Impaired magnesium reabsorption in patients with TRPM6 gene mutations stresses an important role of TRPM6 (melastatin-related TRP cation channel) in epithelial magnesium transport. While attempting to isolate full-length TRPM6, we found that the human TRPM6 gene encodes multiple mRNA isoforms. Full-length TRPM6 variants failed to form functional channel complexes because they were retained intracellularly on heterologous expression in HEK 293 cells and Xenopus oocytes. However, TRPM6 specifically interacted with its closest homolog, the Mg 2؉ -permeable cation channel TRPM7, resulting in the assembly of functional TRPM6͞TRPM7 complexes at the cell surface. The naturally occurring S141L TRPM6 missense mutation abrogated the oligomeric assembly of TRPM6, thus providing a cell biological explanation for the human disease. Together, our data suggest an important contribution of TRPM6͞ TRPM7 heterooligomerization for the biological role of TRPM6 in epithelial magnesium absorption.I nvestigations on Drosophila flies with impaired vision due to mutations in the transient receptor potential gene (trp) initiated a search for homologous proteins in mammals, leading to the discovery of three subfamilies of cation channels: TRPCs (canonical or classical TRPs), TRPVs (vanilloid receptor and related proteins), and TRPMs (melastatin and related proteins) (1, 2). TRPC channels mediate cation entry in response to phospholipase C activation, whereas TRPV proteins respond to physical and chemical stimuli, such as temperature, pH, and mechanical stress (3, 4). Within their respective subfamilies, TRPCs and TRPVs form homo-and heterotetramers displaying novel pore properties when compared to their homomultimeric counterparts (1, 5-9). The eight TRPM family members differ significantly from the aforementioned TRP channels in terms of domain structure, cation selectivity, and activation mechanisms (3, 10). Two TRPM proteins, TRPM6 and TRPM7, harbor serine͞threonine kinase domains in their C termini (11-16). Furthermore, TRPM7 displays unusual permeation properties by conducting a range of divalent metal ions including Mg 2ϩ and Mn 2ϩ (13,17,18).It was recently shown that autosomal recessive hypomagnesemia with secondary hypocalcemia (HSH) is caused by mutations in the TRPM6 gene (15,16). HSH is characterized by low serum Mg 2ϩ levels due to defective intestinal absorption or͞and renal wasting of Mg 2ϩ . Here we demonstrate that TRPM6 requires assembly with TRPM7 to form channel complexes in the cell membrane and that disruption of multimer formation by a mutated TRPM6 variant, TRPM6(S141L), results in human disease.
MethodsMolecular Biology and Generation of TRPM6 Polyclonal Antisera. The cloning procedure of human TRPM6 isoforms (Table 1) as well as amplification of other TRPM cDNAs is described in detail in Supporting Methods, which is published as supporting information on the PNAS web site. For TRPM proteins C-terminally fused to cyan (CFP) or yellow (YFP) fluorescent proteins, STOP codons in TRPMs were replaced by XhoI restrictio...