Mutations in the tight-junction gene claudin 19 (CLDN19) are associated with renal magnesium wasting, renal failure, and severe ocular involvement |
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Authors: | Konrad Martin Schaller Andre Seelow Dominik Pandey Amit V Waldegger Siegfried Lesslauer Annegret Vitzthum Helga Suzuki Yoshiro Luk John M Becker Christian Schlingmann Karl P Schmid Marcel Rodriguez-Soriano Juan Ariceta Gema Cano Francisco Enriquez Ricardo Juppner Harald Bakkaloglu Sevcan A Hediger Matthias A Gallati Sabina Neuhauss Stephan C F Nurnberg Peter Weber Stefanie |
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Institution: | University Children's Hospital, Inselspital, Bern, Switzerland. martin.konrad@insel.ch |
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Abstract: | Claudins are major components of tight junctions and contribute to the epithelial-barrier function by restricting free diffusion of solutes through the paracellular pathway. We have mapped a new locus for recessive renal magnesium loss on chromosome 1p34.2 and have identified mutations in CLDN19, a member of the claudin multigene family, in patients affected by hypomagnesemia, renal failure, and severe ocular abnormalities. CLDN19 encodes the tight-junction protein claudin-19, and we demonstrate high expression of CLDN19 in renal tubules and the retina. The identified mutations interfere severely with either cell-membrane trafficking or the assembly of the claudin-19 protein. The identification of CLDN19 mutations in patients with chronic renal failure and severe visual impairment supports the fundamental role of claudin-19 for normal renal tubular function and undisturbed organization and development of the retina. |
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