Genetic Variants in ARHGEF6 Cause Congenital Anomalies of the Kidneys and Urinary Tract in Humans, Mice, and Frogs
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Genetic Variants in ARHGEF6 Cause Congenital Anomalies of the Kidneys and Urinary Tract in Humans, Mice, and Frogs. / Klämbt, Verena; Buerger, Florian; Wang, Chunyan; Naert, Thomas; Richter, Karin; Nauth, Theresa; Weiss, Anna-Carina; Sieckmann, Tobias; Lai, Ethan; Connaughton, Dervla; Seltzsam, Steve; Mann, Nina; Majmundar, Amar; Wu, Chen-Han; Onuchic-Whitford, Ana; Shril, Shirlee; Schneider, Sophia; Schierbaum, Luca; Dai, Rufeng; Bekheirnia, Mir Reza; Joosten, Marieke; Shlomovitz, Omer; Vivante, Asaf; Banne, Ehud; Mane, Shrikant; Lifton, Richard P; Kirschner, Karin; Kispert, Andreas; Rosenberger, Georg; Fischer, Klaus-Dieter; Lienkamp, Soeren; Zegers, Mirjam; Hildebrandt, Friedhelm.
In: J AM SOC NEPHROL, Vol. 34, No. 2, 01.02.2023, p. 273-290.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Genetic Variants in ARHGEF6 Cause Congenital Anomalies of the Kidneys and Urinary Tract in Humans, Mice, and Frogs
AU - Klämbt, Verena
AU - Buerger, Florian
AU - Wang, Chunyan
AU - Naert, Thomas
AU - Richter, Karin
AU - Nauth, Theresa
AU - Weiss, Anna-Carina
AU - Sieckmann, Tobias
AU - Lai, Ethan
AU - Connaughton, Dervla
AU - Seltzsam, Steve
AU - Mann, Nina
AU - Majmundar, Amar
AU - Wu, Chen-Han
AU - Onuchic-Whitford, Ana
AU - Shril, Shirlee
AU - Schneider, Sophia
AU - Schierbaum, Luca
AU - Dai, Rufeng
AU - Bekheirnia, Mir Reza
AU - Joosten, Marieke
AU - Shlomovitz, Omer
AU - Vivante, Asaf
AU - Banne, Ehud
AU - Mane, Shrikant
AU - Lifton, Richard P
AU - Kirschner, Karin
AU - Kispert, Andreas
AU - Rosenberger, Georg
AU - Fischer, Klaus-Dieter
AU - Lienkamp, Soeren
AU - Zegers, Mirjam
AU - Hildebrandt, Friedhelm
PY - 2023/2/1
Y1 - 2023/2/1
N2 - BACKGROUND: About 40 disease genes have been described to date for isolated CAKUT, the most common cause of childhood CKD. However, these genes account for only 20% of cases. ARHGEF6, a guanine nucleotide exchange factor that is implicated in biologic processes such as cell migration and focal adhesion, acts downstream of integrin-linked kinase (ILK) and parvin proteins. A genetic variant of ILK that causes murine renal agenesis abrogates the interaction of ILK with a murine focal adhesion protein encoded by Parva , leading to CAKUT in mice with this variant.METHODS: To identify novel genes that, when mutated, result in CAKUT, we performed exome sequencing in an international cohort of 1265 families with CAKUT. We also assessed the effects in vitro of wild-type and mutant ARHGEF6 proteins, and the effects of Arhgef6 deficiency in mouse and frog models.RESULTS: We detected six different hemizygous variants in the gene ARHGEF6 (which is located on the X chromosome in humans) in eight individuals from six families with CAKUT. In kidney cells, overexpression of wild-type ARHGEF6 -but not proband-derived mutant ARHGEF6 -increased active levels of CDC42/RAC1, induced lamellipodia formation, and stimulated PARVA-dependent cell spreading. ARHGEF6-mutant proteins showed loss of interaction with PARVA. Three-dimensional Madin-Darby canine kidney cell cultures expressing ARHGEF6-mutant proteins exhibited reduced lumen formation and polarity defects. Arhgef6 deficiency in mouse and frog models recapitulated features of human CAKUT.CONCLUSIONS: Deleterious variants in ARHGEF6 may cause dysregulation of integrin-parvin-RAC1/CDC42 signaling, thereby leading to X-linked CAKUT.
AB - BACKGROUND: About 40 disease genes have been described to date for isolated CAKUT, the most common cause of childhood CKD. However, these genes account for only 20% of cases. ARHGEF6, a guanine nucleotide exchange factor that is implicated in biologic processes such as cell migration and focal adhesion, acts downstream of integrin-linked kinase (ILK) and parvin proteins. A genetic variant of ILK that causes murine renal agenesis abrogates the interaction of ILK with a murine focal adhesion protein encoded by Parva , leading to CAKUT in mice with this variant.METHODS: To identify novel genes that, when mutated, result in CAKUT, we performed exome sequencing in an international cohort of 1265 families with CAKUT. We also assessed the effects in vitro of wild-type and mutant ARHGEF6 proteins, and the effects of Arhgef6 deficiency in mouse and frog models.RESULTS: We detected six different hemizygous variants in the gene ARHGEF6 (which is located on the X chromosome in humans) in eight individuals from six families with CAKUT. In kidney cells, overexpression of wild-type ARHGEF6 -but not proband-derived mutant ARHGEF6 -increased active levels of CDC42/RAC1, induced lamellipodia formation, and stimulated PARVA-dependent cell spreading. ARHGEF6-mutant proteins showed loss of interaction with PARVA. Three-dimensional Madin-Darby canine kidney cell cultures expressing ARHGEF6-mutant proteins exhibited reduced lumen formation and polarity defects. Arhgef6 deficiency in mouse and frog models recapitulated features of human CAKUT.CONCLUSIONS: Deleterious variants in ARHGEF6 may cause dysregulation of integrin-parvin-RAC1/CDC42 signaling, thereby leading to X-linked CAKUT.
U2 - 10.1681/ASN.2022010050
DO - 10.1681/ASN.2022010050
M3 - SCORING: Journal article
C2 - 36414417
VL - 34
SP - 273
EP - 290
JO - J AM SOC NEPHROL
JF - J AM SOC NEPHROL
SN - 1046-6673
IS - 2
ER -