Jouret François, Igarashi Takashi, Gofflot Françoise, Wilson Patricia D, Karet Fiona E, Thakker Rajesh V, Devuyst Olivier
Division of Nephrology and Laboratory of Developmental Genetics, Université Catholique de Louvain, Brussels, Belgium.
Kidney Int. 2004 Jan;65(1):198-208. doi: 10.1111/j.1523-1755.2004.00360.x.
The renal chloride channel ClC-5, which is responsible for Dent's disease, is coexpressed with the vacuolar H+-ATPase in proximal tubules (PT) and alpha-type intercalated cells (IC) of the mature kidney. Neonatal cases of Dent's disease suggest that ClC-5 distribution must be acquired before birth. However, the ontogeny of ClC-5, and its processing and segmental distribution with respect to related proteins during nephrogenesis remain unknown.
Immunoblotting, real-time polymerase chain reaction (RT-PCR), immunostaining, and deglycosylation studies were used to investigate the expression, distribution, and maturation of ClC-5 during mouse and human nephrogenesis, in comparison with H+-ATPase, type II carbonic anhydrase (CAII), and aquaporin-1 (AQP1).
An early induction (E13.5-E14.5) of ClC-5 was observed in mouse kidney, with persistence at high levels through late nephrogenesis. This pattern contrasted with the progressive expression of H+-ATPase and AQP1, and the postnatal upregulation of CAII. Immunostaining showed expression of ClC-5 in ureteric buds and, from E14.5, its location in developing PT. From E15.5, ClC-5 codistributed with H+-ATPase in PT cells and alpha-type IC. In the human kidney, ClC-5 was detected from 12 gestation weeks; its distribution was similar to that observed in mouse, except for a later detection in IC. Although mouse and human ClC-5 proteins are glycosylated, biochemical differences between fetal and adult proteins were observed in both species.
The segmental expression of ClC-5 and H+-ATPase is essentially achieved during early nephrogenesis, in parallel with the onset of glomerular filtration. These data give insight into PT and IC maturation, and explain early phenotypic variants of Dent's disease.
导致丹特病的肾氯通道ClC-5与成熟肾脏近端小管(PT)和α型闰细胞(IC)中的液泡H⁺-ATP酶共表达。丹特病的新生儿病例表明,ClC-5的分布必须在出生前获得。然而,ClC-5的个体发生及其在肾发生过程中与相关蛋白的加工和节段性分布仍不清楚。
采用免疫印迹、实时聚合酶链反应(RT-PCR)、免疫染色和去糖基化研究,与H⁺-ATP酶、II型碳酸酐酶(CAII)和水通道蛋白-1(AQP1)相比,研究小鼠和人类肾发生过程中ClC-5的表达、分布和成熟情况。
在小鼠肾脏中观察到ClC-5的早期诱导(E13.5-E14.5),并在肾发生后期持续高水平表达。这种模式与H⁺-ATP酶和AQP1的逐渐表达以及CAII的出生后上调形成对比。免疫染色显示ClC-5在输尿管芽中表达,从E14.5开始,其位于发育中的PT中。从E15.5开始,ClC-5与H⁺-ATP酶在PT细胞和α型IC中共分布。在人类肾脏中,从妊娠12周开始检测到ClC-5;其分布与在小鼠中观察到的相似,除了在IC中的检测较晚。虽然小鼠和人类的ClC-5蛋白都进行了糖基化,但在两个物种中都观察到了胎儿和成人蛋白之间的生化差异。
ClC-5和H⁺-ATP酶的节段性表达在早期肾发生过程中基本完成,与肾小球滤过的开始同时发生。这些数据有助于深入了解PT和IC的成熟,并解释丹特病的早期表型变异。