[HTML][HTML] Accelerated expression of senescence associated cell cycle inhibitor p16INK4A in kidneys with glomerular disease

B Sis, A Tasanarong, F Khoshjou, F Dadras, K Solez… - Kidney international, 2007 - Elsevier
B Sis, A Tasanarong, F Khoshjou, F Dadras, K Solez, PF Halloran
Kidney international, 2007Elsevier
The cell cycle inhibitor p16 INK4A (also known as cyclin-dependent kinase inhibitor 2A) is
expressed in vivo in many tissues with age. The exposure of certain chronic stresses can
trigger p16 INK4A expression and a senescence-like phenotype. We studied whether p16
INK4A expression is induced in glomerular disease (GD). We performed p16 INK4A
immunostaining on 35 biopsies with GD, 12 tubulointerstitial nephritis (TIN), and 19 normal
live donor kidneys at transplantation. Based on values for 42 normal kidneys, we calculated …
The cell cycle inhibitor p16INK4A (also known as cyclin-dependent kinase inhibitor 2A) is expressed in vivo in many tissues with age. The exposure of certain chronic stresses can trigger p16INK4A expression and a senescence-like phenotype. We studied whether p16INK4A expression is induced in glomerular disease (GD). We performed p16INK4A immunostaining on 35 biopsies with GD, 12 tubulointerstitial nephritis (TIN), and 19 normal live donor kidneys at transplantation. Based on values for 42 normal kidneys, we calculated expected nuclear p16INK4A expression for age and compared the observed values in diseased kidneys to those expected for age. In GD, p16INK4A expression was strikingly increased in glomerular and interstitial cell nuclei compared to normals and TIN, and could not be attributed to age (P<0.05). By multivariate analyses, GD was independently associated with increased nuclear p16INK4a expression in glomeruli (P<0.001) and interstitium (P=0.01). The p16INK4A expression in glomerular and interstitial cell nuclei, and tubular cytoplasm was higher in kidneys with proteinuria and with atrophy/fibrosis (P<0.05). Older age was associated with increased nuclear p16INK4a expression in tubules (P=0.01), and interstitial inflammation was associated with increased nuclear p16INK4a expression in interstitial cells (P=0.001). The p16INK4a staining in tubular cytoplasm was increased in both GD and TIN compared to normals (P<0.001), and was not related to age (P>0.05). Thus, kidneys with GD display increased expression of senescence marker p16INK4A in glomerular and interstitial cell nuclei compared to kidneys with normal aging or TIN. The findings suggest a role for somatic cell senescence mechanisms in progression of GD.
Elsevier