KLHL3 Gene: Kelch-Like Family Member 3 – Pseudohypoaldosteronism Type II (PHA2D) and Blood Pressure Regulation

A comprehensive biomedical overview of KLHL3, its genomic context, protein function, associated diseases, expression patterns, and mutational landscape.

Gene Information Card

Symbol KLHL3
Full Name Kelch-like family member 3
Gene Type Protein coding
Chromosomal Location 5q31.2
NCBI Gene ID 26249 ncbi.nlm.nih.gov/gene/26249
Ensembl ID ENSG00000172572
UniProt ID Q9UH77
OMIM ID 605775
HGNC ID 6355
Aliases KIAA1387, kelch-like 3

Description

The KLHL3 gene encodes kelch-like family member 3, a substrate adaptor protein for Cullin3-based E3 ubiquitin ligase complexes. KLHL3 plays a critical role in the ubiquitination and degradation of WNK kinases (WNK1, WNK4), which are key regulators of sodium chloride cotransporter (NCC) in the distal nephron. Mutations in KLHL3 cause pseudohypoaldosteronism type II (PHA2D), an autosomal dominant or recessive form of familial hyperkalemic hypertension, characterized by hypertension, hyperkalemia, and metabolic acidosis. KLHL3 is also implicated in other cellular processes including cytoskeletal organization and cell signaling.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Pseudohypoaldosteronism type II (PHA2D) Loss-of-function mutations impair KLHL3-mediated ubiquitination of WNK kinases, leading to WNK accumulation and overactivation of NCC, causing increased sodium reabsorption and hypertension. OMIM: 605775; ClinVar; multiple publications (e.g., Boyden et al., 2012; Louis-Dit-Picard et al., 2012)
Hypertension (essential) Common variants in KLHL3 may contribute to blood pressure regulation, though specific mechanisms are less defined. GWAS studies (e.g., International Consortium for Blood Pressure Genome-Wide Association Studies)
Hyperkalemia (familial) Same mechanism as PHA2D, leading to impaired potassium excretion. OMIM: 605775

Expression Profile

Tissue Expression
Tissue nTPM level
Kidney High (approx. 20-30 nTPM) High expression in renal tubules, consistent with role in ion transport.
Liver Moderate (approx. 10-15 nTPM) Expression in hepatocytes, function unclear.
Brain Low to moderate (approx. 5-10 nTPM) Expression in various brain regions, potential role in neuronal signaling.
Heart Low (approx. 3-5 nTPM) Minimal expression, not a primary site.
Lung Low (approx. 2-4 nTPM) Low expression, no known specific function.
Cell Line Expression
Cell Line nTPM Notes
HEK 293 High (approx. 30 nTPM) Commonly used for functional studies of KLHL3.
HepG2 Moderate (approx. 15 nTPM) Liver carcinoma cell line, expresses KLHL3.
A549 Low (approx. 5 nTPM) Lung carcinoma cell line, low expression.
MCF7 Low (approx. 3 nTPM) Breast cancer cell line, low expression.
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1582C>T (p.Arg528Cys) Missense Rare (found in PHA2D families) Loss-of-function: disrupts KLHL3 binding to Cullin3, impairing ubiquitination of WNK kinases.
c.1661G>A (p.Arg554His) Missense Rare (found in PHA2D families) Loss-of-function: affects substrate recognition, leading to WNK accumulation.
c.1444C>T (p.Arg482Trp) Missense Rare (found in PHA2D families) Loss-of-function: disrupts Kelch domain, impairing substrate binding.
c.1183C>T (p.Arg395Cys) Missense Rare (found in PHA2D families) Loss-of-function: affects protein stability or interaction.
c.1666C>T (p.Arg556Cys) Missense Rare (found in PHA2D families) Loss-of-function: similar to other Arg mutations in Kelch domain.
Mutation functional classification

Loss of Function (LOF)

Most KLHL3 mutations causing PHA2D are loss-of-function, impairing the ability of KLHL3 to ubiquitinate WNK kinases, leading to WNK accumulation and overactivation of NCC.

Gain of Function (GOF)

No gain-of-function mutations have been reported for KLHL3 in disease context.

Dominant Negative (DN)

Some missense mutations may act in a dominant-negative manner, as PHA2D can be inherited in an autosomal dominant pattern. Mutant KLHL3 may interfere with wild-type function in the Cullin3 complex.

Gene Ontology (GO)

• Ubiquitin-protein transferase activity • Protein binding
• Cytoskeleton organization • Regulation of blood pressure
• Protein ubiquitination • Ion transport
• Cellular response to stress

Pathways

• WNK signaling pathway
• Regulation of sodium chloride cotransporter (NCC)
• Ubiquitin-proteasome pathway
• Cullin-RING E3 ligase pathway

Protein Summary

KLHL3 is a 587-amino acid protein containing an N-terminal BTB/POZ domain, a central BACK domain, and six C-terminal Kelch repeats. It functions as a substrate adaptor for Cullin3-based E3 ubiquitin ligase complexes, targeting WNK kinases (WNK1, WNK4) for ubiquitination and degradation. This regulation is essential for controlling the activity of the sodium chloride cotransporter (NCC) in the distal nephron. Mutations in KLHL3 disrupt this process, leading to pseudohypoaldosteronism type II (PHA2D). The protein is also involved in cytoskeletal organization and may have other substrates.

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