Distinct Mitochondrial Pathologies Caused by Mutations of the Proximal Tubular Enzymes EHHADH and GATM

Forst, Anna-Lena and Reichold, Markus and Kleta, Robert and Warth, Richard (2021) Distinct Mitochondrial Pathologies Caused by Mutations of the Proximal Tubular Enzymes EHHADH and GATM. FRONTIERS IN PHYSIOLOGY, 12: 715485. ISSN 1664-042X,

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Abstract

The mitochondria of the proximal tubule are essential for providing energy in this nephron segment, whose ATP generation is almost exclusively oxygen dependent. In addition, mitochondria are involved in a variety of metabolic processes and complex signaling networks. Proximal tubular mitochondrial dysfunction can therefore affect renal function in very different ways. Two autosomal dominantly inherited forms of renal Fanconi syndrome illustrate how multifaceted mitochondrial pathology can be: Mutation of EHHADH, an enzyme in fatty acid metabolism, results in decreased ATP synthesis and a consecutive transport defect. In contrast, mutations of GATM, an enzyme in the creatine biosynthetic pathway, leave ATP synthesis unaffected but do lead to mitochondrial protein aggregates, inflammasome activation, and renal fibrosis with progressive renal failure. In this review article, the distinct pathophysiological mechanisms of these two diseases are presented, which are examples of the spectrum of proximal tubular mitochondrial diseases.

Item Type: Article
Uncontrolled Keywords: RENAL FANCONI SYNDROME; METHIONINE SULFOXIDE REDUCTASE; KIDNEY-FUNCTION; DYSFUNCTION; DISEASE; PROGRESSION; METABOLISM; TRANSPORT; CREATINE; INJURY; protein aggregates; autosomal dominant mutation; peroxisome; inflammasome; renal fibrosis; mitochondrial damage associated molecular patterns
Subjects: 500 Science > 570 Life sciences
Divisions: Biology, Preclinical Medicine > Institut für Physiologie > Prof. Dr. Richard Warth
Depositing User: Petra Gürster
Date Deposited: 20 Dec 2022 07:21
Last Modified: 20 Dec 2022 07:21
URI: https://pred.uni-regensburg.de/id/eprint/46091

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