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Publication : Genomic integration of ERRγ-HNF1β regulates renal bioenergetics and prevents chronic kidney disease.

First Author  Zhao J Year  2018
Journal  Proc Natl Acad Sci U S A Volume  115
Issue  21 Pages  E4910-E4919
PubMed ID  29735694 Mgi Jnum  J:262497
Mgi Id  MGI:6159210 Doi  10.1073/pnas.1804965115
Citation  Zhao J, et al. (2018) Genomic integration of ERRgamma-HNF1beta regulates renal bioenergetics and prevents chronic kidney disease. Proc Natl Acad Sci U S A 115(21):E4910-E4919
abstractText  Mitochondrial dysfunction is increasingly recognized as a critical determinant of both hereditary and acquired kidney diseases. However, it remains poorly understood how mitochondrial metabolism is regulated to support normal kidney function and how its dysregulation contributes to kidney disease. Here, we show that the nuclear receptor estrogen-related receptor gamma (ERRgamma) and hepatocyte nuclear factor 1 beta (HNF1beta) link renal mitochondrial and reabsorptive functions through coordinated epigenomic programs. ERRgamma directly regulates mitochondrial metabolism but cooperatively controls renal reabsorption via convergent binding with HNF1beta. Deletion of ERRgamma in renal epithelial cells (RECs), in which it is highly and specifically expressed, results in severe renal energetic and reabsorptive dysfunction and progressive renal failure that recapitulates phenotypes of animals and patients with HNF1beta loss-of-function gene mutations. Moreover, ERRgamma expression positively correlates with renal function and is decreased in patients with chronic kidney disease (CKD). REC-ERRgamma KO mice share highly overlapping renal transcriptional signatures with human patients with CKD. Together these findings reveal a role for ERRgamma in directing independent and HNF1beta-integrated programs for energy production and use essential for normal renal function and the prevention of kidney disease.
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