Mechanisms controlling ureter lenght and the position of the kidney are poorly understood.
Glial cell-line derived neurotrophic factor (
GDNF) induced RET signaling is critical for ureteric bud outgrowth, but the function of endogenous
GDNF in further renal differentiation and urogenital system development remains discursive. Here we analyzed mice where
3' untranslated region (UTR) of
GDNF is replaced with sequence less responsive to
microRNA-mediated regulation, leading to increased
GDNF expression specifically in cells naturally transcribing
Gdnf. We demonstrate that increased
Gdnf leads to short ureters in kidneys located in an abnormally caudal position thus resembling human pelvic kidneys. High
GDNF levels expand collecting ductal progenitors at the expense of ureteric trunk elongation and result in expanded tip and short trunk phenotype due to changes in cell cycle length and progenitor motility.
MEK-inhibition rescues these defects suggesting that MAPK-activity mediates
GDNF's effects on progenitors. Moreover, Gdnf hyper mice are infertile likely due to effects of excess
GDNF on distal ureter remodeling. Our findings suggest that dysregulation of
GDNF levels, for example via alterations in
3'UTR, may account for a subset of congenital anomalies of the kidney and urinary tract (
CAKUT) and/or congenital
infertility cases in humans and pave way to future studies.