The authors would like to thank Glen Slocum (Medical College of Wisconsin) and Colleen A. Lavin (Nikon Instruments Inc) for excellent technical assistance with microscopy experiments. This study was supported by the National Institutes of Health grants R01 HL108880 (to AS), R01 DK095029 (to OPo) and K99 HL116603 (to TSP), National Kidney Foundation IG1724 (to TSP), American Heart Association 13GRNT16220002 (to OPo) and the Ben J. Lipps Research Fellowship from the American Society of Nephrology (to DVI).

The experimental procedures described below were approved by the Institutional Animal Care and Use Committee at the Medical College of Wisconsin and University of Texas Health Science Center at Houston and were in accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals. Figure 1 demonstrates main steps of the tissue isolation and processing procedure. Briefly, kidneys from PCK or SD rats are used for manual isolation of epithelial monolayers of collecting ducts ...

The authors have nothing to disclose.

We described here applications of conventional patch-clamp technique and epifluorescence calcium imaging to cystic epithelial monolayers derived from a murine genetic model of ARPKD. The protocol consist of three steps, of which the most attention should be paid to the isolation of the cysts (step 1.5 of the protocols section) and to the electrophysiological studies. These key procedures require extensive training and patience, and the reader should not be frustrated at once.
First of all, the...

Ion channels play a significant role in many physiological functions, including cell growth and differentiation. Autosomal dominant and recessive polycystic kidney diseases (ADPKD and ARPKD, respectively) are genetic disorders characterized by the development of renal fluid-filled cysts of the tubular epithelial cell origin. ADPKD is caused by mutations of PKD1 or PKD2 genes encoding polycystins 1 and 2, membrane proteins involved in the regulation of cell proliferation and differentiation. PKD2 by itself or as a complex with PKD1 also function as a Ca2+-permeable cation channel1. Mutations of the PKHD1 gene encoding fibrocystin (a cilia-associated receptor-like protein involved in the tubulogenesis and/or maintenance of polarity of epithelium) are the genetic impetus of ARPKD2. Cyst growth is a complex phenomenon accompanied with disturbed proliferation3,4, angiogenesis5, dedifferentiation and loss of polarity of tubular cells6-8.
Defective reabsorption and augmented secretion in cystic epithelium contribute to fluid accumulation in the lumen and cyst expansion9,10. Impaired flow-dependent [Ca2+]i&#160;signaling has been also linked to cystogenesis during PKD11-15.
Here, we describe a method suitable for patch-clamp measurements of single channel activity and intracellular Ca2+ levels in cystic epithelial monolayers isolated from PCK rats. This method was successfully applied by us to characterize of activity of the epithelial Na+ channel (ENaC)10 and [Ca2+]i-dependent processes induced by Ca2+-permeable TRPV4 and purinergic signaling cascade13.
In these studies we used PCK rats, a model of ARPKD caused by a spontaneous mutation in the PKHD1 gene. The PCK strain was originally derived from Sprague-Dawley (SD) rats16 thereby SD rats are used as an appropriate control for comparison with the PCK strain. As a result, both SD rat nephron segments and non-dilated collecting ducts isolated from same PCK rats can serve as two different comparison groups for experiments on cystic epithelium.

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implementing patch clamp and live fluorescence microscopy to monitor functional properties of freshly isolated pkd epithelium

Cyst initiation and expansion during polycystic kidney disease is a complex process characterized by abnormalities in tubular cell proliferation, luminal fluid accumulation and extracellular matrix formation. Activity of ion channels and intracellular calcium signaling are key physiologic parameters which determine functions of tubular epithelium. We developed a method suitable for real-time observation of ion channels activity with patch-clamp technique and registration of intracellular Ca2+ level in epithelial monolayers freshly isolated from renal cysts. PCK rats, a genetic model of autosomal recessive polycystic kidney disease (ARPKD), were used here for ex vivo analysis of ion channels and calcium flux. Described here is a detailed step-by-step procedure designed to isolate cystic monolayers and non-dilated tubules from PCK or normal Sprague Dawley (SD) rats, and monitor single channel activity and intracellular Ca2+ dynamics. This method does not require enzymatic processing and allows analysis in a native setting of freshly isolated epithelial monolayer. Moreover, this technique is very sensitive to intracellular calcium changes and generates high resolution images for precise measurements. Finally, isolated cystic epithelium can be further used for staining with antibodies or dyes, preparation of primary cultures and purification for various biochemical assays.

Potential ENaC involvement in cystogenesis has been demonstrated by several studies that observed disrupted epidermal growth factor (EGF) signaling in PKD progression22-25 and abnormal sodium reabsorption in ARPKD murine models and tissue cultures26-28. For example, Veizis et al. showed that amiloride-sensitive Na+&#160;absorption is decreased in CD cells from the non-orthologous BPK mouse model of ARPKD29. We recently demonstrated that impaired sodium and water reabso...

Watch this Scientific Journal Video about Implementing Patch Clamp and Live Fluorescence Microscopy to Monitor Functional Properties of Freshly Isolated PKD Epithelium at JoVE.com

Implementing Patch Clamp and Live Fluorescence Microscopy to Monitor Functional Properties of Freshly Isolated PKD Epithelium

Ion channels expressed in renal tubular epithelium play a significant role in the pathology of polycystic kidney disease. Here we describe experimental protocols used to perform patch-clamp analysis and intracellular calcium level measurements in cystic epithelium freshly isolated from rodent kidneys.

Cyst initiation and expansion during polycystic kidney disease is a complex process characterized by abnormalities in tubular cell proliferation, luminal ...

implementing-patch-clamp-live-fluorescence-microscopy-to-monitor

Research

JoVE Journal

Biology

9.7K Views.  Medical College of Wisconsin. Ion channels expressed in renal tubular epithelium play a significant role in the pathology of polycystic kidney disease. Here we describe experimental protocols used to perform patch-clamp analysis and intracellular calcium level measurements in cystic epithelium freshly isolated from rodent kidneys.