This report describes nephrotic syndrome (postulated), stomatin-related. Nephrocytes are cells in invertebrates that are functionally analogous to the podocytes and proximal tubules of the vertebrate kidney. In a screen for fly genes required for the function of nephrocytes, one of the genes of the stomatin family in Drosophila, Mec2, was identified. This gene family has multiple members in both human and fly; the human gene NPHS2 (or PDCN, podocin) is implicated in nephrotic syndrome, type 2 (MIM:600995; see FBhh0000552). For Dmel\Mec2, RNAi targeting constructs and alleles caused by insertional mutagenesis have been generated.
In the fly, nephrocytes act in a manner analogous to human podocytes: the fly nephrocyte diaphragm functions like the mammalian slit diaphragm to regulate filtration; the nephrocytes may also function in protein reabsorption [reviewed in FBrf0220711 and FBrf0235870; see also the human disease model report 'kidney disease (fly models overview)' FBhh0000738].
None of the human stomatin family genes has been introduced into flies.
Available insertional alleles of Dmel\Mec2 are viable and fertile. Using a driver specific for expression in pericardial nephrocytes, RNAi-effected knockdown of Mec2 blocks uptake of a protein marker into the nephrocytes, results in cellular abnormalities in the nephrocytes, and disrupts the nephrocyte diaphragms. Many physical interactions for Dmel\Mec2 have been described; see below and in the Mec2 gene report.
[updated Jun. 2017 by FlyBase; FBrf0222196]
The nephrotic syndrome is characterized clinically by proteinuria, hypoalbuminemia, hyperlipidemia, and edema. Kidney biopsies show nonspecific histologic changes such as minimal change, focal segmental glomerulosclerosis (FSGS), and diffuse mesangial proliferation. Approximately 20% of affected individuals have an inherited steroid-resistant form and progress to end-stage renal failure (summary by Fuchshuber et al., 1996, pubmed:8606597). [From MIM:256300, 2016.06.13]
Stomatins are integral membrane proteins believed to be involved in regulating monovalent cation transport through lipid membranes (InterPro, Stomatin family, http://www.ebi.ac.uk/interpro/entry/IPR001972); they may also play a structural role within folded membrane structures (Snyers et al, 1998; pubmed:9642292).
Moderate-scoring ortholog of human STOML3, STOM, and NPHS2 (multiple orthologs and paralogs in both species). Dmel\Mec2 shares 57-60% identity and 75-80% similarity with human STOM and STOML3; it shares 39% identity and 58% similarity with NPHS2.