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Implementing Patch Clamp and Live Fluorescence Microscopy to Monitor Functional Properties of Freshly Isolated PKD Epithelium
Published on: September 1, 2015
A truncated polycystin-2 protein causes polycystic kidney disease and retinal degeneration in transgenic rats
Anna Rachel Gallagher1, Sigrid Hoffmann, Nelson Brown
1Institute for Molecular and Cellular Anatomy, University of Regensburg, Universitätsstrasse 31, 93053 Regensburg, Germany.
Abstract:
The cloning of the PKD1 and PKD2 genes has led to promising new insight into the mechanisms that are responsible for cyst development in patients with autosomal dominant polycystic kidney disease. Although the dominant pattern of inheritance would argue for haploinsufficiency, a gain of function, or a dominant negative mechanism, there is good evidence that autosomal dominant polycystic kidney disease behaves like a recessive disease on a cellular level (two-hit mechanism of cystogenesis). For testing of whether other pathomechanisms in addition to the two-hit hypothesis can explain cyst formation, two transgenic rat lines that contain a truncated human polycystin-2 cDNA were generated. The protein product lacks almost the entire COOH-terminus and mimics mutations that frequently are found in patients. The transgene-encoded mRNA could be detected in multiple tissues of both transgenic lines, with the highest expression in the kidney. Both lines present with renal cysts that originate predominantly from the proximal tubule; in the tubular epithelial cells, the epitope-tagged mutant protein was detected in the brush border and in primary cilia. Further evidence of the involvement of primary cilia stems from the finding of retinal degeneration in the transgenic rats and from the fact that stably transfected LLC-PK(1) cells that inducibly produced the truncated polycystin-2 protein elaborated shorter cilia. Other experimental approaches, such as a knock-in strategy, will be necessary to validate these results, but this is the first preliminary evidence that cyst formation is due not only to somatic mutations.
Insights
Autosomal dominant polycystic kidney disease (ADPKD) cyst formation may involve more than just somatic mutations. This study shows truncated polycystin-2 protein in transgenic rats causes renal cysts and primary cilia defects, suggesting new pathomechanisms.
Area of Science:
- Nephrology
- Genetics
- Cell Biology
Background:
- Autosomal dominant polycystic kidney disease (ADPKD) is a genetic disorder characterized by cyst development in the kidneys.
- While inheritance is dominant, cellular mechanisms suggest a recessive 'two-hit' model for cystogenesis.
- The roles of PKD1 and PKD2 genes in ADPKD are crucial, with mutations leading to polycystin dysfunction.
Purpose of the Study:
- To investigate pathomechanisms of cyst formation in ADPKD beyond the established 'two-hit' hypothesis.
- To generate and analyze transgenic rat models expressing a truncated human polycystin-2 (PC2) cDNA, mimicking common patient mutations.
- To explore the functional consequences of truncated PC2 on renal cyst development and primary cilia.
Main Methods:
- Generation of two transgenic rat lines expressing a truncated human polycystin-2 cDNA.
- Detection of transgene-encoded mRNA in various tissues, with a focus on kidney expression.
- Analysis of renal cyst formation, localization of the mutant protein in tubular epithelial cells, and assessment of primary cilia length in cell cultures.
Main Results:
- Transgenic rats developed renal cysts, primarily originating from the proximal tubule.
- The truncated polycystin-2 mutant protein was detected in the brush border and primary cilia of tubular epithelial cells.
- Evidence suggests primary cilia dysfunction, indicated by retinal degeneration in rats and shortened cilia in transfected cells.
Conclusions:
- This study provides preliminary evidence that cyst formation in ADPKD may result from mechanisms beyond somatic mutations, potentially involving truncated polycystin-2.
- The findings highlight the involvement of primary cilia in ADPKD pathogenesis.
- Further research, including knock-in strategies, is needed to fully validate these results and elucidate ADPKD mechanisms.

