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Norway

PMID:26905694  

FAT1 mutations cause a glomerulotubular nephropathy.

Heon Yung Gee | Carolin E Sadowski | Pardeep K Aggarwal | Jonathan D Porath | Toma A Yakulov | Markus Schueler | Svjetlana Lovric | Shazia Ashraf | Daniela A Braun | Jan Halbritter | Humphrey Fang | Rannar Airik | Virginia Vega-Warner | Kyeong Jee Cho | Timothy A Chan | Luc G T Morris | Charles ffrench-Constant | Nicholas Allen | Helen McNeill | Rainer Büscher | Henriette Kyrieleis | Michael Wallot | Ariana Gaspert | Thomas Kistler | David V Milford | Moin A Saleem | Wee Teik Keng | Stephen I Alexander | Rudolph P Valentini | Christoph Licht | Jun C Teh | Radovan Bogdanovic | Ania Koziell | Agnieszka Bierzynska | Neveen A Soliman | Edgar A Otto | Richard P Lifton | Lawrence B Holzman | Nicholas E S Sibinga | Gerd Walz | Alda Tufro | Friedhelm Hildebrandt
Nature communications | 2016

Steroid-resistant nephrotic syndrome (SRNS) causes 15% of chronic kidney disease (CKD). Here we show that recessive mutations in FAT1 cause a distinct renal disease entity in four families with a combination of SRNS, tubular ectasia, haematuria and facultative neurological involvement. Loss of FAT1 results in decreased cell adhesion and migration in fibroblasts and podocytes and the decreased migration is partially reversed by a RAC1/CDC42 activator. Podocyte-specific deletion of Fat1 in mice induces abnormal glomerular filtration barrier development, leading to podocyte foot process effacement. Knockdown of Fat1 in renal tubular cells reduces migration, decreases active RAC1 and CDC42, and induces defects in lumen formation. Knockdown of fat1 in zebrafish causes pronephric cysts, which is partially rescued by RAC1/CDC42 activators, confirming a role of the two small GTPases in the pathogenesis. These findings provide new insights into the pathogenesis of SRNS and tubulopathy, linking FAT1 and RAC1/CDC42 to podocyte and tubular cell function.

Pubmed ID: 26905694

Research resources used in this publication

None found

Antibodies used in this publication

None found

Associated grants

  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK080751
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL104518
  • Agency: NIDDK NIH HHS, United States
    Id: P30 DK079310
  • Agency: Medical Research Council, United Kingdom
    Id: G0800571
  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK076683
  • Agency: NCI NIH HHS, United States
    Id: P30 CA008748
  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK068306
  • Agency: Howard Hughes Medical Institute, United States
  • Agency: NIDDK NIH HHS, United States
    Id: DK090917
  • Agency: NCI NIH HHS, United States
    Id: P30 CA013330
  • Agency: NHGRI NIH HHS, United States
    Id: UM1 HG006504
  • Agency: NIDDK NIH HHS, United States
    Id: DK068306
  • Agency: NIDDK NIH HHS, United States
    Id: DK076683
  • Agency: Medical Research Council, United Kingdom
    Id: MR/J006742/1
  • Agency: NIDCR NIH HHS, United States
    Id: K08 DE024774
  • Agency: NHLBI NIH HHS, United States
    Id: HL104518
  • Agency: NIDDK NIH HHS, United States
    Id: RC4 DK090917
  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK059333
  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK098824
  • Agency: NIDDK NIH HHS, United States
    Id: DK059333

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