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Calcium signaling in polycystic kidney disease- cell death and survival
Karla M Márquez-Nogueras1, Virdjinija Vuchkovska2, Ivana Y Kuo1
1Department of Cell and Molecular Physiology, Stritch School of Medicine, Loyola University Chicago, 2160 S. First Ave, Maywood, IL, USA.
Abstract:
Polycystic kidney disease is typified by cysts in the kidney and extra-renal manifestations including hypertension and heart failure. The main genetic underpinning this disease are loss-of function mutations to the two polycystin proteins, polycystin 1 and polycystin 2. Molecularly, the disease is characterized by changes in multiple signaling pathways including down regulation of calcium signaling, which, in part, is contributed by the calcium permeant properties of polycystin 2. These signaling pathways enable the cystic cells to survive and avoid cell death. This review focuses on the studies that have emerged in the past 5 years describing how the structural insights gained from PC-1 and PC-2 inform the calcium dependent molecular pathways of autophagy and the unfolded protein response that are regulated by the polycystin proteins and how it leads to cell survival and/or cell death.
Insights
Polycystic kidney disease arises from mutations in polycystin proteins (PC-1 and PC-2), affecting calcium signaling. Recent research reveals how PC-1 and PC-2 structural insights clarify cell survival pathways in this condition.
Area of Science:
- Nephrology
- Molecular Biology
- Genetics
Background:
- Polycystic kidney disease (PKD) is characterized by kidney cysts and systemic complications like hypertension.
- Loss-of-function mutations in polycystin 1 (PC-1) and polycystin 2 (PC-2) are the primary genetic cause of PKD.
- Altered calcium signaling, partly due to PC-2's calcium permeability, is a key molecular feature, promoting cystic cell survival.
Approach:
- This review synthesizes findings from the last five years.
- It focuses on structural insights into PC-1 and PC-2.
- The review examines how these insights illuminate calcium-dependent pathways regulating autophagy and the unfolded protein response.
Key Points:
- Structural data on PC-1 and PC-2 provides a mechanistic understanding of PKD.
- These proteins regulate crucial cell survival pathways, including autophagy and the unfolded protein response.
- Calcium signaling is central to how polycystins influence cell fate in PKD.
Conclusions:
- Understanding the structure-function relationship of polycystins is vital for deciphering PKD.
- Targeting these calcium-dependent pathways may offer therapeutic strategies for PKD.
- The interplay between polycystins, calcium, and cell survival pathways is critical in PKD pathogenesis.
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