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Molecular Simulations Meet Personalized Medicine. The Mechanism of Action of ClC-5 Antiporter and the Origin of Dent’s Disease
Open accessPreprint — published as 10.1093/pnasnexus/pgaf353 · Paper page
Abstract
ClC-5 is a Cl−/H+ antiporter crucial for the homeostasis of the entire organism, and whose functional deficiencies cause pathologies such as Dent’s disease, a rare genetic disorder that can have lethal consequences. While the clinical aspects of the pathology are known, its molecular basis is elusive, which hampers the development of potential therapies. We present here a systematic study, where we explore the mechanism of transport of ClC-5, deciphering the choreography of structural changes required for the transport of chloride ions and protons in opposing directions. Once the mechanism is determined, we explore how the 523ΔVal deletion linked to Dent’s disease hampers the correct functioning of the transporter, despite having a very minor structural impact. Our study highlights how state-of-the-art simulation methods can provide information on the origin of rare diseases and serve as a tool in personalized medicine.
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Metadata
- Authors
- Macaluso, V., Pérez, C., Soliva, R., Westermaier, Y., Díaz, L., Wieczór, M., & Orozco, M.
- Affiliations
- Institute for Research in Biomedicine (ES)
- Gdańsk University of Technology (PL)
- Corresponding author
- Orozco, Modesto
- ORCID
- Venue
- PNAS Nexus
- Publisher
- openRxiv
- Published
- 2024-11-08
- Volume
- 4
- Issue
- 11
- Pages
- pgaf353-pgaf353
- ISSN
- 2752-6542 (ISSN-L)
- PMC
- PMC12624513
- OpenAlex
- W4415862285
- Cited by
- 1
- References
- 1
- Citations by year
- 2026: 1
- FWCI
- 0.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PNAS Nexus (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, cc-by)
- Funders
- European Regional Development Fund
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion Transport and Channel Regulation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion channel regulation and function
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Structure and Dynamics
- Keywords
- ClC-5, Dent's disease, ion transport mechanism, rare genetic disorders, personalized medicine, molecular simulation, chloride homeostasis
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