PMID- 32019767 OWN - NLM STAT- MEDLINE DCOM- 20210728 LR - 20210728 IS - 1708-8267 (Electronic) IS - 1081-5589 (Print) IS - 1081-5589 (Linking) VI - 68 IP - 4 DP - 2020 Apr TI - CLCN5 5'UTR isoforms in human kidneys: differential expression analysis between controls and patients with glomerulonephritis. PG - 864-869 LID - 10.1136/jim-2019-001205 [doi] AB - ClC-5, the electrogenic chloride/proton exchanger strongly expressed in renal proximal tubules, belongs to the endocytic macromolecular complex responsible for albumin and low-molecular-weight protein uptake. ClC-5 was found to be overexpressed in glomeruli of glomerulonephritis and in cultured human podocytes under albumin overload. The transcriptional regulation of human ClC-5 is not fully understood. Three functional promoters of various strengths and 11 different 5' untranslated region (5'UTR) isoforms of CLCN5 messenger RNA (mRNA) were detected in the human kidney (variants 1-11). The aim of this study was to investigate the expression pattern of CLCN5 5'UTR variants and the CLCN5 common translated region in glomerulonephritis. The 5'UTR ends and the translated region of CLCN5 mRNA were analyzed using quantitative relative real-time PCR or quantitative comparative endpoint PCR with GAPDH as housekeeping gene in 8 normal kidneys and 12 renal biopsies from patients with glomerulonephritis. The expression profile for all variants in normal and glomerulonephritis biopsies was similar, and variant 3 and alternative variant 4 were the most abundantly expressed in both sets. In glomerulonephritis biopsies, isoforms under the control of a weak promoter (variants 4, 6 and 7) showed an increased expression leading to an increase in the CLCN5 translated region, underscoring their importance in kidney pathophysiology. Since weak promoters can be turned on by different stimuli, these data support the hypothesis that proteinuria could be one of the stimuli capable of starting a signaling pathway that induces an increase in CLCN5 transcription. CI - (c) American Federation for Medical Research 2020. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Ceol, Monica AU - Ceol M AUID- ORCID: 0000-0001-7489-2433 AD - Kidney Histomorphology and Molecular Biology Laboratory, Clinical Nephrology Unit, Department of Medicine-DIMED, University of Padua, Padua, Italy monica.ceol@unipd.it. FAU - Gianesello, Lisa AU - Gianesello L AUID- ORCID: 0000-0001-9327-397X AD - Kidney Histomorphology and Molecular Biology Laboratory, Clinical Nephrology Unit, Department of Medicine-DIMED, University of Padua, Padua, Italy. FAU - Tosetto, Enrica AU - Tosetto E AD - Kidney Histomorphology and Molecular Biology Laboratory, Clinical Nephrology Unit, Department of Medicine-DIMED, University of Padua, Padua, Italy. FAU - Priante, Giovanna AU - Priante G AUID- ORCID: 0000-0002-1870-4466 AD - Kidney Histomorphology and Molecular Biology Laboratory, Clinical Nephrology Unit, Department of Medicine-DIMED, University of Padua, Padua, Italy. FAU - Del Prete, Dorella AU - Del Prete D AUID- ORCID: 0000-0003-2141-3472 AD - Kidney Histomorphology and Molecular Biology Laboratory, Clinical Nephrology Unit, Department of Medicine-DIMED, University of Padua, Padua, Italy. FAU - Anglani, Franca AU - Anglani F AUID- ORCID: 0000-0003-1534-4458 AD - Kidney Histomorphology and Molecular Biology Laboratory, Clinical Nephrology Unit, Department of Medicine-DIMED, University of Padua, Padua, Italy. LA - eng GR - U54 DK083908/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20200203 PL - England TA - J Investig Med JT - Journal of investigative medicine : the official publication of the American Federation for Clinical Research JID - 9501229 RN - 0 (5' Untranslated Regions) RN - 0 (CLC-5 chloride channel) RN - 0 (Chloride Channels) RN - 0 (Protein Isoforms) SB - IM MH - 5' Untranslated Regions/*genetics MH - Aged MH - Biopsy MH - Case-Control Studies MH - Chloride Channels/*genetics/metabolism MH - Female MH - Gene Expression Profiling MH - *Gene Expression Regulation MH - Glomerulonephritis/*genetics/pathology MH - Humans MH - Kidney/*metabolism MH - Male MH - Middle Aged MH - Protein Isoforms/genetics/metabolism PMC - PMC7402611 MID - NIHMS1610362 OTO - NOTNLM OT - CLCN5 OT - 5'UTR OT - gene expression OT - isoforms OT - proteinuria COIS- Competing interests: None declared. EDAT- 2020/02/06 06:00 MHDA- 2021/07/29 06:00 PMCR- 2020/08/04 CRDT- 2020/02/06 06:00 PHST- 2020/01/03 00:00 [accepted] PHST- 2020/02/06 06:00 [pubmed] PHST- 2021/07/29 06:00 [medline] PHST- 2020/02/06 06:00 [entrez] PHST- 2020/08/04 00:00 [pmc-release] AID - jim-2019-001205 [pii] AID - 10.1136/jim-2019-001205 [doi] PST - ppublish SO - J Investig Med. 2020 Apr;68(4):864-869. doi: 10.1136/jim-2019-001205. Epub 2020 Feb 3.