New Insights into the Molecular Mechanisms Targeting Tubular Channels/Transporters in PKD Development
Overview
Authors
Affiliations
Background: Autosomal dominant polycystic kidney disease (PKD) or autosomal recessive PKD is caused by a mutation in the , or gene, which encodes polycystin-1, polycystin-2 or fibrocystin, respectively. Embryonic and postnatal mutation studies show that transport or channel function is dysregulated before the initiation of cystogenesis, suggesting that the abnormality of transport or channel function plays a critical role in the pathology of PKD.
Summary: Polycystin-2 by itself is a calcium-permeable cation channel, and its channel function can be regulated by polycystin-1 or fibrocystin. In this paper, we reviewed the current knowledge about calcium transports and cyclic adenosine monophosphate (cAMP)-driven chloride transports in PKD. In addition, the function and the underlining mechanism of glucose transporters, phosphate transporters and water channels in PKD are also discussed.
Key Messages: Abnormalities in calcium handling and exuberant cAMP-dependent cystic fibrosis transmembrane conductance regulator-mediated fluid secretion in the collecting duct are the most important issues in the pathogenesis of PKD.
Koenigbauer J, Fangmann L, Reinhardt C, Weichert A, Henrich W, Saskia B Arch Gynecol Obstet. 2023; 309(6):2613-2622.
PMID: 37535131 PMC: 11147883. DOI: 10.1007/s00404-023-07165-8.
Recent advances in understanding ion transport mechanisms in polycystic kidney disease.
Sudarikova A, Vasileva V, Sultanova R, Ilatovskaya D Clin Sci (Lond). 2021; 135(21):2521-2540.
PMID: 34751394 PMC: 8589009. DOI: 10.1042/CS20210370.
Sparapani S, Millet-Boureima C, Oliver J, Mu K, Hadavi P, Kalostian T Biomedicines. 2021; 9(1).
PMID: 33477721 PMC: 7832310. DOI: 10.3390/biomedicines9010089.
Prenatal genetic considerations of congenital anomalies of the kidney and urinary tract (CAKUT).
Talati A, Webster C, Vora N Prenat Diagn. 2019; 39(9):679-692.
PMID: 31343747 PMC: 7272185. DOI: 10.1002/pd.5536.
Comprehensive genetic testing in children with a clinical diagnosis of ARPKD identifies phenocopies.
Szabo T, Orosz P, Balogh E, Javorszky E, Mattyus I, Bereczki C Pediatr Nephrol. 2018; 33(10):1713-1721.
PMID: 29956005 DOI: 10.1007/s00467-018-3992-5.