SUMMARYPolycystin 1 and polycystin 2 are large transmembrane proteins, which, when mutated, cause autosomal dominant polycystic kidney disease (ADPKD), a highly prevalent human genetic disease. The polycystins are thought to form a receptor-calcium channel complex in the plasma membrane of renal epithelial cells and elicit a calcium influx in response to mechanical stimulation, such as fluid flow across the apical surface of renal epithelial cells. The functional role of the polycystins in mechanosensation remains largely unknown. Here, we found that myocyte enhancer factor 2C (MEF2C) and histone deacetylase 5 (HDAC5), two key regulators of cardiac hypertrophy, are targets of polycystin-dependent fluid stress sensing in renal epithelial cells in mice. We show that fluid flow stimulation of polarized epithelial monolayers induced phosphorylation and nuclear export of HDAC5, which are crucial events in the activation of MEF2C-based transcription. Kidney-specific knockout of Mef2c, or genetrap-inactivation of a MEF2C transcriptional target, MIM, resulted in extensive renal tubule dilation and cysts, whereas Hdac5 heterozygosity or treatment with TSA, an HDAC inhibitor, reduced cyst formation in Pkd2 -/-mouse embryos. These findings suggest a common signaling motif between myocardial hypertrophy and maintenance of renal epithelial architecture, and a potential therapeutic approach to treat ADPKD.
KEY WORDS: Autosomal dominant polycystic kidney disease, Histone deacetylase 5, Myocyte enhancer factor 2C, MousePolycystin-dependent fluid flow sensing targets histone deacetylase 5 to prevent the development of renal cysts pathways that directly respond to the fluid flow-induced calcium signal might provide new insights into the role of polycystin mechanosensory function in the control of epithelial organization and proliferation. In order to identify downstream targets regulated by the mechanosensory function of the polycystins, we performed an expression microarray analysis designed to detect genes that are differentially expressed in response to fluid flow shear stress in a PC1-dependent manner in polarized renal epithelial cells. This analysis identified myocyte enhancer factor 2C (Mef2c) and histone deacetylase 5 (Hdac5) among the fluid flow-responsive genes. We demonstrate that the fluid flow-dependent calcium rise leads to phosphorylation of HDAC5 and its nuclear export. These events lead to activation of MEF2C target genes, one of which is found to be missing in metastasis (MIM), a regulator of the actin cytoskeleton. Using mouse models, we present evidence that MEF2C and MIM are required for the maintenance of normal epithelial organization in the kidney and that pharmacological inhibition of HDACs might be a potentially useful therapeutic strategy to inhibit ADPKD disease progression.
MATERIALS AND METHODS
AntibodiesHDAC5 (Phospho-Ser498 human) antibody was obtained from Signalway Antibody. The non-phospho-specific anti-HDAC5 antibody and anti-MIM were purchased from Cell Signaling. Anti-MEF2C antibody was from ...