Wnt5a induces renal AQP2 expression by activating calcineurin signalling pathway

Nat Commun. 2016 Nov 28:7:13636. doi: 10.1038/ncomms13636.

Abstract

Heritable nephrogenic diabetes insipidus (NDI) is characterized by defective urine concentration mechanisms in the kidney, which are mainly caused by loss-of-function mutations in the vasopressin type 2 receptor. For the treatment of heritable NDI, novel strategies that bypass the defective vasopressin type 2 receptor are required to activate the aquaporin-2 (AQP2) water channel. Here we show that Wnt5a regulates AQP2 protein expression, phosphorylation and trafficking, suggesting that Wnt5a is an endogenous ligand that can regulate AQP2 without the activation of the classic vasopressin/cAMP signalling pathway. Wnt5a successfully increases the apical membrane localization of AQP2 and urine osmolality in an NDI mouse model. We also demonstrate that calcineurin is a key regulator of Wnt5a-induced AQP2 activation without affecting intracellular cAMP level and PKA activity. The importance of calcineurin is further confirmed with its activator, arachidonic acid, which shows vasopressin-like effects underlining that calcineurin activators may be potential therapeutic targets for heritable NDI.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Aquaporin 2 / genetics*
  • Aquaporin 2 / metabolism
  • Arachidonic Acid / pharmacology
  • Calcineurin / metabolism*
  • Calcium / metabolism
  • Calcium Signaling / drug effects
  • Cyclic AMP / metabolism
  • Cyclic AMP-Dependent Protein Kinases / metabolism
  • Diabetes Insipidus, Nephrogenic / metabolism
  • Diabetes Insipidus, Nephrogenic / pathology
  • Diabetes Insipidus, Nephrogenic / urine
  • Disease Models, Animal
  • Dishevelled Proteins / metabolism
  • Gene Expression Regulation* / drug effects
  • Kidney / metabolism*
  • Male
  • Mice, Inbred C57BL
  • Models, Biological
  • Osmolar Concentration
  • Permeability
  • Phosphorylation / drug effects
  • Phosphoserine / metabolism
  • Protein Transport / drug effects
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Signal Transduction* / drug effects
  • Water
  • Wnt-5a Protein / metabolism*
  • beta Catenin / metabolism

Substances

  • Aquaporin 2
  • Dishevelled Proteins
  • RNA, Messenger
  • Wnt-5a Protein
  • Wnt5a protein, mouse
  • beta Catenin
  • Water
  • Phosphoserine
  • Arachidonic Acid
  • Cyclic AMP
  • Cyclic AMP-Dependent Protein Kinases
  • Calcineurin
  • Calcium