Localization and Regulation of the Epithelial Ca2+ Channel TRPV6 in the Kidney
Tom Nijenhuis,
Joost G. J. Hoenderop,
Annemiete W. C. M. van der Kemp and
René J. M. Bindels
Department of Physiology, Nijmegen Center for Molecular Life Sciences, University Medical Center Nijmegen, the Netherlands.
Correspondence to Dr. René J.M. Bindels, 160 Cell Physiology, University Medical Center Nijmegen, P.O. Box 9101, NL-6500 HB Nijmegen, the Netherlands. Phone: 31-24-3614211; Fax: 31-24-3616413;
ABSTRACT. The family of epithelial Ca2+ channels consists oftwo highly homologues members, TRPV5 and TRPV6, which constitutethe apical Ca2+ entry mechanism in active Ca2+ (re)absorptionin kidney and small intestine. In kidney, TRPV5 expression hasbeen extensively studied, whereas TRPV6 localization and regulationhas been largely confined to the small intestine. The presentstudy investigated the renal distribution of TRPV6 and regulationby 1,25-dihydroxyvitamin D3 (1,25(OH)2D3). In mouse kidney,TRPV6 was detected by immunohistochemistry at the apical domainof the distal convoluted tubules (DCT2), connecting tubules(CNT), and cortical and medullary collecting ducts (CD). Furthermore,several putative vitamin D-responsive elements were detectedupstream of the mouse TRPV6 start codon, and 1,25(OH)2D3 treatmentsignificantly increased renal TRPV6 mRNA and protein expression.In DCT2 and CNT, TRPV6 co-localizes with the other known Ca2+transport proteins, including TRPV5 and calbindin-D28K. Together,these data suggest a role for TRPV6 in 1,25(OH)2D3-stimulatedCa2+ reabsorption in these segments. Interestingly, distributionof TRPV6 extended to the CD, where it localized to the apicaldomain of principal and intercalated cells, which are not generallyimplicated in active Ca2+ reabsorption. In addition, TRPV6 mRNAlevels were quantified in a large set of tissues, and in theorder of decreasing expression level were detected: prostate> stomach, brain > lung > duodenum, kidney, bone, cecum,heart > colon > skeletal muscle > pancreas. Therefore,additional physiologic functions for TRPV6 are feasible. Inconclusion, TRPV6 is expressed along the apical domain of DCT2,CNT, and CD, where TRPV6 expression is positively regulatedby 1,25(OH)2D3. E-mail: r.bindels@ncmls.kun.nl
Active Ca2+ absorption plays a key role in Ca2+ homeostasisand takes place in Ca2+-transporting tissues, including kidneyand intestine. In the mammalian genome, a distinct family ofepithelial Ca2+ channels was recently identified, which providesthe molecular identity of the apical entry mechanism, facilitatingthe active Ca2+ transport process (1). This family of highlyCa2+-selective channels is restricted to two members, TRPV5(previously ECaC1), which was originally cloned from rabbitkidney, and TRPV6 (previously CaT1/ECaC2), which was identifiedfrom rat duodenum (2,3). Genomic analysis revealed that twogenes, juxtaposed on human chromosome 7q35 and on mouse chromosome6, encode these highly homologous but distinct epithelial Ca2+channels (46). In addition to the conserved pore region,these channels share several functional properties, includingthe permeation profile for monovalent and divalent cations,the high Ca2+ selectivity, and Ca2+-dependent inactivation (7,8).However, significant differences exist in the N- and C-terminiof TRPV5 and TRPV6, which may account for distinct functionaland regulatory features.
In the kidney, active transcellular reabsorption of Ca2+ takesplace in the distal convoluted tubule (DCT) and the connectingtubule (CNT) and constitutes the fine-tuning mechanism determiningnet urinary Ca2+ excretion (1,9,10). The renal expression andregulation of TRPV5 has been extensively studied. Briefly, TRPV5is localized along the apical membrane of DCT2 and CNT and isregulated by vitamin D (1,25(OH)2D3), dietary Ca2+, and estrogens,substantiating the role of TRPV5 in renal active Ca2+ transport(1113). Data on the localization and regulation of TRPV6have been largely confined to the small intestine, where theexpression and regulation by 1,25(OH)2D3 strongly supports theinvolvement of this channel in the absorption of dietary Ca2+(14,15). Therefore, TRPV5 is generally suggested to be the epithelialCa2+ channel primarily responsible for renal transcellular Ca2+transport, whereas TRPV6 would serve as the apical Ca2+ entrymechanism in the small intestine.
Interestingly, TRPV6 mRNA has been detected in the kidney, butlittle is known about the localization and regulation of TRPV6in this organ (16). The elucidation of the precise nephron distributionof TRPV6 is crucial in understanding its physiologic role inthe kidney in general and particularly in evaluating the potentialcontribution of TRPV6 to renal transcellular Ca2+ reabsorption.Importantly, co-localization of TRPV5 and TRPV6 in the kidneymay have significant functional relevance, because it was recentlyshown that TRPV5 and TRPV6 can form heterotetrameric Ca2+ channelswith distinct functionality (17).
The aim of the present study was, therefore, to determine thelocalization and regulation of TRPV6 in the kidney. Immunohistochemistrywas performed using a new TRPV6 antibody to elucidate the tubularand subcellular localization of this epithelial Ca2+ channel.In animal experiments, the effect of 1,25(OH)2D3 on renal TRPV6mRNA and protein expression was studied using real-time quantitativepolymerase chain reaction (PCR) analysis and semiquantitativeimmunohistochemistry.
Generation and Characterization of Affinity-Purified Rabbit TRPV6 Antibody
Antiserum against TRPV6 was obtained by immunization of rabbitswith 400 µg of a keyhole limpet hemocyanin-coupled syntheticpeptide representing the last 15 amino acids of the C-terminaltail of mouse TRPV6 (NH2-INRGLEDGEGWEYQI-COOH). The antiserumwas affinity-purified according to standard procedures. Thespecificity of the affinity-purified rabbit TRPV6 antibody wasassessed by immunoblot analysis of Xenopus laevis oocytes heterologouslyexpressing TRPV6 or TRPV5. In addition, the efficacy of theantibody to detect endogenous TRPV6 was assessed by immunoblotanalyses of mouse kidney and duodenum lysates.
Animal Studies Experiment 1.
To study the nephron localization of TRPV6 by immunohistochemistry,kidneys were isolated from C57BL6 mice (kindly provided by Dr.J. Loffing, University of Zürich, Switzerland). The tissuefixation procedure consisted of anesthestizing the animals,after which the abdominal aorta was clamped downstream of therenal arteries. Tubing was inserted at the level of the iliacbifurcation into the aorta, pushed up to the aortic clamp, andfixed by a ligature. The vena cava was opened, the aortic clampwas removed, and a fixative solution (50 ml) was allowed toflush the mouse vasculature under high pressure. The fixativeconsisted of 3% paraformaldehyde (vol/vol) and 0.05% picricacid (vol/vol) dissolved in a 3:2 mixture of 0.1 M cacodylatebuffer (pH 7.4) and 10% hydroxyethyl starch (vol/vol) in saline(10). After 5-min fixation, the kidneys were rinsed at hydrostaticpressure by perfusion for 5 min with the cacodylate buffer.Kidneys were subsequently collected and stored at -80°Cuntil further processing.
Experiment 2.
To study the effect of 1,25(OH)2D3 on renal TRPV6 mRNA and proteinexpression, C57BL6 mice were intraperitoneally injected for2 days with either 1,25(OH)2D3 at a dose of 100 ng daily (n= 6) or vehicle only (n = 6). Thereafter, animals were sacrificedand kidneys were sampled and either immediately frozen in liquidnitrogen or fixated for immunohistochemistry by immersion in1% (wt/vol) periodate-lysine-paraformaldehyde (PLP) for 2 hand 15% (wt/vol) sucrose in phosphate-buffered saline overnight.Samples were subsequently stored at -80°C until TRPV6 andTRPV5 mRNA and protein expression levels were determined byreal-time quantitative PCR and semiquantitative immunohistochemistry,respectively.
Experiment 3.
To evaluate the mRNA expression of TRPV6 relative to TRPV5 expressionin kidney and to determine the quantitative expression in variousother tissues, a cDNA panel was constructed. To this end, C57BL6mice were sacrificed and kidney, bone, prostate, stomach, duodenum,ileum, cecum, colon, pancreas, liver, spleen, brain, lung, heart,and skeletal muscle was sampled. Tissues were subsequently storedat -80°C. The animal ethics board of the University MedicalCenter Nijmegen approved all experimental procedures.
Immunohistochemistry
The renal localization of TRPV6 was assessed by immunohistochemistry,including co-localization studies using proteins with establisheddistribution patterns as markers for distinct nephron segments.Immunohistochemical staining was performed as described previously(18). In short, either co-immunohistochemical staining or stainingof serial sections for TRPV6 with TRPV5, calbindin-D28K, calbindin-D9K,the thiazide-sensitive Na+-Cl- cotransporter (NCC), aquaporin-2(AQP2), and peanut lectin-binding intercalated cells was performedon 7-µm sections of fixated frozen kidney samples. TRPV5staining involved immersion of the kidney sections in boiledcitrate target retrieval buffer (0.01 M sodium citrate and 0.01M citric acid, pH 6.0), which was then left to cool for 30 min,and subsequent incubation in 0.3% (vol/vol) H2O2 in buffer (0.15M NaCl, 0.1 M Tris-HCl, pH 7.5) for 30 min. Sections were incubatedfor 16 h at 4°C with the primary antibodies: affinity-purifiedrabbit TRPV6 antibody (1:25), affinity-purified guinea pig TRPV5antibody (1:1000) (18), guinea pig anti-calbindin-D9K (1:500)(12), mouse anti-calbindin-D28K (Swant, Bellinzona, Switzerland)(1:750), rabbit anti-NCC (1:200) (19), guinea pig anti-AQP2(1:1000) (20), and FITC-coupled peanut lectin (1:100), respectively.In addition, immunohistochemistry of kidney sections using pre-immuneserum and TRPV6 antiserum pre-absorbed for 1 h with the correspondingpeptide was performed as negative controls. For detection ofTRPV6, calbindin-D9K, calbindin-D28K, NCC, and AQP2 sectionswere incubated with Alexa-conjugated secondary antibodies. Afterincubation with biotin-coated goat anti-guinea pig secondaryantibody, TRPV5 was visualized using a tyramide signal amplificationkit (NEN Life Science Products, Zaventem, Belgium). Images weremade using a Nikon Diaphot confocal laser scanning microscope(Tokyo, Japan; MRC-1000; Bio-Rad, Richmond, CA) and a Zeissfluorescence microscope equipped with a digital photo camera(Nikon DMX1200). For semiquantitative determination of proteinlevels, images were analyzed with the Image Pro Plus 4.1 imageanalysis software (Media Cybernetics, Silver Spring, MD), resultingin quantification of the protein levels as the mean of integratedoptical density (IOD).
Real-Time Quantitative PCR Analysis
Total RNA was extracted from kidney and other tissues usingTriZol Total RNA Isolation Reagent (Life Technologies BRL, Breda,The Netherlands). The obtained RNA was subjected to DNAse treatmentto prevent genomic DNA contamination. Thereafter, 2 µgof RNA was reverse transcribed by Moloney-Murine Leukemia Virus-ReverseTranscriptase (M-MLV-RT; Life Technologies BRL) as describedpreviously (18). The obtained cDNA was used to determine TRPV6and TRPV5 mRNA expression levels as well as mRNA levels of thehousekeeping gene hypoxanthine-guanine phosphoribosyl transferase(HPRT) as an endogenous control. PCR primers and fluorescenceprobes were designed using the computer program Primer Express(Applied Biosystems, Foster City, CA) and purchased from Biolegio(Malden, The Netherlands). The primer sequences for TRPV6 were5'-ATCCGCCGCTATGCACA-3', 5'-AGTTTTTCTCCTGA ATCTTTTTCCA-3', and5'-TTCCAGCAACAAGATGGCCTCTACTCTGA-3' for the probe. TRPV5 primerand probe sequences were 5'-CGTTGGTTCTTACGG GTTGAAC-3', 5'-GTTTGGAGAACCACAGAGCCTCTA-3',and 5'-TGTTTCTCAGATA GCTGCTCTTGTACTTCCTCTTTGT-3'. For HPRT,these primers were, respectively, 5'-TTATCAGACTGAAGAGCTACTGTAATGATC-3',5'-TTACCAGTGGTCAATTATTA CTTCAACAATC-3', and 5'-TGAGAGATCATCTCCACCAATAACTTTTATTGTCCC-3'for the probe. Expression levels were quantified by real-timequantitative PCR on an ABI Prism 7700 Sequence Detection System(PE Biosystems, Rotkreuz, Switzerland).
TRPV6 Promoter Analysis
The general mechanism by which 1,25(OH)2D3 induces gene transcriptioninvolves direct interaction of the vitamin D receptor with regulatorydomains in the promoter region of the gene known as vitaminD responsive elements (VDRE). To identify putative VDRE, thenucleotide sequence upstream of the ATG codon in the mouse TRPV6(mTRPV6) gene was analyzed (Genbank accession no. NT039341).
Statistical Analyses
Data are expressed as means ± SEM. Statistical comparisonswere tested by one-way ANOVA and Fisher multiple comparison.P values less than 5% were considered statistically significant.All analyses were performed using the Statview Statistical Packagesoftware (Power PC version 4.51; Statview, Berkeley, CA) ona Macintosh computer.
Generation and Characterization of Affinity-Purified Rabbit TRPV6 Antibody Figure 1 shows immunoblots of lysates of Xenopus laevis oocytesheterologously expressing TRPV6 or TRPV5. The affinity-purifiedTRPV6 antibody detected two specific bands of approximately75 kD and 85 to 100 kD in size corresponding to the core andcomplex glycosylated proteins, respectively, as shown previously(17), whereas the affinity-purified TRPV5 antibody failed todetect these specific bands. Conversely, in lysates of TRPV5expressing Xenopus laevis oocytes, specific signals were notdetected using the affinity-purified TRPV6 antibody. However,the affinity-purified TRPV5 antibody recognized two specificbands of 75 kD and 85 to 100 kD, corresponding to the core andcomplex glycosylated protein, respectively. Therefore, the appliedantibodies did not cross-react, indicating that both antibodieswere channel-specific. In addition, immunoblot analysis of mousekidney and duodenum lysates did not result in a specific immunopositivesignal using either affinity-purified antibody, probably dueto the relatively low abundance of these channels (data notshown).
Figure 1. Characterization of the affinity-purified rabbit TRPV6 antibody. Immunoblot of total membrane preparations of Xenopus laevis oocytes heterologously expressing TRPV6 or TRPV5 probed with affinity-purified rabbit TRPV6 antibody (A) and affinity-purified guinea pig TRPV5 antibody (B). Non-injected, non-injected oocytes; TRPV6, oocytes injected with 10 ng of TRPV6 cRNA; TRPV5, oocytes injected with 10 ng of TRPV5 cRNA.
Immunohistochemical Localization of TRPV6 in Kidney
To elucidate the renal segmental localization of TRPV6, immunohistochemicalstaining of mouse kidney sections with the TRPV6 antibody wasperformed. Distinct immunopositive staining for TRPV6 was detectedin kidney cortex (Figure 2, A and B) and, in addition, in renalmedulla (Figure 2, C and D). Importantly, in both cortex andmedulla, TRPV6 immunolabeling was predominantly confined tothe apical domain of the tubular cells, suggesting apical membranelocalization. All negative controls, including immunohistochemistryon kidney sections with either antiserum pre-absorbed for 1h with 10 µg/ml peptide (Figure 2E), pre-immune serum,or omission of the primary antibody (data not shown), were devoidof staining.
Figure 2. Immunohistochemical localization of TRPV6 in mouse kidney. Overview of kidney cortex showing TRPV6 immunopositive staining (A). Higher magnification showing subcellular localization of TRPV6 (B). Overview of renal medulla showing TRPV6 immunopositive staining (C). Subcellular localization of TRPV6 in the tubules of the renal medulla (D). Kidney cortex section stained with TRPV6 antiserum pre-absorbed for 1 h with 10 µg/ml peptide as a negative control (E).
Staining of serial kidney sections for TRPV5 and TRPV6 demonstratedthat these epithelial Ca2+ channels show considerable co-expressionin renal cortex. All TRPV5-immunopositive tubules expressedTRPV6, but a substantial number of TRPV6-immunopositive tubuleslacked TRPV5 immunoreactivity (Figure 3A). In mice, TRPV5 expressionis known to start at the transition from DCT1 to DCT2, continuinginto CNT (10,18). Calbindins are also expressed in DCT2 andthe principal cells of CNT, extending farther into CCD, andare involved in intracellular buffering and facilitated diffusionof Ca2+ (10). Figure 3B shows that TRPV6 co-localizes with calbindin-D28K,although a portion of TRPV6-positive tubules did not expresscalbindin-D28K (data not shown). Co-staining for TRPV6 and calbindin-D9Kalso showed a considerable co-expression of both proteins (Figure 4D).However, a number of TRPV6-immunopositive cells lackedcalbindin-D9K. In line with previous studies, renal medullawas devoid of any TRPV5, calbindin-D9K, or calbindin-D28K immunopositivesignal (data not shown).
Figure 3. Immunohistochemical localization of TRPV6, TRPV5, calbindin-D28K, and the Na+-Cl- cotransporter (NCC) in mouse kidney. Serial sections were stained with the affinity-purified rabbit TRPV6 antibody (TRPV6) and affinity-purified guinea pig TRPV5 (TRPV5) antibody (A). Serial sections stained for TRPV6 and calbindin-D28K with rabbit anti-calbindin-D28K antiserum (B). Serial sections stained for TRPV6 and NCC using rabbit anti-NCC antiserum (C and D). The asterisks depict tubule cells lacking co-expression for the respective serially stained proteins.
Figure 4. Immunohistochemical localization of TRPV6, aquaporin-2 (AQP2), and calbindin-D9K in mouse kidney. Double staining of affinity-purified rabbit TRPV6 antibody with rabbit anti-AQP2 antiserum (A, B, and C), rabbit anti-calbindin-D9K antiserum (D), and peanut lectin (E). The arrows in panels C and D mark AQP2 and calbindin-D9K negative cells, suggesting intercalated cells, substantiated by peanut lectin binding in panel E.
Serial kidney sections were stained for TRPV6 and the thiazide-sensitiveNa+-Cl- cotransporter (NCC) that is exclusively expressed inDCT and functionally characterizes this segment (Figures 3, C and D)(9,10). In addition to tubules in which both proteinsco-localized, NCC expression was not detected in a significantnumber of tubules that exhibited strong apical TRPV6 immunoreactivity.Furthermore, some NCC-positive tubules lacked TRPV6 immunostaining,substantiating that TRPV6 is not expressed in DCT1. Taken together,these data demonstrate that TRPV6 expression starts togetherwith TRPV5 at the transition from DCT1 to DCT2. In contrastto TRPV5 expression, TRPV6 distribution extended into consecutivenephron segments.
To establish the identity of the additional TRPV6 positive tubules,co-staining of mouse kidney sections for TRPV6 and AQP2, characterizingthe CNT and collecting ducts, was performed (9,21). A brightimmunopositive TRPV6 signal co-localized with AQP2 in the corticalcollecting ducts (CCD) (Figure 4A), outer medullary collectingducts (OMCD), and inner medullary collecting ducts (IMCD) (Figure 4B).Higher magnification of these AQP2/TRPV6 co-expressingcells showed that, although AQP2 is expressed strictly at theapical membrane, TRPV6 shows additional intracellular stainingat the apical side in some of these cells. Taken together, thesedata indicate that TRPV6 distribution extends from DCT2 intoIMCD. In addition, Figures 4C and 4D show that TRPV6 was detectedalong the apical domain in the intercalated cells of the CDand CNT, respectively (arrows). Co-immunohistochemical stainingof TRPV6 with peanut lectin, identifying over 90% of the intercalatedcell population, confirmed the strictly apical TRPV6 expressionin this cell type (Figure 4F) (22). Therefore, in addition tothe principal cells, TRPV6 was clearly expressed in the intercalatedcells, which characteristically lack expression of Ca2+ transportproteins.
Identification of Putative VDRE in the TRPV6 Promoter Region
To identify putative VDRE, the mTRPV6 5'UTR was analyzed forthe presence of putative hexameric VDRE consensus sequence repeats,known to be involved in the transcriptional regulation of genesby 1,25(OH)2D3. VDRE have been reported to consist of two imperfectrepeats separated by a limited number of nucleotide pairs knownto contain the hexameric RRKNSA (R = A or G, K = G or T, S =C or G) consensus sequence (23,24). Figure 5 depicts four putativeVDRE that were detected within 1500 bp upstream of the mTRPV6ATG codon (black boxes).
Figure 5. Putative vitamin D-responsive elements (VDRE) in the mouse TRPV6 promoter region. Nucleotide sequence upstream of the start codon of the mouse TRPV6 gene (Genbank accession no. NT039341), which was probed for VDRE. Putative VDRE are indicated by black boxes.
Regulation of Renal TRPV6 Expression by 1,25(OH)2D3
The regulation of renal TRPV6 expression by 1,25(OH)2D3 wasinvestigated in mice. TRPV6 mRNA copy numbers, as determinedby real-time quantitative PCR analysis, were significantly increasedin 1,25(OH)2D3-treated animals relative to controls (Figure 6A).This increased mRNA expression was accompanied by a significantlyenhanced TRPV6 immunofluorescence in kidney cortex (Figure 6B)and medulla (Figure 6C), indicating that cortical and medullaryTRPV6 expression is positively regulated by 1,25(OH)2D3. Figure 6Dshows representative immunohistochemical staining for TRPV6,illustrating the upregulation of TRPV6 protein expression by1,25(OH)2D3 in kidney cortex. Furthermore, in concordance withpreviously reported data, TRPV5 mRNA and proteins levels weresignificantly increased by 1,25(OH)2D3 (Figure 6, E and F).
Figure 6. Regulation of TRPV6 expression by 1,25(OH)2D3 in mouse kidney. TRPV6 mRNA expression was quantified by real-time quantitative polymerase chain reaction (PCR) analysis (A). TRPV6 protein expression in kidney cortex (B) and medulla (C) as determined by immunohistochemistry. Representative immunohistochemical staining of kidney cortex showing the effect of 1,25(OH)2D3 on TRPV6 expression (D). TRPV5 mRNA (E) and protein (F) expression in kidney cortex. Protein expression is presented as integrated optical density (IOD). Data are presented as means ± SEM. * P < 0.05 versus controls.
Quantification of TRPV6 mRNA Expression in Kidney and Other Tissues
To study the expression of TRPV6 and TRPV5 in various mousetissues, including kidney, a mouse cDNA panel was constructed.Subsequently, TRPV6 and TRPV5 mRNA levels were quantified inthis panel by real-time PCR analysis and normalized for cDNAinput. Figure 7A demonstrates that TRPV6 mRNA was identifiedin various tissues and, in the order of decreasing expressionlevel, were detected: prostate > stomach, brain > lung> duodenum, cecum, heart, kidney, bone > colon > skeletalmuscle > pancreas. Likewise, TRPV5 was expressed in kidney> bone > stomach > duodenum, cecum > prostate, brain,liver > heart, pancreas, spleen (Figure 7B).
Figure 7. Quantification of tissue distribution of TRPV6 and TRPV5. TRPV6 (A) and TRPV5 (B) mRNA expression levels in a large set of mouse tissues were determined by real-time quantitative PCR analysis. Copy numbers were normalized for the cDNA concentration of the input. Data are presented as means ± SEM.
The present study demonstrated that the epithelial Ca2+ channelTRPV6 is expressed along the apical domain of DCT2 through IMCDin mouse kidney. Together with the extensive co-localizationwith the proteins known to be involved in renal active Ca2+transport, the positive regulation of TRPV6 by 1,25(OH)2D3 suggestsa role for TRPV6 in Ca2+ reabsorption. However, TRPV6 was alsoclearly detected in nephron segments and extrarenal tissuesnot known to accommodate active Ca2+ absorption. Therefore,additional physiologic functions for TRPV6 are feasible.
By detailed immunohistochemical analysis, the renal segmentaland subcellular localization of TRPV6 was elucidated; the resultsare summarized in Figure 8. In both renal cortex and medulla,TRPV6 expression was predominantly confined to the apical membrane.TRPV6 co-localized with TRPV5 and the calbindins in DCT2 andCNT. It was previously shown that the Na+/Ca2+exchanger(NCX1) and the plasma membrane Ca2+-ATPase (PMCA), constitutingthe basolateral Ca2+ extrusion machinery, are also confinedto these nephron segments (9,10). In addition, TRPV6 co-localizedwith AQP2 in the principal cells of CCD, OMCD, and IMCD. Interestingly,the intercalated cells in CNT and collecting duct also displayedapical TRPV6 expression. Thus, it was concluded that TRPV6 isconsistently present along the luminal membranes of DCT2 throughIMCD.
Figure 8. Renal distribution of TRPV6 in mouse kidney. Summary of the renal distribution of TRPV6 as determined by immunohistochemistry. DCT, distal convoluted tubule; CNT, connecting tubule; CCD, cortical collecting duct; OMCD, outer medullary collecting duct; IMCD, inner medullary collecting duct; PMCA, plasma membrane Ca2+-ATPase; NCX, Na+/Ca2+ exchanger; NCC, Na+-Cl- cotransporter; AQP2, aquaporin-2.
1,25(OH)2D3 is one of the most important regulators of Ca2+homeostasis, and vitamin D receptors are primarily expressedin kidney, small intestine, and bone (2528). The regulationof TRPV6 expression by 1,25(OH)2D3 was therefore investigatedin kidney. In mice exposed for 48 h to 1,25(OH)2D3, a modestbut significant upregulation of renal TRPV6 mRNA expressionwas observed, accompanied by a marked increase in tubular TRPV6protein abundance in both kidney cortex and medulla. These datademonstrated that 1,25(OH)2D3 stimulates renal TRPV6 transcriptionand suggested that additional translational regulation by 1,25(OH)2D3occurs. In general, the genomic mechanism of 1,25(OH)2D3 actionhas been shown to involve direct interaction of the activatedvitamin D receptor complex with regulatory domains in the promoterregion of genes, known as VDRE (23,24). Promoter sequence analysisdescribed in the present study identified several putative VDREupstream of the mTRPV6 start codon. The promoter sequences ofthe genes encoding the vitamin D-responsive Ca2+ transport proteinsTRPV5, calbindin-D9K and calbindin-D28K, were previously shownto contain several VDRE, and stimulation of the expression ofthese transporters in the kidney by 1,25(OH)2D3 has been repeatedlyconfirmed (11,12,29,30).
The predominantly apical localization of TRPV6, which has previouslybeen shown to constitute a highly Ca2+-selective ion channel,is in line with a role as apical Ca2+ entry mechanism in kidney(8). The co-localization of TRPV6 with the other key playersin active Ca2+ transport in DCT2 and CNT, the main sites ofactive Ca2+ reabsorption, in conjunction with the positive regulationby 1,25(OH)2D3 in kidney clearly supports our hypothesis thatTRPV6 could have functional importance in 1,25(OH)2D3regulatedtranscellular Ca2+ reabsorption (10). TRPV6 was originally clonedfrom duodenum and was recently localized to the brush bordermembrane of the small intestine, in which calbindin-D9K andPMCA are also known to be expressed (3,14,18). The regulationof TRPV6 expression by dietary Ca2+ and 1,25(OH)2D3 in duodenumand intestinal cell lines has further emphasized the involvementof this channel in dietary Ca2+ absorption (15,3033).Previously, an essential role was not attributed to TRPV6 inkidney, while TRPV5 was generally considered as the rate-limitingCa2+ entry step in renal transcellular Ca2+ reabsorption. Itis, however, tempting to speculate on the basis of the presentrenal localization data that TRPV6 could facilitate active Ca2+(re)- absorption in both kidney and intestine.
We recently demonstrated that the epithelial Ca2+ channels arepresent in the plasma membrane as functional tetrameric complexes(17). Moreover, TRPV5/TRPV6 heterotetramers were shown to formfunctional Ca2+ channels in mammalian and Xenopus laevis oocyteexpression systems. Depending on their exact subunit composition,these heterotetramers exhibited distinct electrophysiologiccharacteristics. The co-localization of TRPV6 and TRPV5 alongthe apical membrane of DCT2 and CNT, which was demonstratedin this study, suggests that these heterotetramers can potentiallybe formed in the kidney. Hypothetically, co-expression of bothepithelial Ca2+ channels may provide these Ca2+ transportingtubules with a pleiotropic set of heterotetrameric channelsto cover a broad range of Ca2+ transport kinetics.
Interestingly, TRPV6 expression was also detected in nephronsegments not generally implicated in active Ca2+ reabsorption.First, principal cells in cortical and medullary collectingducts, which are responsible for the fine-tuning of renal Na+excretion and are highly permeable to water in the presenceof vasopressin, displayed distinct apical TRPV6 expression.Second, intercalated cells, known to be involved in urinaryacidification, also expressed TRPV6. The absence of supportiveCa2+ transport proteins along the larger part of the CD, asconfirmed in this study by the lack of immunopositive stainingfor calbindins in OMCD and IMCD, precludes involvement of TRPV6in transcellular Ca2+ reabsorption in these tubules (10). Theconsistent predominant apical localization would, however, implythat TRPV6 has a functional role as apical Ca2+ entry channel.Hypothetically, TRPV6-mediated Ca2+ influx could affect transportprocesses in these cells, for instance as part of a hormonalsignaling cascade. Vasopressin was shown to induce Ca2+ influxacross the apical membrane of renal collecting duct cells, andalterations in intracellular Ca2+ levels are known to affectNa+ reabsorption in these tubules (3436). In addition,it has been suggested that the action of other hormones, includingatrial natriuretic peptide (ANP), parathyroid hormone (PTH),bradykinin, and prostaglandins on transport processes involveCa2+ signaling (3739). The tonicity of the pre-urineosmotically challenges tubular epithelial cells constantly,and the resulting cell volume regulation is facilitated by Ca2+signaling, which has been shown to encompass Ca2+ release fromintracellular stores followed by Ca2+ influx from the extracellularcompartment (40,41). The identity of the apical Ca2+ entry mechanismin the aforementioned processes has not been elucidated. Therefore,TRPV6 might be a potential candidate.
In this study, TRPV6 and TRPV5 expression levels were quantifiedin a large set of tissues. Our results showed that TRPV6 mRNAis expressed in nearly all tissues studied but that its expressionlevels vary greatly. A robust TRPV6 expression was detectedin prostate. Although the exact function in this organ remainsto be elucidated, previous reports have suggested that TRPV6expression correlates with prostate carcinoma tumor grade (42,43).In addition, TRPV6 was expressed at lower levels in both kidneyand duodenum. The functional relevance of TRPV6 in dietary Ca2+absorption has been previously illustrated. Therefore, the detectionof comparable expression levels in kidney further substantiatedthat renal TRPV6 expression is indeed quantitatively significant.Of note, substantial TRPV6 expression was detected in bone,an important reservoir of rapidly exchangeable Ca2+, suggestinga role in bone mineralization. Interestingly, TRPV6 mRNA wasalso abundantly expressed in stomach, which is not known asa site of Ca2+ absorption. This might point to an additionalrole for TRPV6 in the gastrointestinal tract, distinct fromtranscellular Ca2+ absorption. Furthermore, TRPV6 was detectedat significant levels in brain, lung, and heart, but the functionalrelevance in these tissues is not clearly envisaged. TRPV5 expressionlevels were remarkably high in kidney, but TRPV5 was detectedin various other tissues as well, including bone and intestine,albeit at considerably lower levels. Given the recent findingthat both epithelial Ca2+ channels can combine into heterotetramerswith novel functional properties, the variation in relativeexpression of TRPV6 and TRPV5 in the tissues studied might reflectdifferential regulation to fine-tune Ca2+ channel kinetics (17).Altogether, these data indicate that, in addition to facilitatingactive Ca2+ transport in duodenum and kidney, the epithelialCa2+ channels might also have additional functional roles inthe body.
In conclusion, the localization of TRPV6 to the apical domainof cells lining DCT2 to IMCD and the positive regulation by1,25(OH)2D3 substantiate the functional relevance of TRPV6 inkidney. The co-expression of TRPV6 and TRPV5 implies that apleiotropic set of heterotetrameric Ca2+ channels could facilitaterenal active Ca2+ reabsorption. However, the precise role ofTRPV6 in kidney remains to be established, particularly becausethis epithelial Ca2+ channel was also detected in nephron segmentsnot involved in Ca2+ reabsorption. Given the widespread distributionof TRPV6 throughout the body, additional functions for TRPV6are indeed conceivable, including a role in Ca2+ signaling.
Acknowledgments
The authors thank Dr. J. Loffing, University of Zürich,Switzerland, for kindly providing sections of perfused mousekidneys. This project was financially supported by the DutchKidney Foundation (C00.1881) and the Dutch Organization forScientific Research (Zon-Mw 016.006.001).
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Received for publication May 9, 2003.
Accepted for publication August 5, 2003.
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