Departamento de Neurociencia Cognitiva, Instituto de Fisiología Celular, Universidad Nacional Autónoma de México, Ciudad de México 04510, Mexico.
Unidad de Biología Molecular y Medicina Genómica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México14080, Mexico.
Function (Oxf). 2024 Sep 10;5(5). doi: 10.1093/function/zqae031.
Polycystic kidney disease (PKD), a disease characterized by the enlargement of the kidney through cystic growth is the fourth leading cause of end-stage kidney disease world-wide. Transient receptor potential Vanilloid 4 (TRPV4), a calcium-permeable TRP, channel participates in kidney cell physiology and since TRPV4 forms complexes with another channel whose malfunction is associated to PKD, TRPP2 (or PKD2), we sought to determine whether patients with PKD, exhibit previously unknown mutations in TRPV4. Here, we report the presence of mutations in the TRPV4 gene in patients diagnosed with PKD and determine that they produce gain-of-function (GOF). Mutations in the sequence of the TRPV4 gene have been associated to a broad spectrum of neuropathies and skeletal dysplasias but not PKD, and their biophysical effects on channel function have not been elucidated. We identified and examined the functional behavior of a novel E6K mutant and of the previously known S94L and A217S mutant TRVP4 channels. The A217S mutation has been associated to mixed neuropathy and/or skeletal dysplasia phenotypes, however, the PKD carriers of these variants had not been diagnosed with these reported clinical manifestations. The presence of certain mutations in TRPV4 may influence the progression and severity of PKD through GOF mechanisms. PKD patients carrying TRVP4 mutations are putatively more likely to require dialysis or renal transplant as compared to those without these mutations.
多囊肾病(PKD)是一种以囊性生长导致肾脏增大为特征的疾病,是全球第四大致终末期肾病的原因。瞬时受体电位香草醛 4(TRPV4)是一种钙渗透性 TRP 通道,参与肾脏细胞生理功能,由于 TRPV4 与另一种通道形成复合物,而该通道的功能障碍与 PKD 有关,即 TRPP2(或 PKD2),我们试图确定 PKD 患者是否存在以前未知的 TRPV4 基因突变。在这里,我们报告了在诊断为 PKD 的患者中 TRPV4 基因存在突变,并确定它们产生了功能获得性(GOF)。TRPV4 基因序列中的突变与广泛的神经病变和骨骼发育不良有关,但与 PKD 无关,其对通道功能的生物物理影响尚未阐明。我们鉴定并研究了一种新型 E6K 突变体以及先前已知的 S94L 和 A217S 突变 TRPV4 通道的功能行为。A217S 突变与混合性神经病和/或骨骼发育不良表型有关,但这些变异的 PKD 携带者并未被诊断出具有这些报告的临床表现。TRPV4 中某些突变的存在可能通过 GOF 机制影响 PKD 的进展和严重程度。与没有这些突变的患者相比,携带 TRPV4 突变的 PKD 患者更有可能需要透析或肾移植。
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