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Molecular and Cellular Biology, July 2001, p. 4829-4836, Vol. 21, No. 14
0270-7306/01/$04.00+0 DOI: 10.1128/MCB.21.14.4829-4836.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Proteinuria and Perinatal Lethality in Mice Lacking
NEPH1, a Novel Protein with Homology to NEPHRIN
Dorit B.
Donoviel,1,*
Deon D.
Freed,1
Hannes
Vogel,2
David G.
Potter,3
Edith
Hawkins,2
James P.
Barrish,2
Brian N.
Mathur,3
C. Alexander
Turner,3
Robert
Geske,1
Charles A.
Montgomery,1
Michael
Starbuck,1
Mary
Brandt,1
Anupma
Gupta,1
Ramiro
Ramirez-Solis,1
Brian P.
Zambrowicz,3 and
David
R.
Powell1
Pharmaceutical
Biology1 and
Genomics,3 Lexicon Genetics, Inc., The
Woodlands, Texas 77381, and Department of Pathology, Baylor
College of Medicine, Texas Children's Hospital, Houston, Texas
770302
Received 26 February 2001/Returned for modification 2 April
2001/Accepted 18 April 2001
 |
ABSTRACT |
A high-throughput, retrovirus-mediated mutagenesis method based on
gene trapping in embryonic stem cells was used to identify a novel
mouse gene. The human ortholog encodes a transmembrane protein
containing five extracellular immunoglobulin-like domains that is
structurally related to human NEPHRIN, a protein associated with
congenital nephrotic syndrome. Northern analysis revealed wide
expression in humans and mice, with highest expression in kidney. Based
on similarity to NEPHRIN and abundant expression in kidney, this
protein was designated NEPH1 and embryonic stem cells containing the
retroviral insertion in the Neph1 locus were used to
generate mutant mice. Analysis of kidney RNA from
Neph1
/
mice showed that the retroviral
insertion disrupted expression of Neph1 transcripts.
Neph1
/
pups were represented at the
expected normal Mendelian ratios at 1 to 3 days of age but at only 10%
of the expected frequency at 10 to 12 days after birth, suggesting an
early postnatal lethality. The Neph1
/
animals that survived beyond the first week of life were sickly and
small but without edema, and all died between 3 and 8 weeks of age.
Proteinuria ranging from 300 to 2,000 mg/dl was present in all
Neph1
/
mice. Electron microscopy
demonstrated NEPH1 expression in glomerular podocytes and revealed
effacement of podocyte foot processes in Neph1
/
mice. These findings suggest that
NEPH1, like NEPHRIN, may play an important role in maintaining the
structure of the filtration barrier that prevents proteins from freely
entering the glomerular urinary space.
 |
INTRODUCTION |
NEPHRIN is a transmembrane protein
of the immunoglobulin (Ig) superfamily that is expressed by epithelial
podocytes of developing glomeruli (13, 17). Congenital
nephrotic syndrome of the Finnish type results from mutations in
NPHS1, the human gene encoding NEPHRIN, indicating a role
for NEPHRIN in maintaining the filtration barrier that prevents
proteins from freely entering the glomerular urinary space (6,
17). Recent studies localized NEPHRIN to the slit diaphragms
that form the junctions between podocyte foot processes interdigitating
along the glomerular basement membrane. This and other studies suggest
that NEPHRIN proteins extending toward each other from adjacent
podocyte foot processes may interdigitate in a zipper-like structure to
form the crucial filtration barrier in the slit diaphragm. The eight
Ig-like domains of each NEPHRIN protein, which are of the C2
type of Ig domain known to be involved in cell-cell interactions, are
thought to provide the homophilic interactions that bind these NEPHRIN
proteins together (13, 17).
We use a high-throughput mutagenesis method based on gene trapping in
embryonic stem (ES) cells that allows automated production of sequence
tags from the trapped and mutated genes (20). These ES
cell clones are stored in a library called Omnibank, and the sequence
tag from the gene trapped in each clone, referred to as the Omnibank
sequence tag or OST, is entered into a searchable database. A protein
with Ig domains was identified within this database and was designated
NEPH1 since (i) human and mouse sequences for this protein were
homologous to NEPHRIN and (ii) additional studies showed that this
protein was highly expressed in human and mouse kidney. To obtain
insight into the function of NEPH1, particularly with respect to the
role of NEPH1 in kidney, we used ES cells harboring the mutated
Neph1 gene to generate mutant mice. We now report that
mutation of the Neph1 locus results in perinatal lethality
accompanied by proteinuria.
 |
MATERIALS AND METHODS |
Generation of Neph1 mutant mice.
An ES cell
clone with a retroviral vector (see Fig. 3 for a description of the
vector) inserted in the Neph1 locus was injected into
C57BL/6-Tyrc-Brd host blastocysts
(21). Chimeric mice were generated and bred to
C57BL/6-Tyrc-Brd mice; the resulting
Neph1+/
offspring
were interbred to produce Neph1
/
mice.
Tail DNA was genotyped by quantitative dot blots (Bio-Rad) using a
neomycin phosphotransferase gene fragment and a fragment containing
exon 1 of the murine Csk gene (MMU05247) as probes to detect
the virus integration and a single-copy endogenous gene, respectively.
Cloning of Neph1 cDNAs.
Mouse total kidney
RNA was used in 5' and 3' rapid amplification of cDNA ends (Clontech)
employing primers derived from the OST sequence. The product (mouse
cDNA; GenBank accession no. AYO17368) was cloned into the PCRII-TOPO
vector (Invitrogen) and sequenced on an ABI 377 sequencer using BigDye
terminators. The full-length human cDNA clone (GenBank accession no.
AYO17369) was identified by screening a kidney cDNA library (Edge
BioSystems, Gaithersburg, Md.) by PCR using two gene-specific primers
(5'-GTGCTCCCCTGTGTGCTGCTCAACTACT-3' and
5'-CAGAGAGCTCAGCATCTGTGATCTCCAGGT-3') derived from the human genomic DNA sequence (GenBank accession no. AL139010). Positive clones
were PCR amplified with Expand High Fidelity DNA Polymerase (Roche)
using two different primer sets for the 5' and 3' cDNA ends. The 3'
cDNA end was amplified using a NEPH1-specific primer (5'-GTGCTCCCCTGTGTGCTGCTCAACTACT-3') and a
GT10
vector-specific primer (5'-AGCAAGTTCAGCCTGGTTAAG-3'), while
the 5' cDNA end was amplified using a NEPH1-specific
primer (5'-CAGAGAGCTCAGCATCTGTGATCTCCAGGT-3') and a
GT10 primer (5'-CTTATGAGTATTTCTTCCAGGGTA-3').
RNA analysis.
Human and mouse Northern blots containing 2 µg of poly(A)+ RNA in each lane were probed as
recommended by the supplier (OriGene). Probing was performed with
32P-labeled fragments spanning bp 882 to 1225 of
the human NEPH1 cDNA and from bp 40 to 403 of the murine
Neph1 cDNA, respectively. Fusion transcripts consisting of a
heterologous exon and downstream Neph1 exons (see Fig. 3 and
Results) were reverse transcribed and PCR amplified (RT-PCR) using
Expand Polymerase as recommended by the manufacturer (Gibco-BRL);
5'-CCAGAGTCTTCAGAGATCAAGTC-3' was the 5' primer, and
5'-GGCATTAAATGCTCTGCACGTGAGGTTGTAG-3' was the 3' primer. RNA
quality in the samples was assessed using primers to the mouse
-actin cDNA (GenBank no. M12481).
Histopathology.
Whole-mount LacZ staining of kidneys was
performed as described previously (10). After LacZ-stained
samples were fixed in 4% paraformaldehyde and embedded in paraffin,
4-µm sections were cut and counterstained with nuclear fast red.
Freshly dissected kidneys were fixed in paraformaldehyde, processed
into paraffin blocks, and stained with hematoxylin and eosin for
morphological assessment (8). Glycogen content and
basement membranes were evaluated using the periodic acid-Schiff
reaction (2).
To confirm that LacZ was expressed in glomerular epithelial cells,
glutaraldehyde-fixed tissue was postfixed in buffered osmium and then
dehydrated in graded ethanol solutions. Specimens were embedded in
Araldite 502. Ultrathin sections were stained with lead citrate and
aranyl acetate and were analyzed by electron microscopy.
Mouse care and study.
Mouse studies were performed according
to federal guidelines (1). Mice were housed at 24°C on a
fixed 12-h light/12-h dark cycle and had ad libitum access to water and
rodent chow (product no. 5001; Purina, St. Louis, Mo.). Urinalysis was
performed using urine dipsticks (Multistix; Bayer, Pittsburgh, Pa.).
 |
RESULTS |
Gene trapping and characterization of the Neph1
gene.
We use a retrovirus-mediated gene trap strategy that selects
for integrations into gene introns. This approach ablates gene function
because the vector introduces heterologous splice acceptor and donor
sites that disrupt the normal splicing of the trapped gene
(20). The gene trap vector also contains an internal
phosphoglycerate kinase 1 (PGK) promoter that generates a fusion
transcript incorporating the downstream exons of the trapped locus.
Fusion transcripts from over 200,000 trapped ES cell clones have been
sequenced and deposited into a searchable database. Because these
sequences are exonic, they are informative with respect to the identity of the trapped gene. Searching this database identified an OST encoding
a novel protein with homology to human NEPHRIN, a protein mutated in
patients with congenital nephrotic syndrome of the Finnish type
(6). Since the protein product of this novel gene is
homologous to NEPHRIN and is highly expressed in kidney (see below),
the gene was designated Neph1 (gene name standardized by the
mouse nomenclature committee at the Jackson Laboratories).
The human
NEPH1 cDNA is predicted to encode a 67-kDa protein
with five Ig domains and the integrin-recognition motif RGD found
in
proteins such as fibronectin (Fig.
1)
(
9). Ig3 is similar
to the polycystic kidney disease (PKD)
domains first identified
in the polycystin-1 protein (
18).
These PKD domains, which have
Ig-like folds, are evolutionarily
distinct from members of the
Ig superfamily; their function in
polycystin-1 is unclear at present
(
4). Human NEPH1 also
includes two hydrophobic domains: the
presumptive signal sequence at
the N terminus and a transmembrane
region. A homology search revealed
that NEPH1 is related to the
Drosophila melanogaster protein
IRREGULAR CHIASM (
12) in addition
to NEPHRIN
(
6) (25.6 and 18% identity, respectively). Despite
their
low overall identity, these proteins are structurally related
due to
conservation of Ig domains (Fig.
1). The mouse cDNA clone
appears to be
truncated just past the Ig4 domain (Fig.
1); because
we failed to
detect short
Neph1 transcripts in mouse tissues (not
shown),
it is possible that this cDNA is a partial clone. Northern
analyses
performed on poly(A)
+ RNA from multiple human and
mouse tissues identified a single
9-kb transcript, which was widely
expressed, with highest levels
of expression in kidney (Fig.
2).

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FIG. 1.
Alignment of NEPH1 with homologous proteins. The human
NEPH1 (hNEPH1; GenBank accession no. AYO17369), a truncated mouse NEPH1
(mNEPH1; GenBank accession no. AYO17368), the D.
melanogaster irregular chiasmata (IRREGULAR; GenBank accession
no. L11040), and the human NEPHRIN (hNEPHRIN; GenBank accession no.
AF190637) proteins were aligned using the MultiAlin version 5.4.1 program (http://www.toulouse.inra.ft/multalin). The
signal and transmembrane (TM) domains in the hNEPH1, mNEPH1, and
IRREGULAR proteins, identified by DNAStar Protean V. 4.0, are
underlined. Ig-like domains (Ig) are marked by broken lines, and the
PKD domain is doubly underlined; these domains were identified using
the Pfam search engine (http://pfam.wustl.edu). The RGD
sequence of NEPH1 is marked by asterisks. The hNEPHRIN protein sequence
extends an additional 459 amino acid residues beyond what is shown
here.
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FIG. 2.
Neph1 expression in human and mouse
tissues. (A) Northern blot showing a 9-kb Neph1
transcript in adult human brain (lane 1), colon (lane 2), heart (lane
3), kidney (lane 4), liver (lane 5), lung (lane 6), muscle (lane 7),
placenta (lane 8), small intestine (lane 9), spleen (lane 10), stomach
(lane 11), and testis (lane 12). (B) The same blot as in panel A
hybridized with a probe to the human -actin gene for RNA loading
control. (C) Northern blot showing a 9-kb Neph1
transcript in adult mouse brain (lane 1), heart (lane 2), kidney (lane
3), liver (lane 4), lung (lane 5), muscle (lane 6), skin (lane 7),
small intestine (lane 8), spleen (lane 9), stomach (lane 10), testis
(lane 11), and thymus (lane 12). (D) The same blot as in panel C
hybridized with a human -actin probe.
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|
Since NEPH1 is highly expressed in kidney and is homologous to NEPHRIN,
we chose to disrupt the
Neph1 gene in mice. ES cells
expressing the NEPH1 OST were injected into blastocysts, and the
resulting chimeric mice were bred to generate
Neph1+/
and
Neph1
/
mice (see Materials and
Methods). To fully characterize the insertion
site of the gene trap
vector, we performed RT-PCR on
Neph1+/
kidney RNA using primers to the 5' end of the
Neph1 cDNA and
to the promoterless

-galactosidase-neomycin phosphotransferase
(

-geo) fusion gene (
5) introduced by the gene trap
vector.
These primers generated a 354-bp product from the predicted
Neph1-

-geo
fusion transcript (shown schematically in
Fig.
3A).
Sequence analysis
of the PCR product confirmed that the ATG-containing
Neph1 exon
spliced into the splice acceptor site in the

-geo gene in the
vector to produce a fusion transcript (Fig.
3B).
Thus, the vector
inserted in the intron just 3' to the ATG-containing
exon of
Neph1.

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FIG. 3.
Retroviral insertion into the Neph1
locus. (A) Structure of the gene trap vector integration site in the
Neph1 locus. The retroviral construct, which contains
flanking viral long terminal repeats (LTRs), is inserted in the intron
downstream of the ATG-containing Neph1 exon. Transcripts
initiating at the Neph1 promoter (indicated by an arrow
followed by broken and solid lines) encode a 4.5-kb message that
utilizes the splice acceptor (SA) site upstream of the -geo fusion
gene. Transcripts initiating from the PGK promoter utilize the splice
donor site in the inserted heterologous exon 1-splice donor (SD)-intron
1 cassette and splice into the downstream Neph1 exon
(EX) to produce a roughly 8.7-kb RNA which is detectable only in ES
cells and is absent in vivo (see text). The heterologous exon 1 is a
noncoding exon that contains a natural in-frame stop codon (black
diamond) that eliminates the likelihood of expression of a protein from
the trapped Neph1 locus. A probe spanning the
ATG-containing exons and downstream exons of Neph1
(black bars) was used to perform the Northern blot shown in Fig. 2 and
3C. The OST sequence is represented by a double line. The primers used
to clone the Neph1- -geo and the exon
1-Neph1 fusion transcript splice junctions are indicated
by arrows and are expected to produce 354- and 485-bp bands,
respectively; the sequence of the 5' transcript is given in panel B. (B) Sequence of the hybrid transcript spanning the splice junction of
the Neph1 ATG-containing exon and the -geo-coding
region. The ATG in the Neph1 coding region (boldface) is
underlined, and the primers used for RT-PCR of this fragment are
designated by broken arrows. (C) Northern blot of kidney RNA obtained
from 1-day-old mice bearing either one copy (+/ ) or two
copies ( / ) of the trapped Neph1 locus.
The blot, hybridized with a probe spanning the Neph1
ATG-containing and downstream exons (see panel A), shows RNA
transcripts of 9 and 4.5 kb. (D) Ethidium bromide-stained gel showing
RT-PCR products from the heterologous exon 1-Neph1
fusion transcripts. Lane 1 contains molecular-weight standards. The
expected band size of 485 bp (see panel A) is clearly observed in the
RNA samples from the ES cell line with the Neph1
mutation (lanes 2 and 3). This band is undetectable in kidney RNA from
Neph1+/+ and
Neph1+/ mice (lanes 4 and 6, respectively)
and is negligible in kidney RNA from
Neph1 / mice (lane 5).
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To verify that the gene trap event ablated expression of normal
Neph1 transcripts in
Neph1+/
and
Neph1
/
mice, we used a mouse cDNA
fragment that spans the two
Neph1 exons flanking the
retrovirus integration site to probe a kidney
RNA Northern blot (probe
is shown in Fig.
3A). This probe should
hybridize to mRNA transcripts
originating from both the native
mouse
Neph1 promoter and
the PGK promoter. When used to hybridize
to
Neph1+/
kidney RNA, this probe recognized
the 9-kb native
Neph1 transcript
and a 4.5-kb transcript
representing the fusion of
Neph1 upstream
exons (0.3 kb) to

-geo (4.2 kb) (Fig.
3C). When used to hybridize
to
Neph1
/
kidney RNA, this probe
identified the 4.5-kb transcript but not
the 9-kb native transcript,
confirming the loss of normal
Neph1 RNA due to retroviral
insertion. The predicted 8.7-kb heterologous
exon 1-
Neph1
downstream fusion transcript, which must be present
in the trapped ES
cell line because it is the source of the OST
sequence (Fig.
3A),
should also hybridize to the probe in both
Neph1
/
and
Neph1+/
kidney samples. However, it would
only be detectable in the
Neph1
/
sample, as it is similar in size to the 9-kb native transcript
present
in the
Neph1+/
sample and is therefore
not distinguishable. Interestingly, it
is absent from the
Neph1
/
sample, suggesting that its
expression is regulated differently
in vivo and in ES cells in vitro.
To address this possibility,
we performed RT-PCR using primers derived
from the heterologous
and downstream
Neph1 exons (Fig.
3A).
The expected 485-bp RT-PCR
product was present in RNA derived from ES
cells but was negligible
in RNA from
Neph1+/
and
Neph1
/
kidneys (Fig.
3D); all samples
exhibited robust control PCR products
using primers that amplified the
mouse

-actin gene (not shown).
A likely explanation for this
discrepancy is that gene transcription
initiating from a heterologous
promoter internal to a retrovirus
may be silenced in vivo (
7,
16). This appears to be a general
phenomenon because we
confirmed the in vivo loss of both endogenous
and 3' fusion transcripts
in dozens of other Omnibank gene-trapped
mouse lines (B. Zambrowicz,
unpublished
observations).
Expression pattern of the Neph1 gene.
To
identify cell types expressing NEPH1 in various mouse tissues, we
exploited the activity of the
-geo protein expressed as part of the
fusion transcript transcribed by the Neph1 promoter (Fig.
3A). In newborn Neph1+/
mice, kidneys
showed focal LacZ staining in glomerular epithelium, mesangium, and
proximal tubules (Fig. 4A) and in
blastemal cells and collecting ducts (not shown). Staining was also
noted in leptomeninges of the brain and in smooth muscle of liver,
lung, and heart (not shown). In the adult, LacZ staining in kidney was
limited to juxtamedullary glomeruli and proximal tubules (Fig. 4B and
C). Some weak staining was also observed in ovarian follicular cells
and rare cells of the red pulp in the spleen (not shown). In adult
brain,
-geo was expressed by some Purkinje cells; by neurons of the
small molecular layer and granule layer; by CA1 and CA4 in the
hippocampus; and in the basal ganglia, brain stem, and cortex (not
shown).

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FIG. 4.
Neph1 expression as indicated by LacZ
staining (blue) of kidneys from newborn (A) and adult (B and C)
heterozygous mice. (A) Staining in the glomeruli (g, arrow) and
proximal tubules (t, arrowhead) of a 1-day-old newborn pup. (B)
Staining in the proximal tubules (t, arrowhead) of an adult kidney. (C)
Staining in a juxtamedullary glomerulus (g, arrow) of an adult mouse
kidney.
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To confirm that the
Neph1 promoter is active in glomerular
podocytes, LacZ-stained kidney tissue from newborn
Neph1+/+ and
Neph1
/
mice was analyzed by electron
microscopy. LacZ crystals were
abundant in the cytoplasm of glomerular
podocytes from
Neph1
/
kidney (Fig.
5A) and were also present in tubular
epithelial,
vascular smooth muscle, and endothelial cells.
Interestingly,
foot processes of
Neph1
/
podocytes were effaced along the glomerular basement membrane,
suggesting heavy proteinuria (see below). In contrast, LacZ crystals
were not detected in
Neph1+/+ kidney and
podocyte foot processes were not effaced (Fig.
5B).

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FIG. 5.
Electron micrographs of LacZ-stained
Neph1 / kidney. (A) Electron micrograph
depicting LacZ stain crystals (black specks) indicating expression of
Neph1- -geo fusion transcripts in the cytoplasm of
podocytes (P) and parietal epithelium (Ep) of a
Neph1 / newborn mouse. The glomerular
basement membrane (gbm) is marked with an arrow, and a podocyte foot
process (fp) is depicted by an arrowhead. There is significant
effacement of the podocyte foot processes in
Neph1 / mutant animals (see text and
compare to panel B). The urinary space (u) and a red blood cell (rbc)
are also noted. (B) Electron micrograph depicting no LacZ stain
crystals in a Neph1+/+ kidney. The podocyte
(P), glomerular basement membrane (gbm), foot processes (fp), and
urinary space (u) are marked as in panel A.
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Consequences of Neph1 gene disruption.
To
determine the effects of loss of normal Neph1 transcripts,
we intercrossed Neph1+/
mice to generate
over 236 progeny. When these mice were genotyped at 10 to 12 days after
birth, only 6 Neph1
/
mice were
identified out of the 59 Neph1
/
pups
expected. These six Neph1
/
pups were
sickly and small but without edema; most were failing to thrive by 1 week of age and all six died between 3 and 8 weeks of age. Genotyping
of an additional 48 pups at 1 to 3 days of age identified 13 (27%) as
Neph1
/
. This expected Mendelian
frequency at birth suggests that most Neph1
/
pups die in the 1- to 12-day
postnatal period and not during embryogenesis.
Urine from eight newborn (1 to 3 days of age) mice and one 3-week-old
Neph1
/
mouse exhibited heavy
proteinuria (five with 2,000 mg/dl; four
with 300 mg/dl). Urine from 22
Neph1+/
and 11
Neph1+/+ age-matched littermates contained
either trace protein or 30
mg of protein/dl. In general, kidneys from
Neph1
/
pups appeared normal by gross
examination. However, histopathological
examination revealed a variety
of glomerular and tubular abnormalities
(Fig.
6). Three-week-old
Neph1
/
kidneys exhibited dilated
juxtamedullary glomeruli (Fig.
6A),
diffuse mesangial hypercellularity,
and increased mesangial matrix,
which was more marked focally in the
juxtamedullary region, and
occasional mesangiolysis (Fig.
6B). Kidneys
from newborn
Neph1
/
mice showed
occasional cystic glomeruli, proximal tubules focally
dilated and lined
by epithelial cells that in some cases contained
vacuoles and/or
protein droplets, and protein-filled tubules (Fig.
6D). At necropsy,
there was no gross or microscopic evidence of
edema in kidney or any
other tissue examined.
Neph1
/
neonates
had less milk in their stomachs than their littermates,
suggesting poor
feeding. However, histological examination failed
to demonstrate
abnormalities in any organ other than the kidney
(data not shown).

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FIG. 6.
Kidney abnormalities in
Neph1 / mice. (A) Dilated (cystic)
juxtamedullary glomerulus (arrow) in a 3-week-old
Neph1 / mouse. Cortical glomeruli
(arrowheads) look normal. (B) Mesangiolysis (arrow) and mesangial
hypercellularity and increased matrix (arrowheads) in glomeruli from
3-week-old Neph1 / kidney. (C) Normal
glomeruli (arrowheads) from a control 3-week-old littermate. (D)
Protein-filled tubules (t, arrowheads) and cystic glomerulus (g, arrow)
from a newborn Neph1 / mouse. (E) Control
newborn mouse kidney showing normal tubules (t, arrowhead).
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 |
DISCUSSION |
NEPH1 and NEPHRIN share a number of characteristics: (i) both
proteins are expressed in glomerular podocytes; (ii) both contain multiple extracellular Ig domains of the C2 type; (iii) both contain domains near their single transmembrane region, which should allow interaction with integrins or other membrane-bound proteins; (iv) absence of either protein results in effacement of podocyte foot processes (11; this study); and (v) absence of either
protein results in proteinuria in the newborn period (11;
this study). The histology of Neph1
/
kidneys is consistent with urinary protein loss, since kidneys from
newborn Neph1
/
mice showed effacement
of podocyte foot processes and occasional protein-filled tubules. In
addition, 3-week-old Neph1
/
mouse
kidneys exhibited diffuse mesangial hypercellularity and increased
mesangial matrix, which were more marked in juxtamedullary glomeruli, a
pattern noted in some forms of nephrotic syndrome as an intermediate
step in the progression of the renal lesion to glomerular scarring.
These findings suggest that NEPH1 may play an important role in
maintaining the structure of the protein filtration barrier in the slit
diaphragm, similar to the role proposed for NEPHRIN (17).
Despite the similarities between NEPH1 and NEPHRIN, recent studies of
mice with disruption of the Nphs1 gene encoding murine NEPHRIN shed light on the relative contribution of these two proteins in maintaining the filtration function of the slit diaphragm. Nphs1
/
mice are born with the expected
frequency of 25% but rapidly develop heavy proteinuria and edema;
death occurs within 24 h (17). The widespread
enlargement of Bowman's spaces, dilated tubules, effacement of
podocyte foot processes, and absence of slit diaphragms in kidneys from
newborn Nphs1
/
mice constitute a more
abnormal histological phenotype than that noted in kidneys from
Neph1
/
newborn mice, consistent with
the more severe clinical phenotype of
Nphs1
/
mice. This suggests that NEPHRIN
plays a more crucial role than NEPH1 in maintaining the integrity of
the podocyte slit diaphragm.
Similar to NEPH1, NEPHRIN is expressed in brain and other extrarenal
tissues (17) and their homolog IRREGULAR CHIASM is expressed in specialized neural tissues of D. melanogaster
(12). IRREGULAR CHIASM is known to participate in
cell-cell interactions by mechanisms that include both homophilic and
heterophilic interactions (15, 19). These data suggest a
possible role for NEPH1 in cell-cell interactions in each of the
tissues where it is expressed and raise the possibility that NEPH1 may
interact with other NEPH1 proteins or in a heterophilic interaction
with NEPHRIN, in the slit diaphragm between podocytes.
Congenital nephrotic syndrome caused by the absence of functional
NEPHRIN is rapidly fatal to mice but is less grave in humans (11). This suggests that lack of functional NEPH1, which
is rapidly fatal to mice, might also be less grave in humans and might
present as nephrotic syndrome. The human NEPH1 gene
apparently maps to 1q21-25, since a genomic clone containing NEPH1 exon
sequence maps to this interval (GenBank accession no. AL139010).
Although familial forms of nephrotic syndrome secondary to focal
segmental glomerulosclerosis also map to the long arm of chromosome 1, most of these families carry mutations in the NPHS2 gene
encoding the glomerular protein PODOCIN (3, 14). However,
it may be advantageous to screen the NEPH1 locus for
inactivating mutations in familial forms of nephrotic syndrome that do
not exhibit mutations in NPHS2.
 |
ACKNOWLEDGMENTS |
We thank June Wingert and David Tran for expert technical
assistance; Kate Holt, Lance Ishimoto, and Peter Sefarian for reviewing the manuscript; and Jim Piggott for helpful discussions.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Division of
Endocrinology, Pharmaceutical Biology, Lexicon Genetics, Inc., 4000 Research Forest Dr., The Woodlands, TX 77381. Phone: (281) 863-3059. Fax: (281) 419-9125. E-mail: ddonoviel{at}lexgen.com.
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Molecular and Cellular Biology, July 2001, p. 4829-4836, Vol. 21, No. 14
0270-7306/01/$04.00+0 DOI: 10.1128/MCB.21.14.4829-4836.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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