transforming-growth-factor-beta and Inappropriate-ADH-Syndrome

In the syndrome of inappropriate antidiuretic hormone secretion (SIADH), hyponatremia is limited by onset of vasopressin-escape caused by loss of the water channel aquaporin-2 in the renal collecting duct despite high circulating vasopressin. Here, we use the methods of systems biology in a well-established rat model of SIADH to identify signaling pathways activated at the onset of vasopressin-escape. Using single-tubule RNA-Seq, full transcriptomes were determined in microdissected cortical collecting ducts of vasopressin-treated rats at 1, 2, and 4 days after initiation of oral water loading in comparison to time-control rats without water loading. The time-dependent mRNA abundance changes were mapped to gene sets associated with curated canonical signaling pathways and revealed evidence of perturbation of transforming growth factor β signaling and epithelial-to-mesenchymal transition on Day 1 of water loading simultaneous with the initial fall in Aqp2 gene expression. On Day 2 of water loading, transcriptomic changes mapped to Notch signaling and the transition from G0 into the cell cycle but arrest at the G2/M stage. There was no evidence of cell proliferation or altered principal or intercalated cell numbers. Exposure of vasopressin-treated cultured mpkCCD cells to transforming growth factor β resulted in a virtually complete loss of aquaporin-2. Thus, there is a partial epithelial-to-mesenchymal transition during vasopressin escape with a subsequent shift from quiescence into the cell cycle with eventual arrest and loss of aquaporin-2.

Topics: Animals; Aquaporin 2; Cell Proliferation; Cells, Cultured; Cellular Senescence; Deamino Arginine Vasopressin; Disease Models, Animal; Drinking; Epithelial-Mesenchymal Transition; Gene Expression Profiling; Gene Expression Regulation; Hyponatremia; Inappropriate ADH Syndrome; Kidney Tubules, Collecting; Male; Rats, Sprague-Dawley; Receptors, Notch; RNA, Messenger; Sequence Analysis, RNA; Signal Transduction; Systems Biology; Time Factors; Transcription, Genetic; Transcriptome; Transforming Growth Factor beta