Deletion of the ubiquitin ligase Nedd4L in lung epithelia causes cystic fibrosis-like disease

Proc Natl Acad Sci U S A. 2011 Feb 22;108(8):3216-21. doi: 10.1073/pnas.1010334108. Epub 2011 Feb 7.

Abstract

Cystic fibrosis is caused by impaired ion transport due to mutated cystic fibrosis transmembrane conductance regulator, accompanied by elevated activity of the amiloride-sensitive epithelial Na(+) channel (ENaC). Here we show that knockout of the ubiquitin ligase Nedd4L (Nedd4-2) specifically in lung epithelia (surfactant protein C-expressing type II and Clara cells) causes cystic fibrosis-like lung disease, with airway mucus obstruction, goblet cell hyperplasia, massive inflammation, fibrosis, and death by three weeks of age. These effects of Nedd4L loss are likely caused by enhanced ENaC function, as reflected by increased ENaC protein levels, increased lung dryness at birth, amiloride-sensitive dehydration of lung explants, and elevated ENaC currents in primary alveolar type II cells analyzed by patch clamp recordings. Moreover, the lung defects were rescued with administration of amiloride into the lungs of young knockout pups via nasal instillation. Our results therefore suggest that the ubiquitin ligase Nedd4L can suppress the onset of cystic fibrosis symptoms by inhibiting ENaC in lung epithelia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amiloride / pharmacology
  • Animals
  • Animals, Newborn
  • Cystic Fibrosis / etiology*
  • Cystic Fibrosis / pathology
  • Endosomal Sorting Complexes Required for Transport / genetics*
  • Epithelial Sodium Channel Blockers
  • Epithelial Sodium Channels / analysis
  • Epithelium / enzymology*
  • Gene Deletion*
  • Lung / cytology*
  • Mice
  • Nedd4 Ubiquitin Protein Ligases
  • Patch-Clamp Techniques
  • Ubiquitin-Protein Ligases / genetics*

Substances

  • Endosomal Sorting Complexes Required for Transport
  • Epithelial Sodium Channel Blockers
  • Epithelial Sodium Channels
  • Amiloride
  • Nedd4 Ubiquitin Protein Ligases
  • Nedd4l protein, mouse
  • Ubiquitin-Protein Ligases