title: Peeping into human renal calcium oxalate stone matrix: characterization of novel proteins involved in the intricate mechanism of urolithiasis.
abstract: BACKGROUND
  The increasing number of patients suffering from urolithiasis represents one of the major challenges which nephrologists face worldwide today. For enhancing therapeutic outcomes of this disease, the pathogenic basis for the formation of renal stones is the need of hour. Proteins are found as major component in human renal stone matrix and are considered to have a potential role in crystal-membrane interaction, crystal growth and stone formation but their role in urolithiasis still remains obscure.
  
  
  METHODS
  Proteins were isolated from the matrix of human CaOx containing kidney stones. Proteins having MW>3 kDa were subjected to anion exchange chromatography followed by molecular-sieve chromatography. The effect of these purified proteins was tested against CaOx nucleation and growth and on oxalate injured Madin-Darby Canine Kidney (MDCK) renal epithelial cells for their activity. Proteins were identified by Matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF MS) followed by database search with MASCOT server. In silico molecular interaction studies with CaOx crystals were also investigated.
  
  
  RESULTS
  Five proteins were identified from the matrix of calcium oxalate kidney stones by MALDI-TOF MS followed by database search with MASCOT server with the competence to control the stone formation process. Out of which two proteins were promoters, two were inhibitors and one protein had a dual activity of both inhibition and promotion towards CaOx nucleation and growth. Further molecular modelling calculations revealed the mode of interaction of these proteins with CaOx at the molecular level.
  
  
  CONCLUSIONS
  We identified and characterized Ethanolamine-phosphate cytidylyltransferase, Ras GTPase-activating-like protein, UDP-glucose:glycoprotein glucosyltransferase 2, RIMS-binding protein 3A, Macrophage-capping protein as novel proteins from the matrix of human calcium oxalate stone which play a critical role in kidney stone formation. Thus, these proteins having potential to modulate calcium oxalate crystallization will throw light on understanding and controlling urolithiasis in humans.
authors.affiliation: Department of Biotechnology and Bioinformatics, Jaypee University of Information Technology, Waknaghat, Solan, Himachal Pradesh, India.
authors.forename: Kanu Priya
authors.initials: KP
authors.lastname: Aggarwal
authors.forename: Simran
authors.initials: S
authors.lastname: Tandon
authors.forename: Pradeep Kumar
authors.initials: PK
authors.lastname: Naik
authors.forename: Shrawan Kumar
authors.initials: SK
authors.lastname: Singh
authors.forename: Chanderdeep
authors.initials: C
authors.lastname: Tandon
mesh_terms: D000818:Animals; D002129:Calcium Oxalate / Q000737:chemistry*; D002460:Cell Line; D002850:Chromatography, Gel; D002851:Chromatography, High Pressure Liquid; D003460:Crystallization; D004285:Dogs; D004591:Electrophoresis, Polyacrylamide Gel; D006801:Humans; D007669:Kidney Calculi / Q000737:chemistry*; D011506:Proteins / Q000737:chemistry* / Q000633:toxicity; D019032:Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization; D052878:Urolithiasis / Q000378:metabolism*
chemical_list: D011506:Proteins; D002129:Calcium Oxalate
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