Bone morphogenetic protein (BMP) 4 exerts multiple biological effects on kidney and ureter development. To examine the role of BMP4 in glomerular morphogenesis, we generated transgenic mice with altered BMP4 function in podocytes by conferring tissue-specificity with the nephrin (Nphs1) promoter. At birth, Tg(Nphs1-Nog) mice, which had loss of BMP4 function in podocytes, were found to have glomerular microaneurysms, collapsed glomerular capillary tufts, enlarged Bowman's capsules, and fewer normal proximal tubules. Conversely, Tg(Nphs1-Bmp4) mice, which had increased BMP4 function in podocytes, demonstrated defects in glomerular capillary formation, but podocytes were not appreciably affected. The Tg(Nphs1-Nog) and Tg(Nphs1-Bmp4) mice shared morphological characteristics with the previously reported podocyte-specific Vegf-A over-expressing and knockout mice, respectively. Consistent with the morphological similarity, in situ hybridization revealed an intense signal for podocyte expression of Vegf in Tg(Nphs1-Nog) mice, whereas the signal was markedly suppressed in Tg(Nphs1-Bmp4) mice. However, in vitro studies with metanephroi failed to demonstrate a direct interaction between BMP4 or Noggin and VEGF in podocytes. Instead, immunostaining showed that phosphorylated Smads, the mediators of BMP signaling, are present in endothelial and/or mesangial cells, but not in podocytes, within the developing glomeruli. Therefore, this study suggests that podocyte-derived BMP plays an important role in glomerular capillary formation, perhaps by acting on non-podocyte glomerular cells in a paracrine fashion. 19: 685-694, 200819: 685-694, . doi: 10.1681 Bone morphogenic protein 4 (BMP4), a member of the TGF- superfamily of secretory signaling molecules, has important regulatory functions during embryonic development that include establishment of the basic embryonic body plan and morphogenesis of individual organs. 1 Bmp4 homozygous null mutant mice are lethal around gastrulation, forming little or no mesoderm. 2,3 Bmp4 heterozygous (Bmp4 ϩ/Ϫ) mice display various kidney and urinary tract anomalies, including hypo/dysplastic kidneys, ectopic ureterovesical junction and double collecting system. 4,5 These phenotypes in Bmp4 ϩ/Ϫ mice, together with findings in studies using metanephric organ culture system, indicate that BMP4 has multiple biologic functions in the early stages of kidney and urinary tract development that include inhibition of ectopic budding of the ureter, 5,6 stimulation of elongation of the branching ureter, and promotion of the growth of metanephric mesenchyme. Because of the multiple abnor-
J Am Soc Nephrol