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Original Research

Regression of Peritubular Capillaries Coincides with Angiogenesis and Renal Cyst Growth in Experimental Polycystic Kidney Disease

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Pages 53-64 | Published online: 01 Apr 2020

Figures & data

Table 1 Definition of Disease Stages in jck Mice and LPK Rats

Table 2 Primary and Secondary Antibodies Used for Immunohistochemical Analysis

Table 3 Scoring Method to Assess the Degree of Collagen Deposition or CD34 Immunostaining

Figure 1 Representative photomicrographs of the renal cortex and medulla in normal Lewis rats using RECA-1 immunostaining (brown) showing the extensive peritubular and glomerular staining. (A) Renal cortex in Lewis rats at week 6 (100x) (B) Renal outer medulla in Lewis rats at week 6 (100x); (C) Renal inner medulla in Lewis rat at week 6 (100x). Arrows show examples of positive immunoreactivity for RECA-1 in the tubulointerstitium.

Figure 1 Representative photomicrographs of the renal cortex and medulla in normal Lewis rats using RECA-1 immunostaining (brown) showing the extensive peritubular and glomerular staining. (A) Renal cortex in Lewis rats at week 6 (100x) (B) Renal outer medulla in Lewis rats at week 6 (100x); (C) Renal inner medulla in Lewis rat at week 6 (100x). Arrows show examples of positive immunoreactivity for RECA-1 in the tubulointerstitium.

Figure 2 Photomicrographs of the renal cortex in LPK rats using RECA-1 immunostaining showing extensive peritubular capillary loss with cyst expansion and sporadic vessel formation in renal cortex. (A) Week 3 (100x); (B) Week 6 (100x); (C) Week 12 (100x) and (D) Week 24 (100x). Examples of sporadic vessels are indicated by arrows.

Figure 2 Photomicrographs of the renal cortex in LPK rats using RECA-1 immunostaining showing extensive peritubular capillary loss with cyst expansion and sporadic vessel formation in renal cortex. (A) Week 3 (100x); (B) Week 6 (100x); (C) Week 12 (100x) and (D) Week 24 (100x). Examples of sporadic vessels are indicated by arrows.

Figure 3 Photomicrographs of the renal outer medulla in LPK rats using RECA-1 immunostaining showing the loss of vasa recta with cyst expansion. (A) Week 3 (100x); (B) Week 6 (100x); (C) Week 12 (100x); (D) Week 24 (100x). Examples of limited areas of RECA-1 immunoreactivity are shown by arrows.

Figure 3 Photomicrographs of the renal outer medulla in LPK rats using RECA-1 immunostaining showing the loss of vasa recta with cyst expansion. (A) Week 3 (100x); (B) Week 6 (100x); (C) Week 12 (100x); (D) Week 24 (100x). Examples of limited areas of RECA-1 immunoreactivity are shown by arrows.

Figure 4 Photomicrographs of Lewis and LPK rats using RECA-1 immunostaining showing vascular bundles. Normal vascular bundles seen in Lewis rat at (A) week 6 (200x), (B) week 12 (200x) and (C) week 24 (200x). (D) Focal vascular bundles with dilated vessels (shown in brackets) in LPK rats at week 6 (200x). (E) Focal vascular networks (shown in brackets) in LPK rats at week 12 (200x). (F) Focal vascular bundles (shown in brackets) in LPK rats at week 24 (200x).

Figure 4 Photomicrographs of Lewis and LPK rats using RECA-1 immunostaining showing vascular bundles. Normal vascular bundles seen in Lewis rat at (A) week 6 (200x), (B) week 12 (200x) and (C) week 24 (200x). (D) Focal vascular bundles with dilated vessels (shown in brackets) in LPK rats at week 6 (200x). (E) Focal vascular networks (shown in brackets) in LPK rats at week 12 (200x). (F) Focal vascular bundles (shown in brackets) in LPK rats at week 24 (200x).

Figure 5 Photomicrographs showing vascular remodelling and angiogenesis using CD34 immunostaining in jck mice. The images from top to bottom show wild-type mice at week 4 and jck mice at weeks 4, 8 and 12, and the respective vessels of the cortex (first column, 200x), ISOM (centre column, 200x) and vascular bundles (last column, 100x).

Figure 5 Photomicrographs showing vascular remodelling and angiogenesis using CD34 immunostaining in jck mice. The images from top to bottom show wild-type mice at week 4 and jck mice at weeks 4, 8 and 12, and the respective vessels of the cortex (first column, 200x), ISOM (centre column, 200x) and vascular bundles (last column, 100x).

Figure 6 Semi-quantitative analysis of CD34 immunostaining in wild type and jck mice at weeks 4, 8 and 12. Data are expressed as mean ± standard error; *P<0.05 compared to respective groups.

Figure 6 Semi-quantitative analysis of CD34 immunostaining in wild type and jck mice at weeks 4, 8 and 12. Data are expressed as mean ± standard error; *P<0.05 compared to respective groups.

Figure 7 Representative photomicrographs showing angiogenesis using CD34 immunostaining in the outer medulla and cortex of jck mice. (A) Vessels within the epithelial lining of a cyst in the cortex at week 8 of a jck mouse are shown by arrows (600x); (B) Vessels with a corkscrew appearance in the outer medulla at week 12 of a jck mouse (indicated by brackets) (400x); and (C) Vascular bundle with dilated vessels at week 12 of a jck mouse (200x).

Figure 7 Representative photomicrographs showing angiogenesis using CD34 immunostaining in the outer medulla and cortex of jck mice. (A) Vessels within the epithelial lining of a cyst in the cortex at week 8 of a jck mouse are shown by arrows (600x); (B) Vessels with a corkscrew appearance in the outer medulla at week 12 of a jck mouse (indicated by brackets) (400x); and (C) Vascular bundle with dilated vessels at week 12 of a jck mouse (200x).

Figure 8 Effect of sirolimus (sir) compared to the vehicle (tap water) on the progression of PKD in LPK rats and jck mice. (A) Effect of sirolimus on percentage 2KW/BW ratio in LPK rats; (B) Effect of sirolimus on the percentage 2KW/BW ratio in jck mice; (C) Percentage cyst area in jck mice (D) Degree of collagen deposition in jck (vehicle/sirolimus treated) and control mice. *P<0.05 and **P<0.001. 2KW/BW: two kidney weight to bodyweight ratio.

Figure 8 Effect of sirolimus (sir) compared to the vehicle (tap water) on the progression of PKD in LPK rats and jck mice. (A) Effect of sirolimus on percentage 2KW/BW ratio in LPK rats; (B) Effect of sirolimus on the percentage 2KW/BW ratio in jck mice; (C) Percentage cyst area in jck mice (D) Degree of collagen deposition in jck (vehicle/sirolimus treated) and control mice. *P<0.05 and **P<0.001. 2KW/BW: two kidney weight to bodyweight ratio.

Figure 9 Effect of sirolimus (sir) compared to the vehicle (tap water) on the renal microvasculature using semi-quantitative analysis of CD34 immunostaining. **P<0.001.

Figure 9 Effect of sirolimus (sir) compared to the vehicle (tap water) on the renal microvasculature using semi-quantitative analysis of CD34 immunostaining. **P<0.001.

Figure 10 Vicious cycle of tubular epithelial cell (TEC) proliferation, tissue hypoxia, angiogenesis and peritubular capillary loss.

Figure 10 Vicious cycle of tubular epithelial cell (TEC) proliferation, tissue hypoxia, angiogenesis and peritubular capillary loss.