Purpose: To determine the changes in expression of bikunin in renal epithel
ial cells on exposure to oxalate and calcium oxalate crystals.
Materials and Methods: This study used reverse transcription polymerase cha
in reaction (RT-PCR) to examine bikunin mRNA expression levels in MDCK cell
s exposed to oxalate or calcium oxalate crystals. Poly(A)(+) RNA was isolat
ed directly from renal epithelial cells, then converted to cDNA with random
primers and reverse transcriptase. To quantify the expression level of bik
unin mRNA, we developed a competitive DNA template for competitive PCR anal
ysis, The PCR products were resolved by electrophoresis on 1.3% agarose gel
and visualized with ethidium bromide. In this system,we could quantify the
exact number of bikunin mRNA transcripts. Bikunin mRNA from rat liver was
expressed as a positive control.
Results: Bikunin mRNAs and competitive templates from renal epithelial cell
s were expressed in all samples as 434 bp and 312 bp bands, respectively. B
ikunin expression was significantly increased in oxalate exposed cells. Cel
ls exposed to calcium oxalate monohydrate crystals or latex beads showed no
significant change in expression of bikunin. Western blotting analysis als
o showed increased expression of bikunin and inter-cu-inhibitor-related pro
teins in the culture medium of oxalate exposed cells.
Conclusions: These findings suggest that renal epithelial cells express bik
unin gene and have the capability to produce bikunin when stimulated by cer
tain agents such as oxalate. This increased expression and production of bi
kunin may represent a protective response of renal epithelial cells to neph
rotoxic challenges of oxalate.