Impaired Wnt–β-catenin signaling disrupts adult renal homeostasis and leads to cystic kidney ciliopathy

MA Lancaster, CM Louie, JL Silhavy, L Sintasath… - Nature medicine, 2009 - nature.com
MA Lancaster, CM Louie, JL Silhavy, L Sintasath, M DeCambre, SK Nigam, K Willert…
Nature medicine, 2009nature.com
Cystic kidney disease represents a major cause of end-stage renal disease, yet the
molecular mechanisms of pathogenesis remain largely unclear. Recent emphasis has been
placed on a potential role for canonical Wnt signaling, but investigation of this pathway in
adult renal homeostasis is lacking. Here we provide evidence of a previously unidentified
canonical Wnt activity in adult mammalian kidney homeostasis, the loss of which leads to
cystic kidney disease. Loss of the Jouberin (Jbn) protein in mouse leads to the cystic kidney …
Abstract
Cystic kidney disease represents a major cause of end-stage renal disease, yet the molecular mechanisms of pathogenesis remain largely unclear. Recent emphasis has been placed on a potential role for canonical Wnt signaling, but investigation of this pathway in adult renal homeostasis is lacking. Here we provide evidence of a previously unidentified canonical Wnt activity in adult mammalian kidney homeostasis, the loss of which leads to cystic kidney disease. Loss of the Jouberin (Jbn) protein in mouse leads to the cystic kidney disease nephronophthisis, owing to an unexpected decrease in endogenous Wnt activity. Jbn interacts with and facilitates β-catenin nuclear accumulation, resulting in positive modulation of downstream transcription. Finally, we show that Jbn is required in vivo for a Wnt response to injury and renal tubule repair, the absence of which triggers cystogenesis.
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