Tuesday 7 May 2013
Islet1 (Isl1) is a transcription factor transiently expressed in a subset of heart and limb progenitors. During studies of limb development, conditional Isl1 deletion produced unexpected kidney abnormalities.
Conditional deletion of Isl1 caused kidney agenesis or hypoplasia and hydroureter, a phenotype resembling human congenital anomalies of the kidney and urinary tract (CAKUT).
The absence of Isl1 led to ectopic branching of the ureteric bud out from the nephric duct or to the formation of accessory buds, both of which could lead to obstruction of the ureter-bladder junction and consequent hydroureter.
The abnormal elongation and poor branching of the ureteric buds were the likely causes of the kidney agenesis or hypoplasia.
Furthermore, the lack of Isl1 reduced the expression of Bmp4, a gene implicated in the CAKUT-like phenotype, in the metanephric region before ureteric budding.
Isl1 is essential for proper development of the kidney and ureter by repressing the aberrant formation of the ureteric bud.
Further studies are needed to investigate whether Isl1 may be a causative gene for human CAKUT.
Islet1 Deletion Causes Kidney Agenesis and Hydroureter Resembling CAKUT. Yusuke Kaku et al.JASN 2013, doi: 10.1681/ASN.2012050528 (Link)