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Renin cells orchestrate a neuro-endocrine microenvironment of the kidney arterial tree in health and disease
Manako Yamaguchi, Georgina Gyarmati, Liam McLaughlin, Hiroki Yamaguchi, Jason P. Smith, Lucas Ferreira de Almeida, Daisuke Matsuoka, Alexandre G. Martini, Sara M. Wilmsen, Sijie Hao, Kazuki Tainaka, Silvia Medrano, Sanjay Jain, Janos Peti-Peterdi, Maria Luisa S. Sequeira-Lopez, R. Ariel Gomez
Manako Yamaguchi, Georgina Gyarmati, Liam McLaughlin, Hiroki Yamaguchi, Jason P. Smith, Lucas Ferreira de Almeida, Daisuke Matsuoka, Alexandre G. Martini, Sara M. Wilmsen, Sijie Hao, Kazuki Tainaka, Silvia Medrano, Sanjay Jain, Janos Peti-Peterdi, Maria Luisa S. Sequeira-Lopez, R. Ariel Gomez
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Research Article Development Nephrology Vascular biology

Renin cells orchestrate a neuro-endocrine microenvironment of the kidney arterial tree in health and disease

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Abstract

Renin cells are essential for survival and serve as key regulators of blood pressure and fluid-electrolyte homeostasis. Their function and identity are dependent on signals from their local microenvironment afforded by neighboring cells and nerves. Whether and how renin cells contribute to the development and maintenance of this microenvironment remains unclear. Because renin cells are rare — 0.01 % of kidney cells — conventional histological approaches cannot capture their interaction with nerve fibers and surrounding cells within the nephron and its vasculature. Using high-resolution 3D imaging, cell-specific multicolor reporter mice, single-cell RNA-seq, and conditional gene deletions, we mapped how renin cells assemble within arterioles and communicate with axon fibers to organize the growth and orientation of the kidney arterioles during development and disease. This coinductive process is mediated by Ngf produced by renin cell precursors and is necessary for renin cell survival and innervation. Interestingly, renin enzymatic insufficiency elevates Ngf and drives arteriolar hypertrophy with aberrant axon sprouting and hyperinnervation. These findings indicate that renin cells regulate kidney neurovascular development, revealing them as active organizers of their local neuroregulatory microenvironment in health and disease.

Authors

Manako Yamaguchi, Georgina Gyarmati, Liam McLaughlin, Hiroki Yamaguchi, Jason P. Smith, Lucas Ferreira de Almeida, Daisuke Matsuoka, Alexandre G. Martini, Sara M. Wilmsen, Sijie Hao, Kazuki Tainaka, Silvia Medrano, Sanjay Jain, Janos Peti-Peterdi, Maria Luisa S. Sequeira-Lopez, R. Ariel Gomez

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Figure 8

Schematic illustrating the spatiotemporal relationship between renin-cell distribution, arterial maturation, and axonal growth during normal development and renin enzymatic deficiency.

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Schematic illustrating the spatiotemporal relationship between renin-cel...
(A) At E12, FoxD1+ MM progenitors express axon guidance molecules involved in early neurovascular patterning. (B) At E18, stromal progenitors, renin precursors, early renin cells (RCs), and early SMCs coordinate arterial formation and innervation. Early RCs/SMCs highly express neurotrophic factors such as Ngf and Ntf3, which stabilize and maintain tissue innervation. Arcuate arteries are extensively covered by RCs. Juxtamedullary afferent arterioles (JMAAs) and arcuate arteries are extensively covered by RCs, with nerves extending along them. In contrast, nerve fibers extend ahead of (and prior to) the vascular wall cells in cortical arteries. (C) At P5, early RCs diminish in arcuate arteries but remain prominent in JMAAs. In the cortex, early RC clusters emerge at cortical AA tips connected to developing glomeruli, forming striped patterns along arterial walls. In peripheral cortical regions, nerves extend before RC differentiation. (D) In adults, mature renin cells (late RCs) localize exclusively at juxtaglomerular regions, prominently in cortical glomeruli compared with JM glomeruli. Late RCs continuously express neurotrophic factors (Ngf, Ntf3, Ntrk3, Sema5a), and axon guidance molecules (Efna1, Epha4) reemerge at this stage. Late SMCs prominently express Bdnf and Ntrk2, alongside Ngf, Ntf3, and Ntrk3. Collectively, these expression profiles suggest cooperative roles of late RCs and SMCs in maintaining neurovascular structural integrity. Nerves branch into fine terminals forming effector junctions with RCs and extend toward efferent arterioles without innervating mesangial cells (MCs). (E) Long-term RAAS deficiency incudes concentric afferent arteriolar hypertrophy and hyperinnervation, associated with increased expression of Ngf, which likely contributes to structural remodeling of the renal vasculature and neural network. The coronal view illustrates concentric accumulation of SMCs, enlarged RCs encroaching upon the vascular wall, and proliferating nerve fibers, resulting in marked lumen narrowing. EC, endothelial cells.

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