Mutations in the gene encoding B1 subunit of H+-ATPase cause renal tubular acidosis with sensorineural deafness

F E Karet, K E Finberg, R D Nelson, A Nayir, H Mocan, S A Sanjad, J Rodriguez-Soriano, F Santos, C W Cremers, A Di Pietro, B I Hoffbrand, J Winiarski, A Bakkaloglu, S Ozen, R Dusunsel, P Goodyer, S A Hulton, D K Wu, A B Skvorak, C C MortonM J Cunningham, V Jha, R P Lifton

Research output: Contribution to journalArticlepeer-review

Abstract

H+-ATPases are ubiquitous in nature; V-ATPases pump protons against an electrochemical gradient, whereas F-ATPases reverse the process, synthesizing ATP. We demonstrate here that mutations in ATP6B1, encoding the B-subunit of the apical proton pump mediating distal nephron acid secretion, cause distal renal tubular acidosis, a condition characterized by impaired renal acid secretion resulting in metabolic acidosis. Patients with ATP6B1 mutations also have sensorineural hearing loss; consistent with this finding, we demonstrate expression of ATP6B1 in cochlea and endolymphatic sac. Our data, together with the known requirement for active proton secretion to maintain proper endolymph pH, implicate ATP6B1 in endolymph pH homeostasis and in normal auditory function. ATP6B1 is the first member of the H+-ATPase gene family in which mutations are shown to cause human disease.

Original languageEnglish
Pages (from-to)84-90
Number of pages7
JournalNature Genetics
Volume21
Issue number1
DOIs
Publication statusPublished - Jan 1999

Keywords

  • Acidosis, Renal Tubular
  • Base Sequence
  • Child, Preschool
  • Chromosomes, Human, Pair 2
  • Cochlea
  • Female
  • Genes, Recessive
  • Genetic Linkage
  • Hearing Loss, Sensorineural
  • Humans
  • Infant
  • Male
  • Molecular Sequence Data
  • Mutation
  • Pedigree
  • Proton-Translocating ATPases
  • Journal Article
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

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