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1.
J Am Soc Nephrol ; 25(10): 2201-12, 2014 Oct.
Article in English | MEDLINE | ID: mdl-24700869

ABSTRACT

Renal cystic diseases are a leading cause of renal failure. Mutations associated with renal cystic diseases reside in genes encoding proteins that localize to primary cilia. These cystoproteins can disrupt ciliary structure or cilia-mediated signaling, although molecular mechanisms connecting cilia function to renal cystogenesis remain unclear. The ciliary gene, Thm1(Ttc21b), negatively regulates Hedgehog signaling and is most commonly mutated in ciliopathies. We report that loss of murine Thm1 causes cystic kidney disease, with persistent proliferation of renal cells, elevated cAMP levels, and enhanced expression of Hedgehog signaling genes. Notably, the cAMP-mediated cystogenic potential of Thm1-null kidney explants was reduced by genetically deleting Gli2, a major transcriptional activator of the Hedgehog pathway, or by culturing with small molecule Hedgehog inhibitors. These Hedgehog inhibitors acted independently of protein kinase A and Wnt inhibitors. Furthermore, simultaneous deletion of Gli2 attenuated the renal cystic disease associated with deletion of Thm1. Finally, transcripts of Hedgehog target genes increased in cystic kidneys of two other orthologous mouse mutants, jck and Pkd1, and Hedgehog inhibitors reduced cystogenesis in jck and Pkd1 cultured kidneys. Thus, enhanced Hedgehog activity may have a general role in renal cystogenesis and thereby present a novel therapeutic target.


Subject(s)
Adaptor Proteins, Signal Transducing/genetics , Disease Models, Animal , Hedgehog Proteins/metabolism , Kidney Diseases, Cystic/metabolism , Animals , Cyclic AMP-Dependent Protein Kinases/metabolism , Female , Hedgehog Proteins/antagonists & inhibitors , In Vitro Techniques , Kidney Diseases, Cystic/genetics , Male , Mice , Mice, Knockout , TRPP Cation Channels/genetics , Wnt Proteins/metabolism
2.
N Engl J Med ; 362(3): 206-16, 2010 Jan 21.
Article in English | MEDLINE | ID: mdl-20089971

ABSTRACT

BACKGROUND: Establishing the genetic basis of phenotypes such as skeletal dysplasia in model organisms can provide insights into biologic processes and their role in human disease. METHODS: We screened mutagenized mice and observed a neonatal lethal skeletal dysplasia with an autosomal recessive pattern of inheritance. Through genetic mapping and positional cloning, we identified the causative mutation. RESULTS: Affected mice had a nonsense mutation in the thyroid hormone receptor interactor 11 gene (Trip11), which encodes the Golgi microtubule-associated protein 210 (GMAP-210); the affected mice lacked this protein. Golgi architecture was disturbed in multiple tissues, including cartilage. Skeletal development was severely impaired, with chondrocytes showing swelling and stress in the endoplasmic reticulum, abnormal cellular differentiation, and increased cell death. Golgi-mediated glycosylation events were altered in fibroblasts and chondrocytes lacking GMAP-210, and these chondrocytes had intracellular accumulation of perlecan, an extracellular matrix protein, but not of type II collagen or aggrecan, two other extracellular matrix proteins. The similarities between the skeletal and cellular phenotypes in these mice and those in patients with achondrogenesis type 1A, a neonatal lethal form of skeletal dysplasia in humans, suggested that achondrogenesis type 1A may be caused by GMAP-210 deficiency. Sequence analysis revealed loss-of-function mutations in the 10 unrelated patients with achondrogenesis type 1A whom we studied. CONCLUSIONS: GMAP-210 is required for the efficient glycosylation and cellular transport of multiple proteins. The identification of a mutation affecting GMAP-210 in mice, and then in humans, as the cause of a lethal skeletal dysplasia underscores the value of screening for abnormal phenotypes in model organisms and identifying the causative mutations.


Subject(s)
Chondrocytes/cytology , Codon, Nonsense , Nuclear Proteins/genetics , Osteochondrodysplasias/genetics , Animals , Cell Differentiation , Cell Proliferation , Cytoskeletal Proteins , Endoplasmic Reticulum/ultrastructure , Genes, Recessive , Glycosylation , Golgi Apparatus/ultrastructure , Humans , Mice , Mice, Mutant Strains , Nuclear Proteins/deficiency , Phenotype , Polymorphism, Single Nucleotide , Protein Processing, Post-Translational/physiology , Sequence Analysis, DNA
3.
Hum Mol Genet ; 19(5): 774-89, 2010 Mar 01.
Article in English | MEDLINE | ID: mdl-20007998

ABSTRACT

Transcriptional cofactors are essential to the regulation of transforming growth factor beta (TGFbeta) superfamily signaling and play critical and widespread roles during embryonic development, including craniofacial development. We describe the cleft secondary palate 1 (csp1) N-ethyl-N-nitrosourea-induced mouse model of non-syndromic cleft palate (NSCP) that is caused by an intronic Prdm16 splicing mutation. Prdm16 encodes a transcriptional cofactor that regulates TGFbeta signaling, and its expression pattern is consistent with a role in palate and craniofacial development. The cleft palate (CP) appears to be the result of micrognathia and failed palate shelf elevation due to physical obstruction by the tongue, resembling human Pierre Robin sequence (PRS)-like cleft secondary palate. PRDM16 should be considered a candidate for mutation in human clefting disorders, especially NSCP and PRS-like CP.


Subject(s)
Cleft Palate/embryology , DNA-Binding Proteins/genetics , Transcription Factors/genetics , Animals , Cleft Palate/metabolism , DNA-Binding Proteins/metabolism , Embryo, Mammalian/metabolism , Gene Expression Regulation, Developmental , Mice , Mice, Inbred BALB C , Models, Animal , Mutation , Transcription Factors/metabolism , Transforming Growth Factor beta/genetics , Transforming Growth Factor beta/metabolism
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