Cystinosis (ctns) zebrafish mutant shows pronephric glomerular and tubular dysfunction

Sci Rep. 2017 Feb 15:7:42583. doi: 10.1038/srep42583.

Abstract

The human ubiquitous protein cystinosin is responsible for transporting the disulphide amino acid cystine from the lysosomal compartment into the cytosol. In humans, Pathogenic mutations of CTNS lead to defective cystinosin function, intralysosomal cystine accumulation and the development of cystinosis. Kidneys are initially affected with generalized proximal tubular dysfunction (renal Fanconi syndrome), then the disease rapidly affects glomeruli and progresses towards end stage renal failure and multiple organ dysfunction. Animal models of cystinosis are limited, with only a Ctns knockout mouse reported, showing cystine accumulation and late signs of tubular dysfunction but lacking the glomerular phenotype. We established and characterized a mutant zebrafish model with a homozygous nonsense mutation (c.706 C > T; p.Q236X) in exon 8 of ctns. Cystinotic mutant larvae showed cystine accumulation, delayed development, and signs of pronephric glomerular and tubular dysfunction mimicking the early phenotype of human cystinotic patients. Furthermore, cystinotic larvae showed a significantly increased rate of apoptosis that could be ameliorated with cysteamine, the human cystine depleting therapy. Our data demonstrate that, ctns gene is essential for zebrafish pronephric podocyte and proximal tubular function and that the ctns-mutant can be used for studying the disease pathogenic mechanisms and for testing novel therapies for cystinosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Sequence
  • Amino Acid Transport Systems, Neutral / genetics*
  • Amino Acid Transport Systems, Neutral / metabolism*
  • Animals
  • Apoptosis / genetics
  • Cystine / metabolism
  • Cystinosis / genetics*
  • Cystinosis / metabolism*
  • Cystinosis / mortality
  • Cystinosis / pathology
  • Disease Models, Animal
  • Gene Knockout Techniques
  • Glomerular Filtration Rate
  • Humans
  • Kidney Glomerulus / metabolism*
  • Kidney Glomerulus / pathology
  • Kidney Glomerulus / ultrastructure
  • Kidney Tubules, Proximal / metabolism*
  • Kidney Tubules, Proximal / pathology
  • Kidney Tubules, Proximal / ultrastructure
  • Locomotion
  • Lysosomes / metabolism
  • Mutation*
  • Phenotype
  • Podocytes / metabolism
  • Podocytes / pathology
  • Podocytes / ultrastructure
  • Zebrafish

Substances

  • Amino Acid Transport Systems, Neutral
  • CTNS protein, human
  • Cystine