Biallelic ANKS6 mutations cause late-onset ciliopathy with chronic kidney disease through YAP dysregulation
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Biallelic ANKS6 mutations cause late-onset ciliopathy with chronic kidney disease through YAP dysregulation. / Schwarz, Hannah; Popp, Bernt; Airik, Rannar; Torabi, Nasrin; Knaup, Karl X; Stoeckert, Johanna; Wiech, Thorsten; Amann, Kerstin; Reis, André; Schiffer, Mario; Wiesener, Michael S; Schueler, Markus.
In: HUM MOL GENET, Vol. 31, No. 9, 04.05.2022, p. 1357-1369.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Biallelic ANKS6 mutations cause late-onset ciliopathy with chronic kidney disease through YAP dysregulation
AU - Schwarz, Hannah
AU - Popp, Bernt
AU - Airik, Rannar
AU - Torabi, Nasrin
AU - Knaup, Karl X
AU - Stoeckert, Johanna
AU - Wiech, Thorsten
AU - Amann, Kerstin
AU - Reis, André
AU - Schiffer, Mario
AU - Wiesener, Michael S
AU - Schueler, Markus
N1 - © The Author(s) 2021. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
PY - 2022/5/4
Y1 - 2022/5/4
N2 - Nephronophthisis-related ciliopathies (NPHP-RC) comprises a group of inherited kidney diseases, caused by mutations in genes encoding proteins localizing to primary cilia. NPHP-RC represents one of the most frequent monogenic causes of renal failure within the first three decades of life, but its molecular disease mechanisms remain unclear. Here, we identified biallelic ANKS6 mutations in two affected siblings with late-onset chronic kidney disease by whole-exome sequencing. We employed patient-derived fibroblasts generating an in vitro model to study the precise biological impact of distinct human ANKS6 mutations, completed by immunohistochemistry studies on renal biopsy samples. Functional studies using patient-derived cells showed an impaired integrity of the ciliary inversin compartment with reduced cilia length. Further analyses demonstrated that ANKS6 deficiency leads to a dysregulation of Hippo-signaling through nuclear yes-associated protein (YAP) imbalance and disrupted ciliary localization of YAP. In addition, an altered transcriptional activity of canonical Wnt target genes and altered expression of non-phosphorylated (active) β-catenin and phosphorylated glycogen synthase kinase 3β were observed. Upon ciliation, ANKS6 deficiency revealed a deranged subcellular localization and expression of components of the endocytic recycling compartment. Our results demonstrate that ANKS6 plays a key role in regulating the Hippo pathway, and ANKS6 deficiency is linked to dysregulation of signaling pathways. Our study provides molecular clues in understanding pathophysiological mechanisms of NPHP-RC and may offer new therapeutic targets.
AB - Nephronophthisis-related ciliopathies (NPHP-RC) comprises a group of inherited kidney diseases, caused by mutations in genes encoding proteins localizing to primary cilia. NPHP-RC represents one of the most frequent monogenic causes of renal failure within the first three decades of life, but its molecular disease mechanisms remain unclear. Here, we identified biallelic ANKS6 mutations in two affected siblings with late-onset chronic kidney disease by whole-exome sequencing. We employed patient-derived fibroblasts generating an in vitro model to study the precise biological impact of distinct human ANKS6 mutations, completed by immunohistochemistry studies on renal biopsy samples. Functional studies using patient-derived cells showed an impaired integrity of the ciliary inversin compartment with reduced cilia length. Further analyses demonstrated that ANKS6 deficiency leads to a dysregulation of Hippo-signaling through nuclear yes-associated protein (YAP) imbalance and disrupted ciliary localization of YAP. In addition, an altered transcriptional activity of canonical Wnt target genes and altered expression of non-phosphorylated (active) β-catenin and phosphorylated glycogen synthase kinase 3β were observed. Upon ciliation, ANKS6 deficiency revealed a deranged subcellular localization and expression of components of the endocytic recycling compartment. Our results demonstrate that ANKS6 plays a key role in regulating the Hippo pathway, and ANKS6 deficiency is linked to dysregulation of signaling pathways. Our study provides molecular clues in understanding pathophysiological mechanisms of NPHP-RC and may offer new therapeutic targets.
KW - Cilia/pathology
KW - Ciliopathies/metabolism
KW - Female
KW - Humans
KW - Kidney Diseases, Cystic/metabolism
KW - Male
KW - Mutation
KW - Nuclear Proteins
KW - Polycystic Kidney Diseases/genetics
KW - Renal Insufficiency, Chronic
U2 - 10.1093/hmg/ddab322
DO - 10.1093/hmg/ddab322
M3 - SCORING: Journal article
C2 - 34740236
VL - 31
SP - 1357
EP - 1369
JO - HUM MOL GENET
JF - HUM MOL GENET
SN - 0964-6906
IS - 9
ER -