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A Mutation in the TRPC6 Cation Channel Causes Familial Focal Segmental Glomerulosclerosis
Michelle P. Winn,1,2*
Peter J. Conlon,4
Kelvin L. Lynn,5
Merry Kay Farrington,1,2
Tony Creazzo,3
April F. Hawkins,1
Nikki Daskalakis,1,2
Shu Ying Kwan,2
Seth Ebersviller,2
James L. Burchette,5
Margaret A. Pericak-Vance,1,2
David N. Howell,5
Jeffery M. Vance,1,2*
Paul B. Rosenberg1*
Abstract:
Focal and segmental glomerulosclerosis (FSGS) is a kidney disorderof unknown etiology, and up to 20% of patients on dialysis havebeen diagnosed with it. Here we show that a large family withhereditary FSGS carries a missense mutation in the TRPC6 geneon chromosome 11q, encoding the ion-channel protein transientreceptor potential cation channel 6 (TRPC6). The proline-to-glutaminesubstitution at position 112, which occurs in a highly conservedregion of the protein, enhances TRPC6-mediated calcium signalsin response to agonists such as angiotensin II and appears toalter the intracellular distribution of TRPC6 protein. Previouswork has emphasized the importance of cytoskeletal and structuralproteins in proteinuric kidney diseases. Our findings suggestan alternative mechanism for the pathogenesis of glomerulardisease.
1 Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA. 2 Center for Human Genetics, Duke University Medical Center, Durham, NC 27710, USA. 3 Department of Pediatrics, Duke University Medical Center, Durham, NC 27710, USA. 4 Department of Nephrology, Beaumont Hospital, Dublin, Ireland. 5 Department of Nephrology, Christchurch Hospital, Christchurch, New Zealand. 5Department of Pathology, Duke University Medical Center and Durham VA Medical Center, Durham, NC 27710, USA.
* To whom correspondence should be addressed. E-mail: michelle.winn{at}duke.edu (M.P.W.); jeff{at}chg.duhs.duke.edu (J.M.V.); rosen029{at}mc.duke.edu (P.B.R.)
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K. Voskarides, L. Damianou, V. Neocleous, I. Zouvani, S. Christodoulidou, V. Hadjiconstantinou, K. Ioannou, Y. Athanasiou, C. Patsias, E. Alexopoulos, et al. (2007)
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18, 3004-3016
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Downregulation of TRPC6 protein expression by high glucose, a possible mechanism for the impaired Ca2+ signaling in glomerular mesangial cells in diabetes.
S. Graham, M. Ding, S. Sours-Brothers, T. Yorio, J.-X. Ma, and R. Ma (2007)
Am J Physiol Renal Physiol
293, F1381-F1390
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Molecular architecture of the glomerular slit diaphragm: lessons learnt for a better understanding of disease pathogenesis.
H. Holthofer (2007)
Nephrol. Dial. Transplant.
22, 2124-2128
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Familial nephrotic syndrome: PLCE1 enters the fray.
J. A. Jefferson and S. J. Shankland (2007)
Nephrol. Dial. Transplant.
22, 1849-1852
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Genetic Susceptibility, HIV Infection, and the Kidney.
K. Kiryluk, J. Martino, and A. G. Gharavi (2007)
Clin. J. Am. Soc. Nephrol.
2, S25-S35
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Nuclear relocation of the nephrin and CD2AP-binding protein dendrin promotes apoptosis of podocytes.
K. Asanuma, K. N. Campbell, K. Kim, C. Faul, and P. Mundel (2007)
PNAS
104, 10134-10139
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