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Nature Reviews Nephrology published online 12 August 2014; doi:10.1038/nrneph.2012.290-c2
CORRESPONDENCE
We thank Fujian Zhang and colleagues for
their interesting comment (The Drosophila
nephrocyte has a glomerular filtration
system. Nat. Rev. Nephrol., 12 August 2014;
doi:10.1038/nrneph.2012.290‑c1)
1
on our
Review (Renal progenitors: an evolution‑
ary conserved strategy for kidney regen‑
eration. Nat. Rev. Nephrol . 9, 137–146;
2013).
2
Several papers have highlighted
similarities between the podocyte and the
Drosophila nephrocyte; however, podocytes
are an integral part of the nephron, whereas
nephrocytes are spatially separated from
renal (Malpighian) tubules.
3,4
Although
analogies between the Drosophila nephro‑
cyte and the mammalian podocyte had
been reported when we wrote our Review,
the relationship between nephrocytes and
Malpighian tubules had not been fully
established.
5
As highlighted in their cor‑
respondence,
1
two studies published by
Zhang et al. in 2013 strongly suggest that
the nephrocyte is an integral constitu‑
ent of the Drosophila kidney system and
is functionally and molecularly related
to mammalian podocytes and proximal
tubular cells.
6,7
The observation that Drosophila nephro‑
cytes show phenotypic features of both
mammalian podocytes and proximal
tubular cells is particularly intriguing. In
the human adult kidney, a subset of renal
progenitors is bipotent and displays the
potential to differentiate into podocytes
8
and proximal tubular cells.
8–10
The bipotent
progenitor localizes at the urinary pole of
the Bowman capsule and is characterized
by the expression of the renal progenitor
markers CD133 and CD24 in the absence
of expression of lineage markers. Starting
from this bipotent progenitor (which can
be observed during kidney development
from the vesicle stage onwards) all mature
nephron epithelial cells emerge through a
hierarchical series of lineage decisions via
various committed progenitor cells.
11
The
intermediate cellular states are the tubular
REPLY
Nephrons are generated via a series of committed
progenitors
Paola Romagnani, Laura Lasagni and Giuseppe Remuzzi
progenitors and the podocyte progenitor.
The tubular progenitors, characterized by
expression of CD133 and CD24 as well as
low levels of tubular progenitor markers,
can proliferate and differentiate into proxi‑
mal tubular cells, cells of the loop of Henle,
distal tubular cells and cells of the connect‑
ing segment, through a series of cell‑type‑
committed progenitors.
9–10
In adult human
kidneys these committed progenitors are
localized as scattered cells along the proxi‑
mal tubule (particularly the S3 segment),
distal tubule and connecting segment.
10
The podocyte progenitor localizes along
the Bowman capsule and is characterized
by coexpression of CD133, CD24 and low
levels of podocyte markers.
8
Podocyte pro‑
genitors can proliferate but can differentiate
only into functional podocytes.
8
Consistent with human data, lineage
tracing experiments performed in our lab‑
oratory using the Confetti reporter system
under the control of a progenitor‑specific
promoter, have confirmed that murine
podocytes and tubular cells share a common
progenitor during kidney development that
generates precursors with more restricted
potential, such as podocyte‑committed or
tubular‑committed progenitors, and then
generates a series of committed progeni‑
tors.
12,13
Rinkevich et al. also recently pro‑
posed the existence within the nephron
of a series of lineage‑restricted progenitor
cells that drive murine kidney develop‑
ment, maintenance and regeneration.
14
In the zebrafish, recent data suggest that a
common progenitor can generate podocytes
and tubular cells through a graded series of
committed progenitors.
15,16
Interestingly,
even the signalling pathways that control
the proliferation and differentiation of renal
progenitors toward the podocyte and proxi‑
mal tubular lineage (which involve OSR1,
15,17
Pax‑2,
16,18
WT1,
16
Wnt/β‑catenin,
14
Notch
16,19
and retinoic acid
16,20,21
) seem to be highly
conserved between zebrafish, mice and
humans, further underlining the critical role
of renal progenitors in kidney development
and regeneration following injury.
Taken together, these observations
suggest that the renal properties of filtra‑
tion and protein reabsorption are closely
related and probably evolved together in
very simple organisms. However, when the
structural complexity and requirements of
organisms increased, these essential kidney
functions required distinct cell types.
Highly specialized cells generated from
a common renal progenitor enabled the
progressive separation of the functions of
filtration and protein reabsorption through
the generation of a graded series of com‑
mitted progenitors that could eventually
differentiate into podocytes and various
subsets of tubular cells as observed in the
mammalian kidney.
Pediatric Nephrology Unit, Meyer Children’s
Hospital, University of Florence, Viale Pieraccini
24, 50139 Florence, Italy (P.R.). Excellence
Centre for Research, Transfer and High
Education for the Development of De Novo
Therapies (DENOTHE), University of Florence,
Viale Morgagni 85, 50134 Florence, Italy (L.L.).
Mario Negri Institute for Pharmacological
Research, Via Stezzano 87, 24126 Bergamo,
Italy (G.R.).
Correspondence to: P.R.
paola.romagnani@unifi.it
Acknowledgements
The authors’ work is supported by the European
Community under the European Community’s
Seventh Framework Programme (FP7/2012-2016),
grant number 305436.
Competing interests
The authors declare no competing interests.
1. Zhang, F. et al. The Drosophila nephrocyte has a
glomerular filtration system. Nat. Rev. Nephrol.
http://dx.doi.org/10.1038/nrneph.2012.290-
c1 (2014).
2. Romagnani, P., Lasagni, L. & Remuzzi, G. Renal
progenitors: an evolutionary conserved strategy
for kidney regeneration. Nat. Rev. Nephrol. 9,
137–146 (2013).
3. Denholm, B. Shaping up for action: the path to
physiological maturation in the renal tubules of
Drosophila Organogenesis 9, 40–54 (2013).
4. Na, J. & Cagan, R. The Drosophila nephrocyte:
back on stage. J. Am. Soc. Nephrol. 24,
161–163 (2013).
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