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Am J Physiol Renal Physiol 297: F1391-F1398, 2009. First published August 19, 2009; doi:10.1152/ajprenal.00261.2009
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Novel missense mutation of uromodulin in mice causes renal dysfunction with alterations in urea handling, energy, and bone metabolism

Elisabeth Kemter,1 Birgit Rathkolb,1 Jan Rozman,2 Wolfgang Hans,3 Anja Schrewe,4 Christina Landbrecht,1 Matthias Klaften,3 Boris Ivandic,4 Helmut Fuchs,3 Valérie Gailus-Durner,3 Martin Klingenspor,2 Martin Hrabé de Angelis,3 Eckhard Wolf,1 Ruediger Wanke,5 and Bernhard Aigner1

1Chair for Molecular Animal Breeding and Biotechnology and Laboratory for Functional Genome Analysis, Gene Center, and ; 5Institute of Veterinary Pathology, Center for Clinical Veterinary Medicine, Ludwig-Maximilians-Universität Munich, Munich; ; 2Molecular Nutricial Medicine, Else-Kröner-Fresenius Center, Technische Universität München, Freising-Weihenstephan; ; 3Institute of Experimental Genetics, Helmholtz Zentrum München, Neuherberg, and Chair for Experimental Genetics, Technische Universität München, Munich; and ; 4Department of Medicine III, Division of Cardiology, University of Heidelberg, Heidelberg, Germany

Submitted May 10, 2009 ; accepted in final form August 14, 2009

Uromodulin-associated kidney disease is a heritable renal disease in humans caused by mutations in the uromodulin (UMOD) gene. The pathogenesis of the disease is mostly unknown. In this study, we describe a novel chemically induced mutant mouse line termed UmodA227T exhibiting impaired renal function. The A227T amino acid exchange may impair uromodulin trafficking, leading to dysfunction of thick ascending limb cells of Henle's loop of the kidney. As a consequence, homozygous mutant mice display azotemia, impaired urine concentration ability, reduced fractional excretion of uric acid, and a selective defect in concentrating urea. Osteopenia in mutant mice is presumably a result of chronic hypercalciuria. In addition, body composition, lipid, and energy metabolism are indirectly affected in heterozygous and homozygous mutant UmodA227T mice, manifesting in reduced body weight, fat mass, and metabolic rate as well as reduced blood cholesterol, triglycerides, and nonesterified fatty acids. In conclusion, UmodA227T might act as a gain-of-toxic-function mutation. Therefore, the UmodA227T mouse line provides novel insights into consequences of disturbed uromodulin excretion regarding renal dysfunction as well as bone, energy, and lipid metabolism.

N-ethyl-N-nitrosourea; kidney; renal disease; Umod



Address for reprint requests and other correspondence: E. Kemter, Chair for Molecular Animal Breeding and Biotechnology, Gene Center, LMU Munich, Feodor-Lynen Str. 25, D-81377 Munich, Germany (e-mail: kemter{at}lmb.uni-muenchen.de).







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