Gain-of-function, focal segmental glomerulosclerosis Trpc6 mutation minimally affects susceptibility to renal injury

Brittney J Brown1, Kimber L Boekell1, Brian R Stotter1,2

  • 1Division of Nephrology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America.

Plos One
|August 1, 2022
PubMed

Insights

Gain-of-function mutations in TRPC6 channels cause focal segmental glomerulosclerosis (FSGS). This study found that a specific TRPC6 gain-of-function mutation in mice confers only mild susceptibility to glomerular injury, challenging previous assumptions.

Area of Science:

  • Nephrology
  • Molecular biology
  • Genetics

Background:

  • Mutations in TRPC6 channels are linked to autosomal dominant focal segmental glomerulosclerosis (FSGS) in humans.
  • Many TRPC6 mutations exhibit gain-of-function effects on cation channel activity, impacting cellular signaling.
  • Previous in vivo studies primarily used TRPC6-deficient models, limiting understanding of gain-of-function mutation effects.

Purpose of the Study:

  • To investigate the in vivo effects of a gain-of-function TRPC6 mutation (E896K) associated with FSGS.
  • To characterize the renal phenotype of mice engineered to carry the Trpc6 E896K gain-of-function mutation.
  • To compare the Trpc6 E896K mutant phenotype with wild-type and Trpc6-deficient models.

Main Methods:

  • Development of mice with a targeted gain-of-function Trpc6 mutation (E896K).
  • Assessment of renal pathology, albuminuria, and susceptibility to nephrotoxic models (PAN nephrosis, albumin overload, angiotensin II infusion, folate injury).
  • Evaluation of TRPC6 protein expression and function in glomeruli.

Main Results:

  • Homozygous Trpc6 E896K mice showed minimal renal pathology and late-onset albuminuria.
  • The mutation did not increase susceptibility to PAN nephrosis but caused a slight delay in recovery from albumin overload.
  • Chronic angiotensin II infusion led to transiently increased albuminuria and a non-significant trend toward glomerular injury, contrasting with Trpc6-deficient phenotypes.
  • No significant interstitial fibrosis was observed in response to various injury models.
  • TRPC6 protein and agonist-induced calcium influx were undetectable in glomeruli.

Conclusions:

  • A gain-of-function TRPC6 mutation confers only mild susceptibility to glomerular injury in mice.
  • The in vivo phenotype of this gain-of-function mutation is largely opposite to that of TRPC6 deficiency.
  • These findings highlight the complex role of TRPC6 in glomerular disease pathogenesis.

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