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Kemter, E.* ; Prueckl, P.* ; Sklenak, S.* ; Rathkolb, B. ; Habermann, F.A.* ; Hans, W. ; Gailus-Durner, V. ; Fuchs, H. ; Hrabě de Angelis, M. ; Wolf, E.* ; Aigner, B.* ; Wanke, R.*

Type of uromodulin mutation and allelic status influence onset and severity of uromodulin-associated kidney disease in mice.

Hum. Mol. Genet. 22, 4148-4163 (2013)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
Uromodulin-associated kidney disease (UAKD) is a dominant heritable renal disease in humans which is caused by mutations in the uromodulin (UMOD) gene and characterized by heterogeneous clinical appearance. To get insights into possible causes of this heterogeneity of UAKD, we describe the new mutant mouse line UmodC93F, leading to disruption of a putative disulfide bond which is also absent in a known human UMOD mutation, and compare the phenotype of this new mouse line with the recently published mouse line UmodA227T. In both mutant mouse lines, which were both bred on the C3H background, the Umod mutations cause a gain-of-toxic function due to a maturation defect of the mutant uromodulin leading to a dysfunction of thick ascending limb of Henle's loop (TALH) cells of the kidney. Umod mutant mice exhibit increased plasma urea and cystatin levels, impaired urinary concentration ability, reduced fractional excretion of uric acid, and nephropathological alterations including uromodulin retention in TALH cells, interstitial fibrosis and inflammatory cell infiltrations, tubular atrophy, and occasional glomerulo- und tubulocystic changes, a phenotype highly similar to UAKD in humans. The maturation defect of mutant uromodulin leads to the accumulation of immature uromodulin in the endoplasmic reticulum (ER) and to ER hyperplasia. Further, this study was able to demonstrate for the first time in vivo that the severity of the uromodulin maturation defect as well as onset and speed of progression of renal dysfunction and morphological alterations are strongly dependent on the particular Umod mutation itself and the zygosity status.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Tamm-horsfall Protein ; Juvenile Hyperuricaemic Nephropathy ; Reticulum-associated Degradation ; Mouse Mutagenesis Project ; Endoplasmic-reticulum ; Umod Gene ; Concentrating Defect ; Renal-failure ; Glycoprotein ; Urea
ISSN (print) / ISBN 0964-6906
e-ISSN 1460-2083
Quellenangaben Volume: 22, Issue: 20, Pages: 4148-4163 Article Number: , Supplement: ,
Publisher Oxford University Press
Non-patent literature Publications
Reviewing status Peer reviewed