Uromodulin Retention in Thick Ascending Limb of Henle's Loop Affects SCD1 in Neighboring Proximal Tubule: Renal Transcriptome Studies in Mouse Models of Uromodulin-Associated Kidney Disease

Uromodulin-associated kidney disease (UAKD) is a hereditary progressive renal disease which can lead to renal failure and requires renal replacement therapy. UAKD belongs to the endoplasmic reticulum storage diseases due to maturation defect of mutant uromodulin and its retention in the enlarged endoplasmic reticulum in the cells of the thick ascending limb of Henle's loop (TALH). Dysfunction of TALH represents the key pathogenic mechanism of UAKD causing the clinical symptoms of this disease. However, the molecular alterations underlying UAKD are not well understood. In this study, transcriptome profiling of whole kidneys of two mouse models of UAKD, Umod A227T and Umod C93F, was performed. Genes differentially abundant in UAKD affected kidneys of both Umod mutant lines at different disease stages were identified and verified by RT-qPCR. Additionally, differential protein abundances of SCD1 and ANGPTL7 were validated by immunohistochemistry and Western blot analysis. ANGPTL7 expression was down-regulated in TALH cells of Umod mutant mice which is the site of the mutant uromodulin maturation defect. SCD1 was expressed selectively in the S3 segment of proximal tubule cells, and SCD1 abundance was increased in UAKD affected kidneys. This finding demonstrates that a cross talk between two functionally distinct tubular segments of the kidney, the TALH segment and the S3 segment of proximal tubule, exists.


Introduction
Uromodulin-associated kidney disease (UAKD) is a rare dominant hereditary renal disease caused by amino acid-changing mutations in the uromodulin (UMOD) gene [1][2][3]. Patients with UAKD exhibit impaired urinary concentration ability, in most cases hyperuricemia, morphological kidney alterations like progressive tubulointerstitial damage and sometimes renal cysts and constantly develop disease progression up to renal failure. Dysfunction of thick ascending limb of Henle's loop (TALH) cells due to mutant UMOD maturation retardation and retention in the hyperplastic endoplasmic reticulum (ER) represents the key pathogenic mechanism of UAKD.
Uromodulin is selectively expressed in cells of the TALH and of the early distal convoluted tubules [4]. After UMOD synthesis in the ER and extensive glycosylation, the mature protein is translocated to the luminal cell membrane and released into urine by proteolytic cleavage. UMOD represents the most abundant protein in human urine. Although this glycoprotein was already discovered in the early fifties by Tamm and Horsfall (therefore initially named Tamm-Horsfall-glycoprotein) [5], the biological function of UMOD is still obscure. Studies on Umod knockout mice revealed a protective role of UMOD against ascending urinary tract infections e.g. of type 1-fimbriated E. coli, and a protective role against calcium oxalate crystal formation in the kidney [6][7][8]. Further, UMOD might have a role in innate immune system and might act as an endogenous danger signal after tubular damage that leads to exposition of UMOD protein to mononuclear cells like dendritic cells in the kidney interstitium [9]. In various genome-wide association studies, common allelic UMOD promoter variants were identified to be associated with increased risk for complex trait diseases like chronic kidney disease (CKD), hypertension and kidney stones (reviewed in [3]). These variants of the UMOD promoter lead to increased UMOD expression and secretion which results, by influencing salt reabsorption in the kidney, to increased risk of developing hypertension and CKD [10].
UMOD maturation defect and retention in TALH cells in UAKD lead to unfolded protein response and activation of noncanonical NF-kB signaling in the TALH segment as demonstrated recently in two mouse models of UAKD, the mutant mouse lines Umod C93F and Umod A227T [11]. The focus of this study is to analyze transcriptional alterations in UAKD affected kidneys to obtain further insights into the pathogenesis of UAKD and/or the biological function of UMOD.

Animals
Both Umod A227T and Umod C93F mutant mouse lines, generated by ENU mutagenesis, exhibit the key features of UAKD like maturation defect and retention of UMOD in the hyperplastic ER of TALH cells and impaired kidney function with mild defect in urinary concentration ability, reduced fractional excretion of uric acid, and reduced UMOD excretion [12,13]. Umod A227T and Umod C93F mutant mice differ in onset, severity and speed of progression of disease symptoms as these are dependent on kind of Umod mutation and allelic status [13].
Homozygous Slc12a1 I299T mutant mice exhibit key features of Type I Bartter syndrome with salt-wasting polyuria and reduced fractional excretion of uric acid due to impaired ion transport activity of the main ion transporter of the TALH segment, the Na + -K + -2Clion transporter NKCC2, which is the protein derived from the Slc12a1 gene [14].
All three mouse lines were maintained on the C3HeB/FeJ (C3H) genetic background. Mouse husbandry was done under a continuously controlled specific pathogen-free (SPF) hygiene standard according to the FELASA recommendations (http:// www.felasa.eu) [15]. Mouse husbandry and all tests were carried out under the approval of the responsible animal welfare authority (Regierung von Oberbayern, Germany).

Genome-wide transcriptome analysis of UAKD-affected kidneys
The genome-wide transcriptome analyses of whole kidney lysates of Umod mutant mice were part of the systemic, comprehensive phenotypic analysis carried out in the German Mouse Clinic at the Helmholtz Zentrum München using standardized examination protocols (http://www.mouseclinic.de) [16,17]. First, the analysis of kidneys of four male homozygous Umod A227T mutant mice and four male wild-type littermates was carried out at an age of 17 weeks, followed by the analysis of kidneys of four male heterozygous Umod C93F mutants and their wild-type littermates at an age of 38 weeks.
Total RNA of whole kidney was isolated using Trizol (Invitrogen, Karlsruhe, Germany) in combination with RNeasy Midi Kits according to manufacturer's protocol (Qiagen, Hilden, Germany). cDNA microarrays covering 17,346 mouse genes were in-house produced, dual color hybridization was performed and arrays were scanned as previously described [18]. As a first step of the expression profiling data from kidney low-quality array elements were eliminated applying several filter methods (background checking for both channels with a signal/noise threshold of 2.0, one bad tolerance policy parameter and flip dye consistency checking). In total, 9,237 useable expression values remained and were used for the identification of genes with significant differential gene regulation using SAM (Significant analysis of microarrays [18][19][20]). Genes were ranked according to the mean fold change (mean mutant divided by mean wild-type signal intensity) and selected as significantly differentially expressed with ratio .1.4 in combination with false discovery rate (FDR) ,10%. The FDR is a value which estimates the percentage of nonsense genes by calculating 1000 permutations.
Over-represented functional annotations within the data sets were provided as GO (Gene Ontology terms of the category 'functions and diseases' (Ingenuity Pathway Analysis, IPA)). IPA was also used to identify biological associations based on cocitations and co-expression between the regulated genes of each of the two mutant lines and the NF-kB signaling complex. In the GEO database [21], the complete microarray dataset is available under accession number GSE58513.

Quantitative real time PCR analysis
After isolation of total RNA from whole kidneys of four-monthold male homozygous Umod mutant mice, three-month-old male homozygous Slc12a1 I299T and corresponding age-matched male wild-type littermates with the Trizol method, cDNA synthesis was performed using cDNA EcoDry Premix Double Primed (Clontech). NCBI/Primer-BLAST (http://www.ncbi.nlm.nih.gov/ tools/primer-blast/index.cgi?LINK_LOC=BlastHome) was used to select cDNA specific primers from different exons (except for Hba-a1) and each primer pair was tested for comparability of amplification efficiencies by performance of real-time PCR-based standard curve analyses. Primer sequences are listed in Table 1. Transcript abundance was quantified using FastStart Universal SYBR Green Master (ROX) (Roche) on a StepOne Real-Time PCR system (Applied Biosystems) and using LinRegPCR software [22]. All real-time PCR measurements were performed in duplicates and included no template controls. Transcript abundances of Angptl7, Hba-a1, Odc1, Scd1, and Wfdc15b were calculated in relation to the expression of the housekeeping genes Sdha, Tbp, and Rpl13a using the 2 2DCT method.

Immunohistochemical analyses
Histological analyses of kidneys of homozygous Umod mutant mice and wild-type mice were performed as described previously [12]. Immunohistochemistry was performed using the following primary antibodies: rat monoclonal antibody against mouse ANGPTL7 (clone 538401; R&D Systems), rabbit monoclonal antibody against mouse SCD1 (#2794, Cell Signaling), and rat monoclonal antibody against mouse UMOD (clone 774056; R&D Systems). Immunoreactivity was visualized using 3,3-diaminobenzidine tetrahydrochloride dihydrate (DAB) (brown color) or using Vector Red Alkaline Phosphatase Substrate Kit I (red color). Nuclear counterstaining was done with hemalum. Cells of TALH segment were identified by UMOD immunostaining. Cells of proximal tubule segment were identified by morphological criteria of presence of luminal microvilli.

Western blot analyses
Renal tissue (whole kidney or outer medullar region) of homozygous Umod mutant mice and wild-type mice was homogenized in Laemmli extraction buffer (20 mM Tris, 2% Triton-X100, 20% 56 Laemmli buffer). Outer medullar region contained a higher fraction of TALH segments and was prepared as described previously [11]. Protein concentration was determined by BCA assay. Equal amounts of denatured proteins per lane were separated on 12% SDS-polyacrylamide minigels and blotted on PVDF membranes. Equal loading was controlled by Ponceau staining.
The following primary antibodies were used: rat monoclonal antibody against mouse ANGPTL7 (clone 538401; R&D Systems), rabbit monoclonal antibody against GAPDH (#2118, Cell Signaling), rabbit polyclonal antibody against mouse SCD1 (#2438, Cell Signaling). Bound antibodies were visualized using ECL reagent (GE Healthcare Amersham Biosciences). Signal intensities were quantified using ImageQuant (GE Healthcare). Standardization of equal loading was referred to the signal intensities of GAPDH of the corresponding PVDF membrane.

Statistical analysis
Statistical analyses of genome-wide transcriptome analyses were described above. Statistical analyses of data derived by RT-qPCR analyses and Western blot analyses were carried out by One-way ANOVA with Tukey's Multiple Comparison Post hoc Test if comparing three groups, and by unpaired Student's t-test if comparing two groups. Statistical analyses of plasma urea data were performed by Two-way ANOVA with Bonferroni Multiple Comparison Post hoc Test. Data are shown as mean 6 standard deviations. Significant differences are indicated for P,0.05, 0.01, and 0.001.

Transcriptome profiling of UAKD-affected kidneys
The primary phenotype reports of both mutant lines Umod A227T (see line ''HST012'') and Umod C93F (see line ''HST001'') of the German Mouse Clinic are accessible online (http://146.107. 35.38/phenomap/jsp/annotation/public/phenomap.jsf) [17]. For the following analysis, the kidney transcriptome data of both Umod mutant lines were analyzed using enhanced settings in the software programs (see Materials and Methods). For genome-wide transcriptome profiling of whole kidneys, one group of UAKDaffected mice with initial mild disease phenotype, the young-adult homozygous Umod A227T mutants, and another group with progressed disease state of UAKD including morphological kidney alterations, the aged heterozygous Umod C93F mutant mice, were used ( Figure S1).
First, genome-wide transcriptome profiling analysis of kidneys from homozygous Umod A227T mutant mice, carried out at an age of 17 weeks, revealed 104 differentially expressed genes (DEGs) compared to age-matched wild-type littermate controls ( Figure  S2). In order to identify over-represented functional annotations among the set of regulated genes, Ingenuity Pathway Analysis (IPA) was employed. In kidney of Umod A227T mutants, the DEGs were associated with proliferation of cells, necrosis, inflammation, metabolism of lipid and proteins as well as renal cancer (Table 2, Figure S4). Several up-regulated genes are known to be expressed in proximal and/or distal tubules like Abcc4, Atp1a1, Atoh8, Clcnkb, Col18a1, Car15 and Mt1 and are required for normal reabsorption and urine concentration. Fabp4, Gsn, Il6st, and Ly6e, were associated with nephritis and Col18a1, Prom1, and Scd1 with renal cell carcinoma. Further, several differential abundant genes were associated with repression or activation of NF-kB signaling complex (Atp1a1, Cxcl12, Fabp4, Hbb, Itgav, Mt1, Scd1, Serpina1, and Tacstd2). The other way round, the NF-kB signaling complex plays roles in the expression of Cxcl12, Fabp4, Fgf1, Gclc, Odc1, and Tap.
Second, 54 DEGs were detected in whole kidney lysate of 38week-old heterozygous Umod C93F mutants when compared to agematched wild-type littermate controls ( Figure S3). Necrosis, inflammation, lipid metabolism, hypertension and distinct renal and urological functions/disease were over-represented GO terms in this dataset (Table 3, Figure S5). Expression in the proximal and/or distal renal tubules was described for Kap, Lgmn, Pdzk1, Slc13a1, and Slco4c1, which were down-regulated in kidneys of Umod C93F mutants. Further genes were annotated with nephritis (Cndp2, Dnase1 and Scd1). While Timp1 and Odc1 expression depends on the activity of the NF-kB signaling complex, Akr1b1, Casp9, Mt2 and Scd1 diminish the activity of the transcription factor complex.
To identify DEGs irrespective of secondary morphological kidney alterations due to different UAKD disease progression stage, transcriptome datasets of the Umod A227T mutant mouse line were compared with that of the Umod C93F mutant mouse line. Hierarchical cluster analysis of all differentially expressed genes in both mutant lines displayed a similar tendency of transcriptional alteration for about 43% of the genes identified as DEGs in one of both Umod mutant mouse lines but which were only significantly regulated in one of the two lines (data not shown). An overlap of 5 DEGs (Angptl7, Hba-a1, Odc1, Scd1 and Wfdc15b) was identified between the datasets of regulated genes of both Umod mutant lines. Scd1 was overexpressed and Angptl7, Hba-a1, Odc1 and Wfdc15b displayed significant down-regulation in Umod A227T and Umod C93F .

Validation of microarray datasets by quantitative RT-real time PCR
Genes identified as equally differentially abundant in both Umod mutant mouse lines by genome-wide transcriptome analyses   were selected for quantitative RT-real time PCR (RT-qPCR) analyses of whole kidney lysates of four-month-old male mice (n = 5 per group) (Figure 1). Scd1 transcripts were significantly higher abundant in kidneys of both homozygous Umod C93F and Umod A227T mutant mice compared to wild-type mice by RT-qPCR analyses, whereas Wfdc15b exhibited a significantly decreased transcript abundance in both Umod mutant mouse lines. Angptl7 and Odc1 exhibited significantly decreased transcript abundances in whole kidney lysates of homozygous Umod C93F mutant mice and showed the tendency of decreased transcript abundances also in homozygous mutants of the Umod A227T mouse line which exhibited a less severe UAKD phenotype and TALH dysfunction compared to age-matched mutant mice of the Umod C93F mouse line [13]. RT-qPCR of Hba-a1 revealed similar transcript abundances irrespective of genotype.
In summary, RT-qPCR analyses of independent groups of mice confirmed the results for Angptl7, Odc1, Wfdc15b and Scd1, obtained by array hybridization, and differed only for Hba-a1.

Localization and quantification of ANGPTL7 and SCD1 in the kidney by immunohistochemistry and Western blot analysis
In wild-type mice, ANGPTL7 protein was localized in the cytoplasm of all tubular cells, with more intense staining in TALH cells than in cells of other tubular segments (Figure 2A). In contrast to wild-type mice, the staining intensity of ANGPTL7 in TALH cells were less intense in Umod mutant mice, exhibiting a nearly similar staining intensity of ANGPTL7 in TALH cells like in cells of other tubular segments. Staining intensity of ANGPTL7 in non-TALH cells was similar irrespective of genotype. Identification of TALH segment was enabled by detection of UMOD. Western blot analyses of ANGPTL7 revealed a significantly decreased abundance of ANGPTL7 in the outer medulla of kidneys of Umod A227T and Umod C93F mutant mice compared to wild-type controls ( Figure 2B). SCD1 protein was localized in the cytoplasm selectively of proximal tubular cells of the kidney, concretely in the straight (S3) segment of proximal tubule ( Figure 3A). Other tubule segments like TALH cells were negative for SCD1. In homozygous Umod mutant mice of both lines, SCD1 appeared to be abundant in a larger fraction of proximal tubular cells compared to wild-type mice, and the average staining intensity of SCD1 positive cells appeared to be more prominent. Western blot analyses of SCD1 revealed a 2.7-fold and 4.6-fold higher abundance in whole kidneys of Umod A227T and Umod C93F homozygotes compared to wild-type controls ( Figure 3B).

Evaluation of the role of TALH-dysfunction derived salt wasting and volume depletion state on Scd1 transcript abundance
The bumetanide-sensitive ion transporter NKCC2 is mainly expressed in the kidney in the apical membrane of the cells of TALH and macula densa, and impaired function of NKCC2 due to inactivating mutations or due to the action of loop diuretics leads to salt wasting polyuria with reduced fractional excretion of uric acid [23]. Homozygous Slc12a1 I229T mutant mice, suffering on TALH-dysfunction derived salt wasting and volume depletion state [14], exhibited a significantly increased Scd1 transcript abundance in their kidneys compared to their littermate wild-type controls (Figure 4).

Discussion
UAKD is a progressive hereditary disease and belongs to the endoplasmic reticulum (ER) storage diseases due to maturation defect of mutant UMOD and its retention in the enlarged ER of TALH cells [3]. Until know, little is known about the molecular alterations in UAKD affected kidneys, except of the induction of unfolded protein response and the recently identified activation of non-canonical NF-kB signaling in cells of the TALH segment [11]. In this study, we performed genome-wide transcriptome profiling of whole kidneys from young-adult homozygous Umod A227T and from aged heterozygous Umod C93F mutant mice exhibiting different severities of UAKD. With these analyses, we identified numerous DEGs in both mouse models of UAKD, which were functionally annotated with renal diseases and renal dysfunction. Further, numerous of the identified DEGs were found to be associated with the NF-kB signaling pathway. However, only 5 DEGs were identified being commonly differentially abundant in both Umod mutant mouse lines, but about 43% of the genes identified as DEGs in one of both Umod mutant mouse lines displayed a similar tendency of transcriptional alterations but being only significantly differentially abundant in one of the two mutant lines. This finding might be related to two facts of our study design: First, in UAKD, primary functional and morphological alterations occur selectively in TALH cells, and TALH segments represent approximately 20% of whole kidney fraction. Using whole kidney for transcriptome profiling, this might be not suitable for detecting genes with altered abundances selectively in a small fraction of the kidney like in the TALH segment but being normally expressed also in other tubular segments as these molecular alterations in a small segment will be highly likely masked by the unaffected transcript abundance in the majority of kidney cells. However, our approach is highly suitable for identifying DEGs in UAKD expressed in a specific tubular fraction or whose transcript abundance is excessively altered in UAKD.
Second, the two groups of UAKD affected mice used for genome-wide transcriptome profiling exhibited different disease stages of UAKD. As recently shown, severity of UMOD maturation defect and speed of progression of UAKD in vivo strongly depends on the particular Umod mutation itself and the zygosity status [13]. The A227T mutation of Umod causes a milder UMOD maturation defect than the C93F mutation, and homozygosity of Umod mutation causes a stronger UMOD maturation defect and TALH dysfunction compared to heterozygous Umod mutant mice. Severity of UMOD maturation defect and severity of UAKD phenotype are similar between homozy-gous Umod A227T mutant mice and age-matched heterozygous Umod C93F mutant mice. UAKD is more progressed in 9-monthold heterozygous Umod C93F mutant mice than in 3-month-old homozygous Umod A227T mutant mice analyzed. Thus, the latter mice showed only an initial UAKD phenotype whereas the first group already exhibited progressed secondary morphological kidney lesions like interstitial fibrosis and inflammatory cell infiltrations. Consequently, on the one side, this sample selection of kidneys for genome-wide transcriptome profiling exhibiting different disease stages of UAKD might be responsible for the low number of identified genes commonly differentially abundant in both Umod mutant mouse lines. On the other side, these DEGs which were further positive validated by RT-qPCR of additional groups of UAKD-affected mice (Angptl7, Odc1, Wfdc15b and Scd1) might be the genes most constantly affected by UAKD irrespective of disease stage and severity. We selected two of the overlapping DEGs (Angptl7 and Scd1) for more detailed analyses.
Angiopoietin-like protein 7 (ANGPTL7) was identified to be less abundant in TALH cells of UAKD affected kidneys. ANGPTL7 is a member of the ANGPTL protein family exhibiting structural homology to the angiopoietins, which have important functions in angiogenesis [24]. However the function of ANGPTLs might differ from angiopoietins as they do not bind to the receptors classically targeted by angiopoietins. So far, biological function of ANGPTL7, which is a secreted protein, is poorly understood. Due to its role in extracellular matrix formation of trabecular meshwork of the eye, a role of ANGPTL7 in glaucoma was assumed [25]. In this context, ANGPTL7 was postulated as  potential target gene of the WNT/b-catenin signaling pathway [26]. Recently, ANGPTL7 was identified as a biomarker upregulated selectively in the early stage of acute kidney injury, with higher transcript abundances 4 to 10 hours after ischemia reperfusion injury (according to the data in patent #EP25828 40A1, http://www.google.com/patents/EP2582840A1?cl=en). Further, strong upregulation of Angptl7 transcription was detected in kidneys of hypertensive mice [27]. In UAKD, TALH cells are the site of primary pathogenesis due to mutant UMOD maturation retardation causing ER hyperplasia and TALH dysfunction. Decreased ANGPTL7 abundance in UAKD-affected TALH cells could be on the one side related to impaired synthesis due to impaired ER capacity and dysfunction. On the other side, as the biological function of ANGPTL7 in TALH cells is so far unknown, decreased ANGPTL7 synthesis might also contribute to TALH cell dysfunction leading to impaired kidney function in UAKD.
Increased abundance of stearoyl-coenzyme A desaturase 1 (SCD1) was present in proximal tubule segment of UAKD affected kidneys. SCD1 is a lipogenic enzyme catalyzing the critical step in the biosynthesis of monounsaturated fatty acids of cellular lipids [28]. The degree of unsaturation of cellular lipids is known to influence cell signaling and membrane fluidity and, thus, cell function. Due to its critical role in cell function, SCD1 expression is highly regulated. For instance, SCD1 expression can be induced by glucose, saturated fatty acids, insulin, and by the actions of lipogenic transcription factor sterol regulatory element binding protein-1c (SREBP-1c) and the nuclear receptor LXR. In the kidney, SCD1 was reported to be selectively expressed in the proximal straight tubular cells [29], which is in line with our results. It is an astonishing finding that disturbed TALH function as it is present in UAKD influenced transcript abundance of a gene selectively expressed in the tubule segment upstream of TALH. One key feature of UAKD represents a reduced renal fractional excretion of uric acid [3], and uric acid reabsorption and excretion is mainly regulated in the proximal tubule segment [30]. As a compensatory mechanism due to volume depletion caused by TALH dysfunction in UAKD, increased sodium absorption in proximal tubule, which is coupled with uric acid cotransport, was assumed in UAKD, leading to increased reabsorption and decreased excretion of uric acid [12]. Thus, higher SCD1 expression in proximal tubule of UAKD affected kidneys could be due to functional adaption of proximal tubule function to compensate TALH dysfunction for maintaining fluid and electrolyte homeostasis of the body. This hypothesis was underlined by our finding of increased Scd1 abundance in kidneys of homozygous Slc12a1 I299T mutant mice. These mice exhibited Type I Bartter syndrome with salt-wasting polyuria and reduced uric acid clearance due to an inactivating mutation of the Na + -K + -2Clion transporter, which represents the main ion transporter of the TALH segment [14].
A direct cross talk between the two functionally distinct tubular segments, TALH and the morphologically contiguous S3 segment of proximal tubule, was assumed due to protective properties of UMOD, located in TALH segment, to acute injury damage in proximal tubules [31]. So, recovery of proximal tubule injury by ischemia was delayed in Umod knockout mice, which could be drawn back to increased inflammatory response in injured proximal tubule and increased neutrophil infiltration in Umod knockout mice compared to the ischemic injury kidney response in wild-type mice. A conceptual model of the UMOD dependent protective cross-talk of TALH segment on S3 segment of proximal tubule in acute kidney injury was proposed, postulating three putative paths of cross-talk between TALH and proximal tubule segment: (1) direct role of basolaterally translocated and released UMOD in down-regulation of inflammatory signaling in neighboring proximal tubule, (2) mediation of cross-talk by a putative secondary paracrine mediator released by TALH segment, or (3) involvement of interstitial cells in mediating cross-talk between the two functionally distinct tubular segments [32]. The increased abundance of SCD1 in straight segment of proximal tubule of UAKD-affected kidneys, as shown in our study, might be a further indication of the impact of TALH segment on the proximal tubule segment. The first proposed path of cross-talk due to reported translocated UMOD after ischemic injury might be of minor importance in UAKD-affected kidneys as we did not observe extracellular UMOD immunopositivity in renal interstitium. However, NF-kB signaling is activated in UAKD-affected TALH segment [11] what could be a putative mediator pathway of nephron segment cross-talk but this hypothesis has to be investigated in further analyses. Increased abundance of SCD1 itself might influence function of proximal tubule cells, by influencing their lipid metabolism and thus may alter the composition of phospholipids, triglycerides and cholesterol ester content in cell membrane [29]. Further, protective effects against lipotoxicity of free cholesterol and free saturated fatty acids, improvement of cell membrane fluidity and enhancement of cell function and integrity are assumed due to increased SCD1 abundance. Thus, the assumed increased sodium-and uric acidcotransport in proximal tubule might be caused not only to compensate volume depletion in UAKD but also might be in part caused by altered cell function of proximal tubule cells itself.
In conclusion, transcriptome profiling analyses in whole kidneys of two Umod mutant mouse models for UAKD at two different stages of the disease resulted in the description of differentially regulated genes which were further classified according to disease and/or functions annotations. Localization and quantification analyses of ANGPTL7 and SCD1 gave novel hints for the function of these proteins in healthy and UAKD affected kidneys. A cross talk between two functionally distinct tubular segments, the TALH segment and the S3 segment of proximal tubule, was demonstrated, which might occur by direct contact or due to functional compensatory properties. Figure S1 Clinical and morphological phenotype of young adult and aged Umod A227T and Umod C93F mutant mice. (A) Plasma urea concentrations of young adult and aged Umod A227T and Umod C93F mutant mice [13]. Data points show means 6 SD. Age of clinical-chemical analysis is indicated. n = 6-16 per genotype and Umod mutant line. Two-way-ANOVA with Bonferroni Multiple Comparison Post hoc Test: Homozygous Umod mutants vs. wild type: ***, p,0.001; Heterozygous Umod mutants vs. wild type: ### , p,0.001. (B) Multifocal tubulointerstitial fibrosis and moderate inflammatory cell infiltration predominantly in the corticomedullary region were found in UAKDaffected kidneys of 12-month-old heterozygous Umod C93F mutant mice. These histological alterations were not found in threemonth-old young adult homozygous Umod A227T mutant mice (not shown, [12]). Histological staining, age of mice and genotype are indicated. Het: heterozygous mutant, homo: homozygous mutant of the indicated Umod mutant mouse line. (TIF) Figure S2 Heat map of DEGs in kidney between homozygous Umod A227T mutant mice compared to wild-type controls. The genes are ranked according to their fold change from largest positive to largest negative value. The first column shows the mean linear fold changes calculated as ratio of the mean mutant intensities (n = 4) and the arithmetic mean signal of the corresponding wild-type mice (n = 4). Columns represent the regulated genes for single mutant mice and the rows the differential expression of a gene across the animals. The color code displays the fold changes according to the scale bar at the bottom of the heat map: Blue represents down-and yellow upregulation in mutant animals compared to wild-types. (XLS) Figure S3 Heat map of DEGs in kidney between heterozygous Umod C93F mutant mice compared to wild-type controls. The genes are ranked according to their fold change from largest positive to largest negative value. The first column shows the mean linear fold changes calculated as ratio of the mean mutant intensities (n = 4) and the arithmetic mean signal of the corresponding wild-type mice (n = 4). Columns represent the regulated genes for single mutant mice and rows represent the differential expression of a gene across the animals. The color code displays the fold changes according to the scale bar at the bottom of the heat map: Blue represents down-and yellow up-regulation in mutant animals compared to wild-types. (XLS) Figure S4 Functional classification of DEGs in kidney of homozygous Umod A227T mutant mice. The first three columns list the categories of the diseases or functions annotations and the respective p-value for each over-represented term. The following columns show those DEGs associated with each term including a heat map and the mean fold change. The genes of each term are ranked according to the mean fold changes. A column represents single mutant mice and rows the differential expression across the animals. The color code displays the fold changes according to the scale bar at the bottom of the heat map: Blue represents downand yellow up-regulation in mutant animals compared to wildtypes. (XLS) Figure S5 Functional classification of DEGs in kidney of heterozygous Umod C93F mutant mice. The first three columns list the categories of the diseases or functions annotations and the respective p-value for each over-represented term. The following columns show those DEGs associated with each term including a heat map and the mean fold change. The genes of each term are ranked according to the mean fold changes. A column represents single mutant mice and rows the differential expression across the animals. The color code displays the fold changes according to the scale bar at the bottom of the heat map: Blue represents downand yellow up-regulation in mutant animals compared to wildtypes. (XLS)