PMID- 10073593 OWN - NLM STAT- MEDLINE DCOM- 19990511 LR - 20210518 IS - 1046-6673 (Print) IS - 1046-6673 (Linking) VI - 10 IP - 3 DP - 1999 Mar TI - Ganglioside GM2-activator protein and vesicular transport in collecting duct intercalated cells. PG - 435-43 AB - This study describes the molecular characterization of an antigen defined by an autoantibody from a woman with habitual abortion as GM2-activator protein. The patient showed no disorder of renal function. Accidentally with routine serum screening for autoantibodies, an immunoreactivity was found in kidney collecting duct intercalated cells. Three distinct patterns of immunostaining of intercalated cells were observed: staining of the apical pole, basolateral pole, and diffuse cytoplasmic labeling. Ultrastructurally, the immunoreactivity was associated with "studs," which represent the cytoplasmic domain of the vacuolar proton pump in intercalated cells. This pump is subjected to a shuttling mechanism from cytoplasmic stores to the cell membrane, which exclusively occurs in intercalated cells. Peptide sequences of a 23-kD protein purified from rat kidney cortex showed complete identity with corresponding sequences of GM2-activator protein. In the brain, GM2-activator protein is required for hexosaminidase A to split a sugar from ganglioside GM2. Because neither ganglioside GM2 nor GM1 (its precursor) is present in significant amounts in the kidney, the previous finding that this tissue contains the highest level of activator protein in the body was confusing. In this study, a novel role for GM2-activator protein in intercalated cells is proposed, and possible roles in the shuttling mechanism are discussed. FAU - Mundel, T M AU - Mundel TM AD - Department of Anatomy and Cell Biology, University of Heidelberg, Germany. FAU - Heid, H W AU - Heid HW FAU - Mahuran, D J AU - Mahuran DJ FAU - Kriz, W AU - Kriz W FAU - Mundel, P AU - Mundel P LA - eng GR - 10435/Canadian Institutes of Health Research/Canada PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Am Soc Nephrol JT - Journal of the American Society of Nephrology : JASN JID - 9013836 RN - 0 (Autoantibodies) RN - 0 (G(M2) Activator Protein) RN - 0 (Proteins) RN - 0 (Proton Pumps) RN - 19600-01-2 (G(M2) Ganglioside) SB - IM MH - Abortion, Habitual/immunology MH - Animals MH - Antigen-Antibody Reactions MH - Autoantibodies/analysis MH - Base Sequence MH - Biological Transport MH - Cell Membrane/ultrastructure MH - Cells, Cultured MH - Cytoplasm/ultrastructure MH - Female MH - G(M2) Activator Protein MH - G(M2) Ganglioside/genetics/isolation & purification/*metabolism MH - Humans MH - Immunohistochemistry MH - Kidney Tubules, Collecting/chemistry/cytology/*metabolism/*ultrastructure MH - Microscopy, Confocal MH - Microscopy, Fluorescence MH - Microscopy, Immunoelectron MH - Molecular Sequence Data MH - Polymerase Chain Reaction MH - Pregnancy MH - Protein Binding MH - Proteins/genetics/isolation & purification/*metabolism MH - Proton Pumps/ultrastructure MH - Rats MH - Rats, Sprague-Dawley MH - Reference Values MH - Sensitivity and Specificity EDAT- 1999/03/12 00:00 MHDA- 1999/03/12 00:01 CRDT- 1999/03/12 00:00 PHST- 1999/03/12 00:00 [pubmed] PHST- 1999/03/12 00:01 [medline] PHST- 1999/03/12 00:00 [entrez] AID - 10.1681/ASN.V103435 [doi] PST - ppublish SO - J Am Soc Nephrol. 1999 Mar;10(3):435-43. doi: 10.1681/ASN.V103435.