José, CA). The areas examined from the traced kidneys were selected so as to include as many of the traced tubules as possible.
Length Measurements
The lengths of the DTL of mouse SLN labeled for UT-A2 were calculated as the sum of the Euclidian distance starting at the initial labeling until the transition into the thick ascending limb as described previously in detail.14
Electron Microscopy
On the basis of the tracing and immunolabeling, sections representing the transitions between different cell types were selected for ultrastructural analysis. These sections were re-embedded in Epon, sectioned in 50-nm-thick sections, and observed in a Philips CM 100 electron microscope. Ultrathin cryosections, 80 nm thick, incubated with rabbit anti–AQP-1 and subsequently with goat anti-rabbit 10-nm gold particles (British BioCell Int., Cardiff, UK), were likewise examined in the electron microscope.
| DISCLOSURES |
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| Acknowledgments |
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The skilful technical assistance of Pia Nielsen, Hanne Sidelmann, and Inger Kristoffersen is gratefully acknowledged. We are thankful to Dr. Mark A. Knepper (National Heart, Lung, and Blood Institute, Bethesda, MD) for helpful discussions.
| Footnotes |
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See related editorial, "Aquaporin 1, Urea Transporters, and Renal Vascular Bundles," on pages 2798–2800.
| REFERENCES |
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