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Publication : Lack of endothelial nitric-oxide synthase leads to progressive focal renal injury.

First Author  Forbes MS Year  2007
Journal  Am J Pathol Volume  170
Issue  1 Pages  87-99
PubMed ID  17200185 Mgi Jnum  J:117046
Mgi Id  MGI:3695511 Doi  10.2353/ajpath.2007.060610
Citation  Forbes MS, et al. (2007) Lack of endothelial nitric-oxide synthase leads to progressive focal renal injury. Am J Pathol 170(1):87-99
abstractText  Because endothelial nitric-oxide synthase (eNOS) is generally considered protective against renal injury, we examined eNOS knockout mice for kidney pathology. In 80% of the adults examined, the renal surface was marked by distinct indented scars containing crowded small glomeruli but lacking attached tubules. Although vasculature was intact in the scars, Bowman's space was dilated and glomerular tufts were degenerated. The atubular glomeruli were embedded in a dense interstitial matrix composed of cells positive for fibroblast (FSP-1) or macrophage (F4/80) markers, degenerated proximal tubules and collecting ducts, and diffuse fibrotic deposits. Surrounding regions of kidney contained mostly normal-appearing tubules, but enlarged or sclerotic glomeruli were also present. In neonatal animals, apoptosis and necrosis were concentrated in tubules within focal parenchymal zones, with narrowing of the glomerulotubular 'neck.' In summary, targeted deletion of eNOS in mice leads to progressive focal renal abnormalities, including glomerular hypoplasia, and tubular cell death, leading to separation of glomeruli from tubules and tubular disruption. These abnormalities begin developing during the normal up-regulation of eNOS in the maturing kidney and are similar to those of a variety of chronic renal disorders. Endogenous renal eNOS production therefore seems critical for the maintenance of nephron maturation and integrity.
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