Published online Nov 20, 2015. doi: 10.5493/wjem.v5.i4.200
Peer-review started: May 30, 2015
First decision: July 3, 2015
Revised: July 21, 2015
Accepted: September 10, 2015
Article in press: September 16, 2015
Published online: November 20, 2015
Processing time: 179 Days and 13.9 Hours
Polycystins are key mechanosensor proteins able to respond to mechanical forces of external or internal origin. They are widely expressed in primary cilium and plasma membrane of several cell types including kidney, vascular endothelial and smooth muscle cells, osteoblasts and cardiac myocytes modulating their physiology. Interaction of polycystins with diverse ion channels, cell-cell and cell-extracellular matrix junctional proteins implicates them in the regulation of cell structure, mechanical force transmission and mechanotransduction. Their intracellular localization in endoplasmic reticulum further regulates subcellular trafficking and calcium homeostasis, finely-tuning overall cellular mechanosensitivity. Aberrant expression or genetic alterations of polycystins lead to severe structural and mechanosensing abnormalities including cyst formation, deregulated flow sensing, aneurysms, defective bone development and cancer progression, highlighting their vital role in human physiology.
Core tip: Polycystins are key regulators of mechanosensation in several cell types including kidney, vascular endothelial and smooth muscle cells, osteoblasts and cardiac myocytes. Their expression in primary cilium, plasma membrane and endoplasmic reticulum, along with their ability to interact with diverse ion channels, cell-cell and cell-extracellular matrix junctional proteins renders polycystins as essential regulators of overall cellular mechanoresponse. Abnormal expression or genetic defects of polycystins result in severe structural and mechanosensing faults including cyst formation, deregulated flow sensing, aneurysms, defective bone development and cancer progression, highlighting their crucial role in human physiology.