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Pediatric Nephrology
Published in: Pediatric Nephrology 6/2016

01-06-2016 | Original Article

Impaired phosphorylation of JAK2-STAT5b signaling in fibroblasts from uremic children

Authors: Francisca Ugarte, Carlos Irarrazabal, Jun Oh, Anne Dettmar, María L. Ceballos, Angélica Rojo, M. José Ibacache, Cristián Suazo, Mauricio Lozano, Iris Delgado, Gabriel Cavada, Marta Azocar, Angela Delucchi, Francisco Cano

Published in: Pediatric Nephrology | Issue 6/2016

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Abstract

Background

Chronic kidney disease (CKD) in children is characterized by severe growth failure. The growth hormone/insulin-like growth factor-1 (GH/IGF-1) axis in uremic animals shows a post-receptor impaired phosphorylation of Janus kinase 2/signal transducer and activator of transcription (JAK-STAT) proteins. The objective of our study was to characterize the intracellular phosphorylation of JAK-STAT signaling in fibroblasts from children with CKD on chronic peritoneal dialysis (PD).

Methods

Serum GH-binding protein (GHBP), IGF-1 and IGFBP3 were measured in 15 prepubertal CKD stage-5 children on PD. Cytoplasmic JAK2, cytoplasmic/nuclear STAT5b and nuclear IGFBP3, acid-labile subunit (ALS) and IGF-1 mRNA expression were quantified in fibroblasts obtained from skin biopsies before and after stimulation with 200 ng/ml recombinant human growth hormone (rhGH). Phosphorylation activity at both the cytoplasmic and nuclear level was expressed as the ratio phosphorylated (p)/total (t) abundance of the product (p/t) at 30 and 60 min. Fifteen healthy children were recruited as the control group. Values were expressed in arbitrary units (AU) and normalized for comparison. Significance was defined as p < 0.05.

Results

Thirty minutes after rhGH stimulus, the cytoplasmic (p/t)JAK2 ratio was significantly lower in patients than in controls [median and interquartile range (IQR): 7.4 (4.56) vs. 20.5 (50.06) AU]. At 60 min after rhGH stimulation, median JAK2 phosphorylation activity was still significantly lower in the patients [7.14 (IQR 3.8) vs. 10.2 (IQR 29.8) AU; p < 0.05]. The increase in the cytoplasmic (p/t)STAT5b/β-actin ratio was lower at both measurement points in the patients compared to the controls, without reaching statistical significance between groups. Median IGFBP3 mRNA abundance was significantly decreased in fibroblasts from uremic patients 24 h after rhGH stimulation compared to the healthy controls [1.27 (IQR 0.83) vs. 2.37 (IQR 0.80) AU]. Median ALS and IGF-1 mRNA expression changed in response to rhGH stimuli at 24 and 48 h.

Conclusion

In this study, children with CKD undergoing PD therapy showed an impaired phosphorylation of JAK2/STAT5b signaling in fibroblasts after GH stimulation, as well as impaired IGFBP3 mRNA abundance. Both impairments may be partially responsible for the observed resistance to the growth-promoting actions of GH in chronic kidney failure.
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Metadata
Title
Impaired phosphorylation of JAK2-STAT5b signaling in fibroblasts from uremic children
Authors
Francisca Ugarte
Carlos Irarrazabal
Jun Oh
Anne Dettmar
María L. Ceballos
Angélica Rojo
M. José Ibacache
Cristián Suazo
Mauricio Lozano
Iris Delgado
Gabriel Cavada
Marta Azocar
Angela Delucchi
Francisco Cano
Publication date
01-06-2016
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 6/2016
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-015-3289-x

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