ASN's Mission

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

learn more

Contact ASN

1401 H St, NW, Ste 900, Washington, DC 20005

email@asn-online.org

202-640-4660

The Latest on X

Kidney Week

Please note that you are viewing an archived section from 2023 and some content may be unavailable. To unlock all content for 2023, please visit the archives.

Abstract: TH-PO484

Sex Differences in Glomerular Protein Expression in Mice with Autosomal Recessive Alport Syndrome

Session Information

Category: Genetic Diseases of the Kidneys

  • 1202 Genetic Diseases of the Kidneys: Non-Cystic

Authors

  • Caparali, Emine Bilge, University Health Network, Toronto, Ontario, Canada
  • De Gregorio, Vanessa Sara, Toronto General Research Institute, Toronto, Ontario, Canada
  • Rana, Akanchaya, Princess Margaret Hospital Cancer Centre, Toronto, Ontario, Canada
  • Cunanan, Joanna, Toronto General Research Institute, Toronto, Ontario, Canada
  • Farkona, Sofia, Toronto General Research Institute, Toronto, Ontario, Canada
  • Konvalinka, Ana, University Health Network, Toronto, Ontario, Canada
  • Barua, Moumita, University Health Network, Toronto, Ontario, Canada
Background

Alport syndrome (AS) is a monogenic disorder that leads to progressive kidney disease, ear, and ocular abnormalities. It is caused by pathogenic variants in COL4A3, COL4A4, or COL4A5, which encode the α3, α4, and α5 chains of type IV collagen. COL4A3 and COL4A4 reside on chromosome 2q36, while COL4A5 is on the X chromosome. We evaluated for sex differences in mice with autosomal recessive AS.

Methods

We compared differences in global protein expression in isolated glomeruli between 1-day old male and female Col4a3 knockout (KO) and wildtype (WT) mice with mass spectrometry (MS). MaxQuant was used for analysis and statistical tests were done on Perseus. Pathway analysis was performed using Gene Ontology.

Results

At postnatal day 1 (P1), we observed more severe disease in male compared to female Col4a3 KO mice, as evidenced by higher urine albumin-creatinine ratios (uACR) (1088 mg/mmol vs. 875.6 mg/mmol, p=0.4). 309 significantly differentially expressed proteins in the glomerulus were identified, of which 208 were downregulated and 101 were upregulated in male Col4a3 KO mice. We also compared P1 WT male and female mice and no differentially expressed protein was detected at baseline. Interestingly, the well-known podocyte apical surface transmembrane sialoglycoprotein, podocalyxin, was upregulated in males compared to female Col4a3 KO mice. Pathway analysis showed that Col4a3 KO male mice also had decreased biological processes suggestive of impaired glomerular structure maintenance such as actin filament bundle assembly, cell morphogenesis involved in differentiation and endoplasmic reticulum-nucleus signaling pathway. By contrast, pathways including peptide biosynthetic process and ATP biosynthetic process were found to be increased in male Col4a3 KO mice, possibly due to increased compensatory mechanisms.

Conclusion

One day old male compared to female Col4a3 KO mice display more severe disease. Podocalyxin has been reported to be excreted in urine due to podocyte loss and we postulate that its upregulation in male Col4a3 KO mice may represent compensation. Overall, glomerular proteomic comparison highlights biological pathways that can explain phenotypic differences between male and female mice with autosomal recessive AS, though its mechanistic drivers are unclear.

Funding

  • Private Foundation Support