De novo CD44 and ligand expression at wound margins accompanies cellular pr
oliferation and migration that effect repair of injured mucosal and vascula
r endothelial tissues. To determine whether CD44 could play a role in recov
ery from acute ischemic renal injury, we characterized its renal. expressio
n and those of two of its ligands, hyaluronic acid and osteopontin. Althoug
h no expression is detectable in nonischemic kidneys, several mRNAs for CD4
4 are present within 1 day after injury. CD44 mRNA is expressed in proximal
tubules undergoing repair. CD44 peptide is present in basal and lateral ce
ll membranes. Hyaluronic acid is normally expressed in the interstitium of
the renal papilla only. By 1 day postischemia, hyaluronic acid can be detec
ted, in addition, in the interstitium surrounding regenerating tubules. Ost
eopontin, not normally expressed in the renal proximal tubule, is expressed
in regenerating tubules by 3 days after induction of acute ischemic injury
. Immunoreactive osteopontin peptide continues to be localized in those tub
ules still undergoing repair for as long as 7 days after the injury. Our da
ta are consistent with a role for CD44-ligand interactions in the regenerat
ing proximal tubule participating in the process of recovery after ischemic
injury.