α-Galactosidase a Deficiency in Fabry Disease Leads to Extensive Dysregulated Cellular Signaling Pathways in Human Podocytes

Fabry disease (FD) is caused by mutations in the α-galactosidase A (<i>GLA</i>) gene encoding the lysosomal AGAL enzyme. Loss of enzymatic AGAL activity and cellular accumulation of sphingolipids (mainly globotriaosylcermide) may lead to podocyturia and renal loss of function with increa...

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Autores principales: Ulrich Jehn, Samet Bayraktar, Solvey Pollmann, Veerle Van Marck, Thomas Weide, Hermann Pavenstädt, Eva Brand, Malte Lenders
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/70bbf552057440518a268a3f9bfccd02
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spelling oai:doaj.org-article:70bbf552057440518a268a3f9bfccd022021-11-11T16:49:09Zα-Galactosidase a Deficiency in Fabry Disease Leads to Extensive Dysregulated Cellular Signaling Pathways in Human Podocytes10.3390/ijms2221113391422-00671661-6596https://doaj.org/article/70bbf552057440518a268a3f9bfccd022021-10-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/21/11339https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Fabry disease (FD) is caused by mutations in the α-galactosidase A (<i>GLA</i>) gene encoding the lysosomal AGAL enzyme. Loss of enzymatic AGAL activity and cellular accumulation of sphingolipids (mainly globotriaosylcermide) may lead to podocyturia and renal loss of function with increased cardiovascular morbidity and mortality in affected patients. To identify dysregulated cellular pathways in FD, we established a stable AGAL-deficient podocyte cell line to perform a comprehensive proteome analysis. Imbalanced protein expression and function were analyzed in additional FD cell lines including endothelial, epithelial kidney, patient-derived urinary cells and kidney biopsies. AGAL-deficient podocytes showed dysregulated proteins involved in thermogenesis, lysosomal trafficking and function, metabolic activity, cell-cell interactions and cell cycle. Proteins associated with neurological diseases were upregulated in AGAL-deficient podocytes. Rescues with inducible AGAL expression only partially normalized protein expression. A disturbed protein expression was confirmed in endothelial, epithelial and patient-specific cells, pointing toward fundamental pathway disturbances rather than to cell type-specific alterations in FD. We conclude that a loss of AGAL function results in profound changes of cellular pathways, which are ubiquitously in different cell types. Due to these profound alterations, current approved FD-specific therapies may not be sufficient to completely reverse all dysregulated pathways.Ulrich JehnSamet BayraktarSolvey PollmannVeerle Van MarckThomas WeideHermann PavenstädtEva BrandMalte LendersMDPI AGarticleFabry diseasepodocytesα-galactosidase A-deficiencyproteome analysissphingolipidsBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 11339, p 11339 (2021)
institution DOAJ
collection DOAJ
language EN
topic Fabry disease
podocytes
α-galactosidase A-deficiency
proteome analysis
sphingolipids
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle Fabry disease
podocytes
α-galactosidase A-deficiency
proteome analysis
sphingolipids
Biology (General)
QH301-705.5
Chemistry
QD1-999
Ulrich Jehn
Samet Bayraktar
Solvey Pollmann
Veerle Van Marck
Thomas Weide
Hermann Pavenstädt
Eva Brand
Malte Lenders
α-Galactosidase a Deficiency in Fabry Disease Leads to Extensive Dysregulated Cellular Signaling Pathways in Human Podocytes
description Fabry disease (FD) is caused by mutations in the α-galactosidase A (<i>GLA</i>) gene encoding the lysosomal AGAL enzyme. Loss of enzymatic AGAL activity and cellular accumulation of sphingolipids (mainly globotriaosylcermide) may lead to podocyturia and renal loss of function with increased cardiovascular morbidity and mortality in affected patients. To identify dysregulated cellular pathways in FD, we established a stable AGAL-deficient podocyte cell line to perform a comprehensive proteome analysis. Imbalanced protein expression and function were analyzed in additional FD cell lines including endothelial, epithelial kidney, patient-derived urinary cells and kidney biopsies. AGAL-deficient podocytes showed dysregulated proteins involved in thermogenesis, lysosomal trafficking and function, metabolic activity, cell-cell interactions and cell cycle. Proteins associated with neurological diseases were upregulated in AGAL-deficient podocytes. Rescues with inducible AGAL expression only partially normalized protein expression. A disturbed protein expression was confirmed in endothelial, epithelial and patient-specific cells, pointing toward fundamental pathway disturbances rather than to cell type-specific alterations in FD. We conclude that a loss of AGAL function results in profound changes of cellular pathways, which are ubiquitously in different cell types. Due to these profound alterations, current approved FD-specific therapies may not be sufficient to completely reverse all dysregulated pathways.
format article
author Ulrich Jehn
Samet Bayraktar
Solvey Pollmann
Veerle Van Marck
Thomas Weide
Hermann Pavenstädt
Eva Brand
Malte Lenders
author_facet Ulrich Jehn
Samet Bayraktar
Solvey Pollmann
Veerle Van Marck
Thomas Weide
Hermann Pavenstädt
Eva Brand
Malte Lenders
author_sort Ulrich Jehn
title α-Galactosidase a Deficiency in Fabry Disease Leads to Extensive Dysregulated Cellular Signaling Pathways in Human Podocytes
title_short α-Galactosidase a Deficiency in Fabry Disease Leads to Extensive Dysregulated Cellular Signaling Pathways in Human Podocytes
title_full α-Galactosidase a Deficiency in Fabry Disease Leads to Extensive Dysregulated Cellular Signaling Pathways in Human Podocytes
title_fullStr α-Galactosidase a Deficiency in Fabry Disease Leads to Extensive Dysregulated Cellular Signaling Pathways in Human Podocytes
title_full_unstemmed α-Galactosidase a Deficiency in Fabry Disease Leads to Extensive Dysregulated Cellular Signaling Pathways in Human Podocytes
title_sort α-galactosidase a deficiency in fabry disease leads to extensive dysregulated cellular signaling pathways in human podocytes
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/70bbf552057440518a268a3f9bfccd02
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