Document Detail


Positional cloning uncovers mutations in PLCE1 responsible for a nephrotic syndrome variant that may be reversible.
MedLine Citation:
PMID:  17086182     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nephrotic syndrome, a malfunction of the kidney glomerular filter, leads to proteinuria, edema and, in steroid-resistant nephrotic syndrome, end-stage kidney disease. Using positional cloning, we identified mutations in the phospholipase C epsilon gene (PLCE1) as causing early-onset nephrotic syndrome with end-stage kidney disease. Kidney histology of affected individuals showed diffuse mesangial sclerosis (DMS). Using immunofluorescence, we found PLCepsilon1 expression in developing and mature glomerular podocytes and showed that DMS represents an arrest of normal glomerular development. We identified IQ motif-containing GTPase-activating protein 1 as a new interaction partner of PLCepsilon1. Two siblings with a missense mutation in an exon encoding the PLCepsilon1 catalytic domain showed histology characteristic of focal segmental glomerulosclerosis. Notably, two other affected individuals responded to therapy, making this the first report of a molecular cause of nephrotic syndrome that may resolve after therapy. These findings, together with the zebrafish model of human nephrotic syndrome generated by plce1 knockdown, open new inroads into pathophysiology and treatment mechanisms of nephrotic syndrome.
Authors:
Bernward Hinkes; Roger C Wiggins; Rasheed Gbadegesin; Christopher N Vlangos; Dominik Seelow; Gudrun Nürnberg; Puneet Garg; Rakesh Verma; Hassan Chaib; Bethan E Hoskins; Shazia Ashraf; Christian Becker; Hans Christian Hennies; Meera Goyal; Bryan L Wharram; Asher D Schachter; Sudha Mudumana; Iain Drummond; Dontscho Kerjaschki; Rüdiger Waldherr; Alexander Dietrich; Fatih Ozaltin; Aysin Bakkaloglu; Roxana Cleper; Lina Basel-Vanagaite; Martin Pohl; Martin Griebel; Alexey N Tsygin; Alper Soylu; Dominik Müller; Caroline S Sorli; Tom D Bunney; Matilda Katan; Jinhong Liu; Massimo Attanasio; John F O'toole; Katrin Hasselbacher; Bettina Mucha; Edgar A Otto; Rannar Airik; Andreas Kispert; Grant G Kelley; Alan V Smrcka; Thomas Gudermann; Lawrence B Holzman; Peter Nürnberg; Friedhelm Hildebrandt
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2006-11-05
Journal Detail:
Title:  Nature genetics     Volume:  38     ISSN:  1061-4036     ISO Abbreviation:  Nat. Genet.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-29     Completed Date:  2007-02-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9216904     Medline TA:  Nat Genet     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1397-405     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of Michigan, Ann Arbor, Michigan 48109, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Child
Child, Preschool
Cloning, Molecular
Disease Models, Animal
Female
Gene Targeting
Genes, Recessive
Homozygote
Humans
Infant
Kidney / enzymology,  pathology
Male
Models, Genetic
Mutation*
Mutation, Missense
Nephrotic Syndrome / drug therapy,  enzymology*,  genetics*,  pathology
Phosphoinositide Phospholipase C
Rats
Sequence Deletion
Type C Phospholipases / genetics*
Zebrafish / genetics
Grant Support
ID/Acronym/Agency:
DK46073/DK/NIDDK NIH HHS; P50-DK039255/DK/NIDDK NIH HHS; R01-DK53093/DK/NIDDK NIH HHS; R01-DK56294/DK/NIDDK NIH HHS; R01-GM053536/GM/NIGMS NIH HHS
Chemical
Reg. No./Substance:
EC 3.1.4.-/Type C Phospholipases; EC 3.1.4.11/Phosphoinositide Phospholipase C; EC 3.1.4.11/phospholipase C epsilon
Comments/Corrections
Comment In:
Nat Genet. 2006 Dec;38(12):1360-1   [PMID:  17133219 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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