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2014 ; 28
(5
): 634-43
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Altered agonist sensitivity of a mutant v2 receptor suggests a novel therapeutic
strategy for nephrogenic diabetes insipidus
#MMPMID24628417
Erdélyi LS
; Balla A
; Patócs A
; Tóth M
; Várnai P
; Hunyady L
Mol Endocrinol
2014[May]; 28
(5
): 634-43
PMID24628417
show ga
Loss-of-function mutations of the type 2 vasopressin receptor (V2R) in kidney can
lead to nephrogenic diabetes insipidus (NDI). We studied a previously described,
but uncharacterized, mutation of the V2R (N321K missense mutation) of a patient
with NDI. The properties of the mutant receptor were evaluated. We constructed a
highly sensitive Epac-based bioluminescence resonance energy transfer biosensor
to perform real-time cAMP measurements after agonist stimulation of transiently
transfected HEK293 cells with V2Rs. ?-Arrestin binding of the activated receptors
was examined with luciferase-tagged ?-arrestin and mVenus-tagged V2Rs using the
bioluminescence resonance energy transfer technique. Cell surface expression
levels of hemagglutinin-tagged receptors were determined with flow cytometry
using anti-hemagglutinin-Alexa 488 antibodies. Cellular localization examinations
were implemented with fluorescent tagged receptors visualized with confocal laser
scanning microscopy. The effect of various vasopressin analogs on the type 1
vasopressin receptor (V1R) was tested on mouse arteries by wire myography. The
N321K mutant V2R showed normal cell surface expression, but the potency of
arginine vasopressin for cAMP generation was low, whereas the clinically used
desmopressin was not efficient. The ?-arrestin binding and internalization
properties of the mutant receptor were also different than those for the wild
type. The function of the mutant receptor can be rescued with administration of
the V2R agonist Val(4)-desmopressin, which had no detectable side effects on V1R
in the effective cAMP generating concentrations. Based on these findings we
propose a therapeutic strategy for patients with NDI carrying the N321K mutation,
as our in vivo experiments suggest that Val(4)-desmopressin could rescue the
function of the N321K-V2R without significant side effects on the V1R.