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5(IV) Collagen Protomer Rescues the Renal Phenotype in Col4a3-/- Alport Mice




From INSERM U574,* Hôpital Necker-Enfants Malades, Université René Descartes, Paris, France; Faculté de Médecine,
INSERM U491, Marseille, France; the Service de Génétique,|| Hôpital Necker-Enfants Malades, Paris, France; the Division of Nephrology,
Vanderbilt University Medical Center, Nashville, Tennessee; the Division of Immunology,
Shigei Medical Research Institute, Okayama, Japan; and the Medical Research Council Human Genetics Unit,¶ Western General Hospital, Edinburgh, Scotland
Collagen IV is a major structural component of basement membranes. In the glomerular basement membrane (GBM) of the kidney, the
3,
4, and
5(IV) collagen chains form a distinct network that is essential for the long-term stability of the glomerular filtration barrier, and is absent in most patients affected with Alport syndrome, a progressive inherited nephropathy associated with mutation in COL4A3, COL4A4, or COL4A5 genes. To investigate, in vivo, the regulation of the expression, assembly, and function of the
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5(IV) protomer, we have generated a yeast artificial chromosome transgenic line of mice carrying the human COL4A3-COL4A4 locus. Transgenic mice expressed the human
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4(IV) chains in a tissue-specific manner. In the kidney, when expressed onto a Col4a3-/- background, the human
3(IV) chain restored the expression of and co-assembled with the mouse
4 and
5(IV) chains specifically at sites where the human
3(IV) was expressed, demonstrating that the expression of all three chains is required for network assembly. The co-assembly of the human and mouse chains into a hybrid network in the GBM restores a functional GBM and rescues the Alport phenotype, providing further evidence that defective assembly of the
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4-
5(IV) protomer, caused by mutations in any of the three chains, is the pathogenic mechanism responsible for the disease. This line of mice, humanized for the
3(IV) collagen chain, will also provide a valuable model for studying the pathogenesis of Goodpasture syndrome, an autoimmune disease caused by antibodies against this chain.
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