Preprint Review Version 1 This version is not peer-reviewed

A Focus on the Metabolic Dysfunction of Proximal Tubule Cells in Dent Disease Type 1

Version 1 : Received: 31 July 2024 / Approved: 1 August 2024 / Online: 1 August 2024 (12:02:03 CEST)

How to cite: de Combiens, E.; Sakhi, I. B.; Lourdel, S. A Focus on the Metabolic Dysfunction of Proximal Tubule Cells in Dent Disease Type 1. Preprints 2024, 2024080048. https://doi.org/10.20944/preprints202408.0048.v1 de Combiens, E.; Sakhi, I. B.; Lourdel, S. A Focus on the Metabolic Dysfunction of Proximal Tubule Cells in Dent Disease Type 1. Preprints 2024, 2024080048. https://doi.org/10.20944/preprints202408.0048.v1

Abstract

Dent disease type 1 is a rare inherited renal disorder affecting mainly young males, generally leading to end-stage renal failure and for which there is no cure. It is caused by inactivating mutations in the gene encoding ClC-5, a 2Cl-/H+ exchanger found on endosomes in the renal proximal tubule. This transporter participates in reabsorbing all filtered plasma proteins which justifies why proteinuria is commonly observed when ClC-5 is defective. In the context of Dent disease type 1, a proximal tubule dedifferentiation was shown to be accompanied by a dysfunctional cell metabolism. However, the exact mechanisms linking such alterations to chronic kidney disease are still unclear. In this review, we gather knowledge from several Dent disease type 1 models to summarize the current hypotheses generated to understand the progression of this disorder. We also highlight some urinary biomarkers for Dent disease type 1 suggested in different studies.

Keywords

Dent disease type 1; proximal tubule; metabolism; chronic kidney disease

Subject

Medicine and Pharmacology, Anatomy and Physiology

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