2002
DOI: 10.1152/ajprenal.0337.2000
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Autocrine extracellular purinergic signaling in epithelial cells derived from polycystic kidneys

Abstract: ATP and its metabolites are potent autocrine agonists that act extracellularly within tissues to affect epithelial function. In polycystic kidneys, renal tubules become dilated and/or encapsulated as cysts, creating abnormal microenvironments for autocrine signaling. Previously, our laboratory has shown that high-nanomolar to micromolar quantities of ATP are released from cell monolayers in vitro and detectable in cyst fluids from microdissected human autosomal dominant polycystic kidney (ADPKD) cysts. Here, w… Show more

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Cited by 117 publications
(156 citation statements)
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“…In fact, ATP release and signaling is increased in PKD cell culture systems (Schwiebert and Zsembery, 2003). ATP and the PC-1 C termini have been shown to regulate chloride secretion and cyst growth in ADPKD (Wilson et al, 1999;Schwiebert et al, 2002;Hooper et al, 2003). Dysregulation of ATP synthase activity at the cell surface in ADPKD cysts may result in increases in ATP release and inappropriate chloride channel or purinergic receptor activation.…”
Section: Discussionmentioning
confidence: 99%
“…In fact, ATP release and signaling is increased in PKD cell culture systems (Schwiebert and Zsembery, 2003). ATP and the PC-1 C termini have been shown to regulate chloride secretion and cyst growth in ADPKD (Wilson et al, 1999;Schwiebert et al, 2002;Hooper et al, 2003). Dysregulation of ATP synthase activity at the cell surface in ADPKD cysts may result in increases in ATP release and inappropriate chloride channel or purinergic receptor activation.…”
Section: Discussionmentioning
confidence: 99%
“…Release of nucleotides from renal cells was originally suggested from studies of cell lines [328,329,387]; it is now clear that native renal tubules are also able to secrete ATP. Nucleotide release from renal epithelia is both constitutive (suggestive of a 'purinergic tone') and activated by mechanical or agonistinduced stimuli.…”
Section: Release and Metabolism Of Nucleotidesmentioning
confidence: 99%
“…This leads to progressive dilation of tubules, which eventually become encapsulated in fluid-filled cysts that compress and destroy neighbouring tissue. ATP is released and reaches high concentrations within cysts [329,416]. Autosomal dominant polycystic disease (ADPKD) is characterised by bilateral cyst formation in the kidneys.…”
Section: Renal Injury and Failurementioning
confidence: 99%
“…Here, it was proposed that PLC activation reduces the PIP 2 concentration in the inner face of the cell membrane and that membrane PIP 2 normally binds to the N-terminus of the β-ENaC subunit to increase the open probability of ENaC [35]. Accordingly, ENaC activity falls when P2Y 2 receptors are stimulated by extracellular UTP and when PIP 2 is scavenged by PLC to form soluble IP 3 and DAG. Unsurprisingly, P2Y 2 −/− gene deletion results in a facilitated Na + reabsorption in the kidney but, unexpectedly, it mainly involves a novel compensatory mechanism that increases the expression of Na-K-2Cl cotransporters in mouse thick ascending limb (TAL) epithelial cells, with only a marginal facilitation of ENaC activity and no significant change in ENaC number [36].…”
Section: Enac Modulation By P2rs In the Kidneymentioning
confidence: 99%
“…Extracellular ATP-based regulation of sodium excretion is not only found in the kidney but also occurs in other hollow organs where sodium ions can be reclaimed (lungs, gastrointestinal tract, pancreatic duct, hepatic and biliary ducts and eccrine sweat ducts). The pharmacological manipulation of P2R populations linked to ENaC may have therapeutic potential in helping to correct a number of disease states, such as cystic fibrosis [1,2], polycystic kidney disease [3] (and see article by Turner et al [4] in this Special Issue) and vascular hypertension associated with salt-retention [5][6][7]. Here, we review this new body of work on P2R/ENaC interactions in renal epithelia and address the role of ATP regulatory mechanisms in controlling the sodium balance in the extracellular fluid.…”
Section: Introductionmentioning
confidence: 99%