Modulation of the secretory pathway rescues zebrafish polycystic kidney disease pathology

Stéphanie Le Corre1, David Eyre2, Iain A Drummond3

  • 1Nephrology Division, Massachusetts General Hospital, Charlestown, Massachusetts; and.

Insights

Polycystin 2 deficiency in zebrafish causes kidney cysts and axis defects by increasing collagen II synthesis. Targeting the secretory pathway may offer new treatments for autosomal dominant polycystic kidney disease.

Area of Science:

  • Cell Biology
  • Developmental Biology
  • Genetics

Background:

  • Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited human disorder, caused by mutations in polycystin 1 or polycystin 2.
  • Polycystins are calcium ion channels, but their precise roles in cell physiology and disease pathogenesis remain incompletely understood.
  • Emerging evidence suggests polycystins are involved in maintaining extracellular matrix integrity.

Purpose of the Study:

  • To investigate the cellular mechanisms underlying polycystin 2 deficiency-induced developmental defects in zebrafish.
  • To determine the link between polycystin 2 function, extracellular matrix deposition, and axis formation.
  • To explore potential therapeutic targets for ADPKD by examining the secretory pathway's role.

Main Methods:

  • Zebrafish models with polycystin 2 knockdown (morphants) and mutations were utilized.
  • Collagen II deposition, mRNA levels (col2a1), matrix metalloproteinase activity, and secretory pathway components (Sec proteins) were analyzed.
  • Intervention with sec24D knockdown and brefeldin A (a secretory pathway inhibitor) was performed.

Main Results:

  • Polycystin 2 deficiency led to increased notochord sheath collagen II deposition, correlating with dorsal axis curvature and kidney cyst formation.
  • Increased collagen II protein accumulation was observed without changes in col2a1 mRNA or matrix metalloproteinase activity.
  • Upregulation of endoplasmic reticulum/Golgi transport coat protein complex II (Sec) proteins was associated with polycystin 2 deficiency.
  • sec24D knockdown and brefeldin A treatment ameliorated axis defects and kidney cystogenesis in polycystin 2-deficient zebrafish.
  • Brefeldin A reversed axis curvature but not kidney cyst progression when administered after phenotype onset.

Conclusions:

  • Polycystin 2 deficiency disrupts extracellular matrix homeostasis, specifically collagen II synthesis and secretion, via the secretory pathway.
  • The secretory pathway, particularly Sec proteins, plays a critical role in polycystin 2-dependent developmental processes.
  • Modulating secretory protein synthesis and transport presents a potential therapeutic strategy for ADPKD.

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