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Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Am+J+Hum+Genet 2011 ; 88 (3): 333-43 Nephropedia Template TP
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CNNM2, encoding a basolateral protein required for renal Mg2+ handling, is mutated in dominant hypomagnesemia #MMPMID21397062
Stuiver M; Lainez S; Will C; Terryn S; Gunzel D; Debaix H; Sommer K; Kopplin K; Thumfart J; Kampik NB; Querfeld U; Willnow TE; Nemec V; Wagner CA; Hoenderop JG; Devuyst O; Knoers NV; Bindels RJ; Meij IC; Muller D
Am J Hum Genet 2011[Mar]; 88 (3): 333-43 PMID21397062show ga
Familial hypomagnesemia is a rare human disorder caused by renal or intestinal magnesium (Mg(2+)) wasting, which may lead to symptoms of Mg(2+) depletion such as tetany, seizures, and cardiac arrhythmias. Our knowledge of the physiology of Mg(2+) (re)absorption, particularly the luminal uptake of Mg(2+) along the nephron, has benefitted from positional cloning approaches in families with Mg(2+) reabsorption disorders; however, basolateral Mg(2+) transport and its regulation are still poorly understood. Here, by using a candidate screening approach, we identified CNNM2 as a gene involved in renal Mg(2+) handling in patients of two unrelated families with unexplained dominant hypomagnesemia. In the kidney, CNNM2 was predominantly found along the basolateral membrane of distal tubular segments involved in Mg(2+) reabsorption. The basolateral localization of endogenous and recombinant CNNM2 was confirmed in epithelial kidney cell lines. Electrophysiological analysis showed that CNNM2 mediated Mg(2+)-sensitive Na(+) currents that were significantly diminished in mutant protein and were blocked by increased extracellular Mg(2+) concentrations. Our data support the findings of a recent genome-wide association study showing the CNNM2 locus to be associated with serum Mg(2+) concentrations. The mutations found in CNNM2, its observed sensitivity to extracellular Mg(2+), and its basolateral localization signify a critical role for CNNM2 in epithelial Mg(2+) transport.
|Amino Acid Sequence[MESH]
|Amino Acid Substitution/genetics[MESH]
|Animals[MESH]
|Base Sequence[MESH]
|Cation Transport Proteins/chemistry/*genetics[MESH]