Activation of Par6 or overexpression of aPKC regulates formation of tight junctions. On the other hand, cell polarity regulates diverse biological events such as localization of embryonic determinants and establishment of check details tissue and organ architecture [17]. Epithelial cell polarity is known to be regulated by the polarity complex Par6/Par3/aPKC [15]. Polarized epithelial cells maintain an asymmetric composition of their apical and basolateral membrane domains by at least two different

processes [18]. These include I-BET151 in vivo regulated trafficking of macromolecules from the biosynthetic and endocytic pathway to the appropriate membrane domain and prevention of free mixing of membrane domain-specific proteins and lipids by the tight junction. Cdc42, a Rho family GTPase, is known to govern cellular polarity and membrane traffic in several cell types [19, 20]. Expression of dominant-active Cdc42V12 or dominant-negative Cdc42N17 in MDCK cells was found to alter tight junction

function, indicating that Cdc42 may modulate the multiple cellular pathways required for maintenance of epithelial cell polarity [20]. Nucleotide exchange factor ECT2 stimulates guanine nucleotide exchange on RhoA, Rac1, or Cdc42 in vitro [21]. Another study disclosed that ECT2 also associates with this polarity-related complex and regulates aPKC activity. MDCK cells expressing a dominant-negative form of ECT2 are unable to form normal cystic structures with central lumens in three-dimensional collagen gels [22]. Thus, lack of ECT2 ZD1839 manufacturer molecules in renal epithelial cells could disturb normal development in organs including renal tubulogenesis as well as regeneration of renal tubules after injury. However, since genetically engineered animals lacking ECT2 have not been established, the crucial role of

ECT2 for renal tubular function or architecture except for tight junction function remains uncertain. Even before the appearance AZD9291 research buy of glomerular lesions, FSGS shows greater glomerular diameters than does minimal change nephrotic syndrome (MCNS). Also, a tubulointerstitial disorder develops early in FSGS, but generally does not develop in MCNS [22]. In our patients, the number of glomeruli per unit area was normal in early specimens, but glomerular diameter was greater than in age-matched normal specimens. Glomerular enlargement progressed and the number of glomeruli decreased together with the progression of tubulointerstitial lesions in later biopsy specimens. Possibly, deletion of ECT2, which is essential for embryonic development and maintenance of the function of uriniferous tubules, caused tubular dysplasia, and when the tubulointerstitial disorder progressed postnatally after an infection, the renal circulation was disturbed. As the number of glomeruli decreased, hyperfiltration by residual glomeruli induced FSGS lesions [23].