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Am J Physiol Renal Physiol 296: F1355-F1363, 2009. First published March 25, 2009; doi:10.1152/ajprenal.90622.2008
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Acute-phase response protein serum amyloid A stimulates renal tubule formation: studies in vitro and in vivo

Katherine J. Kelly,1 Barbara Kluve-Beckerman,2 and Jesus H. Dominguez1,3

Departments of 1Medicine and 2Pathology, Indiana University and the 3Veterans Administration Medical Center, Indianapolis, Indiana

Submitted 20 October 2008 ; accepted in final form 28 March 2009

Serum amyloid A protein (SAA) surges 1,000-fold in the blood of acute-phase animals, and yet its function during these acute events remains unknown. We report herein that SAA stimulates a developmental program in cultured NRK-52E cells that culminates in differentiated and functional tubules that feature a proximal tubule phenotype. We also found strong SAA expression in states of tubule formation (in utero stage) and regeneration (recovery from ischemia-reperfusion injury). These data lend support to a novel view of a more localized renal acute-phase reaction, where renal SAA may act as a paracrine or autocrine molecule that promotes tubule formation during development and repair.

tubulogenesis; acute kidney injury; kidney development



Address for reprint requests and other correspondence: J. H. Dominguez, VAMC, Nephrology, N 111,1481 W. 10th St., Indianapolis, IN 46202 (e-mail: jhdoming{at}iupui.edu)







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