Decreased KLHL3 expression is involved in the activation of WNK-OSR1/SPAK-NCC cascade in type 1 diabetic mice

Qin Guo1, Ya Zhang1, Geng-Ru Jiang2

  • 1Department of Nephrology, Shanghai Xinhua Hospital, Jiao Tong University School of Medicine, Shanghai, 200092, China.

Insights

Familial hyperkalemic hypertension involves WNK1, WNK4, KLHL3, and CUL3 genes. In type 1 diabetes, decreased KLHL3 and activated WNK-NCC cascade contribute to renal sodium reabsorption issues.

Area of Science:

  • Nephrology
  • Endocrinology
  • Genetics

Background:

  • Familial hyperkalemic hypertension (FHHt) is a genetic disorder linked to WNK1, WNK4, KLHL3, and CUL3 mutations.
  • KLHL3 dysfunction impairs WNK4 degradation, increasing WNK4 and NCC activity, a mechanism observed in obesity models.
  • The role of WNK4 and NCC activation in type 1 diabetes remains largely unexplored.

Purpose of the Study:

  • To investigate the activation of the WNK-OSR1/SPAK-NCC cascade in type 1 diabetes.
  • To examine the expression of KLHL3 and CUL3 neddylation in a type 1 diabetes mouse model.
  • To explore the potential therapeutic effects of neddylation inhibition on WNK pathway components.

Main Methods:

  • Induction of type 1 diabetes in mice using streptozotocin.
  • Assessment of renal WNK-OSR1/SPAK-NCC cascade activation.
  • Analysis of KLHL3 expression and CUL3 neddylation.
  • In vitro studies on KLHL3 expression under high glucose conditions.
  • Treatment with MLN4924, a neddylation inhibitor.

Main Results:

  • Type 1 diabetes mice exhibited activation of the renal WNK-OSR1/SPAK-NCC cascade.
  • Markedly decreased KLHL3 expression and increased CUL3 neddylation were observed in diabetic kidneys.
  • MLN4924 treatment reversed decreased KLHL3 and increased WNK1 and WNK4 abundance.
  • In vitro, high glucose reduced KLHL3 abundance without affecting its phosphorylation.

Conclusions:

  • Decreased KLHL3 expression is implicated in the pathogenesis of renal sodium reabsorption in hyperglycemic conditions.
  • The WNK-OSR1/SPAK-NCC pathway is activated in type 1 diabetes, potentially contributing to hypertension.
  • Targeting neddylation may offer a therapeutic strategy for managing renal sodium handling abnormalities in diabetes.