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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Physiol+Renal+Physiol
2009 ; 297
(2
): F489-98
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Characterization of D150E and G196D aquaporin-2 mutations responsible for
nephrogenic diabetes insipidus: importance of a mild phenotype
#MMPMID19458121
Guyon C
; Lussier Y
; Bissonnette P
; Leduc-Nadeau A
; Lonergan M
; Arthus MF
; Perez RB
; Tiulpakov A
; Lapointe JY
; Bichet DG
Am J Physiol Renal Physiol
2009[Aug]; 297
(2
): F489-98
PMID19458121
show ga
Aquaporin-2 (AQP2) is a water channel responsible for the final water
reabsorption in renal collecting ducts. Alterations in AQP2 function induce
nephrogenic diabetes insipidus (NDI), a condition characterized by severe
polyuria and polydipsia. Three patients affected with severe NDI, who were
compound heterozygous for the AQP2 mutations D150E and G196D, are presented here
along with a mildly affected D150E homozygous patient from another family. Using
Xenopus oocytes as an expression system, these two mutations (G196D and D150E)
were compared with the wild-type protein (AQP2-wt) for functional activity (water
flux analysis), protein maturation, and plasma membrane targeting. AQP2-wt
induces a major increase in water permeability (P(f) = 47.4 +/- 12.2 x 10(-4)
cm/s) whereas D150E displays intermediate P(f) values (P(f) = 12.5 +/- 3.0 x
10(-4) cm/s) and G196D presents no specific water flux, similar to controls (P(f)
= 2.1 +/- 0.8 x 10(-4) cm/s and 2.2 +/- 0.7 x 10(-4) cm/s, respectively). Western
blot and immunocytochemical evaluations show protein targeting that parallels
activity levels with AQP2-wt adequately targeted to the plasma membrane, partial
targeting for D150E, and complete sequestration of G196D within intracellular
compartments. When coinjecting AQP2-wt with mutants, no (AQP2-wt + D150E) or
partial (AQP2-wt + G196D) reduction of water flux were observed compared with
AQP2-wt alone, whereas complete loss of function was found when both mutants were
coinjected. These results essentially recapitulate the clinical profiles of the
family members, showing a typical dominant negative effect when G196D is
coinjected with either AQP2-wt or D150E but not between AQP2-wt and D150E mutant.