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First published online April 20, 2007
Journal of Experimental Biology 210, 1622-1631 (2007)
Published by The Company of Biologists 2007
doi: 10.1242/jeb.000125
Review Article |
Revisiting the Krogh Principle in the post-genome era: Caenorhabditis elegans as a model system for integrative physiology research
Departments of Anesthesiology, Molecular Physiology and Biophysics, and Pharmacology, Vanderbilt University Medical Center, Nashville, TN 37232, USA
e-mail: kevin.strange{at}vanderbilt.edu
Accepted 12 December 2006
| Summary |
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The physiologist and Nobel laureate August Krogh believed that there is an ideal organism in which almost every physiological problem could be studied most readily (the `Krogh Principle'). If an investigator's goal were to define a physiological process from the level of genes to the whole animal, the optimal model organism for him/her to utilize would be one that is genetically and molecularly tractable. In other words, an organism in which forward and reverse genetic analyses could be carried out readily, rapidly and economically. Non-mammalian model organisms such as Escherichia coli, Saccharomyces, Caenorhabditis elegans, Drosophila, zebrafish and the plant Arabidopsis are cornerstones of systems biology research.
The nematode C. elegans provides a particularly striking example of the experimental utility of non-mammalian model organisms. The aim of this paper is to illustrate how genetic, functional genomic, molecular and physiological methods can be combined in C. elegans to develop a systems biological understanding of fundamental physiological processes common to all animals. I present examples of the experimental tools available for the study of C. elegans and discuss how we have used them to gain new insights into osmotic stress signaling in animal cells.
Key words: C. elegans, Krogh Principle, genomics, osmotic stress
| Introduction |
|---|
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|---|
The post-genome sequencing era can rightfully be thought of as the era of
integrative biology or, to use the more current catchphrase, systems biology
(Ideker et al., 2001
;
Kitano, 2002a
;
Kitano, 2002b
;
Pennisi, 2003
).
Integrative/systems biology seeks to understand and predict the behavior or
`emergent' properties of complex, multi-component biological processes. An
integrative/systems level molecular characterization of a biological process
addresses three main questions. (1) What are the parts of the system (i.e. the
genes and the proteins they encode)? (2) How do the parts work? (3) And most
importantly, how do the parts work together to accomplish a task?
| The Krogh Principle |
|---|
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|---|
Krogh's seminal contributions to physiology reflect his intuition for
choosing important problems and for developing the right tools and
experimental strategies to address those problems. His scientific intuition is
also reflected in his choice of the right experimental model. In this regard,
Krogh was very much a comparative physiologist and is famous for stating that,
"for many problems there is an animal in which it can be most
conveniently studied", a statement that has subsequently become
known as the Krogh Principle (Krebs,
1975
; Krogh,
1929
).
| Integrative physiology and genetic model organisms |
|---|
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Genetically tractable, non-mammalian model organisms such as
Escherichia coli, Saccharomyces, Caenorhabditis elegans, Drosophila,
zebrafish and the plant Arabidopsis are cornerstones of modern
biomedical research. In the post-genome era, these organisms have been likened
to the Rosetta Stone (Ideker et al.,
2001
), which provided modern scholars the tools needed to decipher
Egyptian hieroglyphics. Similarly, genetic model organisms provide powerful
tools that allow genome sequence to be deciphered. For the integrative
physiologist then, a genetically tractable model organism would be an
essential component of any research effort aimed at developing a genetic
understanding of a physiological process.
My own research interests are focused broadly on the integrative physiology of ion and water homeostasis, particularly osmosensitive ion channels, epithelial transport and signaling mechanisms, and the cellular osmotic stress response, and I have studied these problems in a variety of models including intertidal bivalves, saltwater mosquito larvae, mammalian kidney tubules and cells in the mammalian central nervous system including astrocytes, neurons and choroid plexus cells. In late 1998, I had grown terminally frustrated over our inability to develop an integrated molecular understanding of these problems and began searching for new experimental models. The Krogh Principle dictated that we utilize a genetically tractable organism for our studies. As an animal physiologist, the organism that interested me most was the nematode C. elegans. Hermaphrodite genetics were certainly easier to understand and utilize experimentally. In addition, the animal's relative `simplicity' was appealing. C. elegans is complex enough to be interesting, but its simple body plan and limited cell number make it experimentally more tractable than fruit flies and fish. The laboratory culture of worms is also very straightforward and was something that we could set up quickly with a minimum of cost.
In the following sections, I provide a brief summary of C. elegans biology and discuss its experimental attributes. The last section is a brief overview of our recent work and a description of how we have exploited the worm to address a physiological problem of broad relevance to all animals.
| C. elegans biology |
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Adult C. elegans are predominantly hermaphroditic with males making up approximately 0.1% of wild-type populations. Self-fertilized hermaphrodites produce about 300 offspring whereas male-fertilized hermaphrodites can produce over 1000 progeny. Postembryonic development occurs in four larval stages (L1L4) and adult worms survive about 23 weeks under optimal laboratory conditions.
When food supply is limited, dauer larvae form after the second larval
molt. Dauer larvae do not feed and have structural, metabolic and behavioral
adaptations that increase life span up to 10 times and aid in the dispersal of
the animal to new habitats. Once food becomes available, dauer larvae feed and
continue development to the adult stage
(Riddle and Albert, 1997
).
Laboratory culture
Culture of C. elegans in the laboratory is simple and relatively
inexpensive (Lewis and Fleming,
1995
). Animals are typically grown in Petri dishes on agar seeded
with a lawn of E. coli as a food source. C. elegans can also
be grown in mass quantities using liquid culture strategies and fermentor-like
devices. Worm stocks are stored frozen in liquid nitrogen indefinitely with
good viability, which greatly simplifies culture strategies and reduces costs
associated with handling and maintaining wild type and mutant worm
strains.
Anatomy
Like all nematodes, C. elegans has an unsegmented, cylindrical
body that tapers at both ends. The body wall consists of a tough collagenous
cuticle underlain by hypodermis, muscles and nerves. A fluid-filled body
cavity or pseudocoel separates the body wall from internal organs. Body shape
is maintained by hydrostatic pressure in the pseudocoel.
Newly hatched L1 larvae have 558 cells. Additional divisions of somatic
blast cells occur during the four larval stages eventually giving rise to 959
somatic cells in mature adult hermaphrodites and 1031 in adult males. The
lineage of somatic cells in C. elegans is largely invariant. This
invariance, combined with the ability to visualize by differential
interference contrast microscopy cell division and development in living
embryos, larvae and adult animals, has made it possible to describe the fate
map or cell lineage of the worm (Sulston
et al., 1983
; Sulston and
Horvitz, 1977
).
Despite the small cell number, C. elegans exhibits a striking degree of differentiation. Many physiological functions found in mammals have nematode analogs. This high degree of complexity and small total cell number provides a remarkably tractable experimental system for studies of differentiation, cell biology and cell physiology. A detailed description of worm anatomy can be found online at the Center for C. elegans Anatomy (http://www.aecom.yu.edu/wormem/).
C. elegans has a well developed musculature and nervous system and has proved to be an invaluable model system for the study of excitable cell physiology. The worm possesses both striated and non-striated muscles. Striated body wall muscles are the most numerous muscle cell type and are responsible for locomotion. Non-striated muscles are associated with the pharynx, intestine, anus and gonad, and mediate pharyngeal pumping, defecation, ovulation and fertilization, and egg laying.
The nervous system of adult hermaphrodites contains 302 neurons and 56
glial and support cells. Males have 381 neurons and 92 glial and support
cells. White et al. (White et al.,
1986
) have reconstructed and mapped the connectivity of the entire
hermaphrodite nervous system using serial electron microscopy. Most of the
differences between the male and hermaphrodite nervous system are found in the
male tail, which plays an important role in mating. An important feature of
the C. elegans nervous system is that only three neurons, which
control pharyngeal pumping required for feeding and fluid excretion by the
excretory cell, are essential for survival under laboratory conditions. The
nonessential nature of most neurons for viability provides an enormous
advantage for mutagenesis studies of nervous system function.
The worm `kidney' consists of three cell types, the excretory cell, the
duct cell and the pore cell (Nelson et
al., 1983
). Destruction of any of these cells by laser ablation
causes the animal to swell with fluid and die
(Nelson and Riddle, 1984
). The
excretory cell is a large, H-shaped cell that sends out processes both
anteriorly and posteriorly from the cell body. A fluid-filled excretory canal
is surrounded by the cell cytoplasm. The basal pole of the cell faces the
pseudocoel while the apical membrane faces the excretory canal lumen. Gap
junctions connect the excretory cell to the hypodermis, an epithelium that
lies just below the cuticle. An excretory duct connects the excretory canal to
the outside surface of the worm and is formed by the duct and pore cells.
The digestive tract of C. elegans consists of a pharynx, intestine
and rectum. C. elegans is a filter feeder and the pharynx is a
muscular organ that pumps food into the pharyngeal lumen, grinds it up and
then moves it into the intestine. The pharynx is formed from muscle cells,
neurons, epithelial cells and gland cells
(Albertson and Thomson, 1976
).
Twenty epithelial cells with extensive apical microvilli form the main body of
the intestine (Leung et al.,
1999
). Intestinal epithelial cells secrete digestive enzymes and
absorb nutrients.
As noted above, sexual reproduction in C. elegans occurs by self-fertilization of hermaphrodites or fertilization of hermaphrodites by males. The gonad of adult hermaphrodites consists of two identical U-shaped tubes connected via spermatheca to a common uterus. Sperm are formed during the fourth larval stage and stored in the spermatheca. In adults, germ cells develop into oocytes and are ovulated into the spermatheca for fertilization. The male gonad consists of the testis, seminal vesicle and vas deferens.
Forward genetic screening
The development of C. elegans as an experimental system was driven
largely by the relative ease of performing forward genetic screens for
identification of the complement of genes responsible for observable
phenotypes. The utility and power of genetic screening depends on the ability
to assay a phenotype of interest. For a detailed discussion of screening
assays in C. elegans, the reader is referred to a recent review
(Jorgensen and Mango, 2002
) as
well as several chapters in WormBook
(http://www.wormbook.org),
an online review of C. elegans biology.
Once a screening assay is developed, animals are mutagenized, typically by the alkylating agent ethyl methane-sulphonate (EMS). Mutant animals are then isolated and the mutated gene identified by mapping, rescue and cloning strategies. The reproductive characteristics of C. elegans greatly facilitate the isolation and maintenance of mutant strains. Self-fertilization in hermaphrodites allows homozygous animals to breed true and is especially useful if mutant worms are paralyzed or uncoordinated since reproduction does not require movement in order to find and mate with a male. Mating with males, however, is essential for moving mutations between strains.
Mutant animals can be further mutagenized to suppress or enhance the original phenotype. Suppressor or enhancer mutations may reside in genes distinct from the one mutated in the original screen. These extragenic mutations imply that the suppressor and enhancer genes interact with the first mutated gene. Genetic interactions indicate that gene products function in a common process.
Reverse genetics
One of the truly extraordinary experimental advantages of C.
elegans is the relative ease by which gene expression can be silenced or
knocked down using double stranded RNA (dsRNA)-mediated gene interference
(RNAi) (Sen and Blau, 2006
).
RNAi is induced in worms by injecting them with dsRNA
(Fire et al., 1998
), by
soaking them in dsRNA solutions (Tabara et
al., 1998
) or by feeding them bacteria producing dsRNA
(Kamath et al., 2000
;
Timmons et al., 2001
;
Timmons and Fire, 1998
). When
worms are fed dsRNA-producing bacteria or soaked in dsRNA solutions, the dsRNA
is absorbed across the intestinal epithelium and then spreads systemically to
the animal's somatic cells and germline. In cultured C. elegans
cells, RNAi is triggered simply by adding dsRNA to the culture medium
(Christensen et al.,
2002
).
Kamath et al. generated a reusable RNAi library (available from Geneservice
Ltd, Cambridge, UK) consisting of
16 000 bacterial strains, each of which
expresses a unique dsRNA (Kamath et al.,
2003
). A second RNAi library generated by Vidal and coworkers
[(Rual et al., 2004
);
available from Open Biosystems, Huntsville, AL, USA] contains
11 800
dsRNA-producing bacterial strains. Together, these two libraries provide RNAi
bacterial clones to
90% of the genes in the worm genome. A number of
genome-wide RNAi screens have been carried out in C. elegans and have
successfully identified genes involved in fundamental biological processes
including fat metabolism (Ashrafi et al.,
2003
), ageing (Lee et al.,
2003
; Murphy et al.,
2003
), early embryonic development
(Zipperlen et al., 2001
),
osmotic stress resistance (Lamitina and
Strange, 2004
; Lamitina et
al., 2006
) and prevention of protein aggregation
(Nollen et al., 2004
).
Gene knockout or inactivation is another important reverse genetic
strategy. Targeted gene knockout by homologous recombination using
microparticle bombardment methods
(Berezikov et al., 2004
) or DNA
microinjection into meiotic oocyte nuclei
(Broverman et al., 1993
) has
been reported in C. elegans, but has not been widely used as an
experimental tool. Instead, the relative ease of culturing C. elegans
in large numbers and the ability to store worms frozen has led to the
development of so-called `target-selected gene inactivation methods'. This
approach involves inducing random deletion mutations in a population of worms
using either chemical mutagens or transposons (e.g.
Jansen et al., 1997
;
Williams et al., 2005
).
Several large-scale efforts to produce strains possessing deletion mutations
in all identified worm genes are underway (e.g.
http://elegans.bcgsc.bc.ca/knockout.shtml;
http://shigen.lab.nig.ac.jp/c.elegans/index.jsp;
http://elegans.imbb.forth.gr/nemagenetag/).
Once strains are created, they are made freely available to the research
community.
Creation of transgenic worms
DNA transformation in C. elegans is relatively straightforward
(Fire, 1986
;
Mello et al., 1991
;
Stinchcomb et al., 1985
).
Briefly, transforming DNA is microinjected into the distal end of the
hermaphrodite gonad. Heritable DNA transformation occurs by extrachromosomal
transformation, nonhomologous integration or homologous integration.
Spontaneous homologous integration is extremely rare. Formation of multicopy
extrachromosomal arrays is the most frequent way in which transforming DNA is
inherited. Transformation by extrachromosomal arrays is often transient.
Integration of transgenes and generation of stable transgenic lines is
commonly carried out by gamma irradiation of transformed worms
(Mello and Fire, 1995
).
Microparticle bombardment can also be used to create integrated transgenic
lines in C. elegans with a frequency of 935% relative to the
number of bombardments performed (Praitis
et al., 2001
).
Tools for cell physiology
C. elegans is exceptionally well-suited for quantitative, in
vivo microscopy (Hall et al.,
2006
). The embryo eggshell and cuticle of larvae and adults are
transparent, making it possible to observe and quantitate cell biological
events and physiological processes, including Ca2+ signaling
(Schafer, 2005
) and
intracellular pH regulation (Nehrke,
2003
), using brightfield and fluorescence microscopy. Electron
microscopy methods for C. elegans are well developed
(Hall et al., 2006
).
A powerful way to assess the physiological role of a specific nematode cell
type is to destroy the cell and characterize the effect on developmental
events and whole animal phenotype. Laser ablation or microsurgery has been
used extensively to identify cell function and cellcell developmental
interactions in C. elegans
(Bargmann and Avery, 1995
). It
is also possible to genetically target cells for killing using transgenic
methods (e.g. Harbinder et al.,
1997
; Maricq et al.,
1995
).
In vivo electrophysiology in C. elegans is technically
demanding due to the small size of the animal. However, several elegant
experimental strategies have been developed that allow in vivo patch
clamp studies of neurons and muscle cells (e.g.
Brockie et al., 2001
;
Goodman et al., 1998
;
Lockery and Goodman, 1998
;
Richmond et al., 1999
;
Richmond and Jorgensen,
1999
).
The C. elegans pharynx has been utilized as a model system for
identifying the genetic basis of ion channel and excitable cell function.
Pharynx action potentials have been characterized using extracellular
recording techniques (Raizen and Avery,
1994
) and an isolated pharynx preparation that allows impalements
with glass microelectrodes (e.g. Davis et
al., 1999
; Franks et al.,
2002
). Isolated preparations of developing embryo cells
(Christensen and Strange,
2001
) and oocytes (Rutledge et
al., 2001
) have also been used study ion channel activity and
regulation.
Until recently, the culture of differentiated C. elegans cells was
thought to be technically infeasible. However, methods that allow the robust,
large-scale culture of C. elegans embryonic cells have now been
described (Christensen et al.,
2002
). Isolated embryonic cells differentiate within 24 h into the
various cell types that form the newly hatched L1 larva. Cultured somatic
cells have been particularly useful for electrophysiological studies of ion
channel function (e.g. Christensen et al.,
2002
; Estevez et al.,
2003
; Yuan et al.,
2003
). Fluorescence-activated and magnetic-activated cell sorting
can be used to enrich cell types of interest, in turn allowing cell-specific
biochemical, molecular, DNA microarray and proteomic studies (e.g.
Cinar et al., 2005
;
Colosimo et al., 2004
;
Fox et al., 2005
).
Functional genomics
Developing a molecular level understanding of a physiological process
requires identification of the genes, and the proteins they encode (i.e. the
`parts'), that work together to give rise to that process. Functional
genomics, which utilizes large-scale and high-throughput methodologies to
define and analyze gene function at a global level
(Segal and Kim, 2003
;
Yanai, 2003
), is therefore an
important component of molecular integrative/systems biology research.
Numerous functional genomics studies including genome-wide microarray (e.g.
Shen et al., 2005
;
Viswanathan et al., 2005
) and
RNAi screens (discussed above) have been carried out in C. elegans.
In addition, a genome-wide proteinprotein interaction map is being
developed for the worm (Li et al.,
2004
). Integration of these large-scale datasets with functional
studies can provide important and novel insights into physiological processes
(e.g. Boulton et al., 2002
;
Walhout et al., 2002
;
Gunsalus et al., 2005
;
Zhong and Sternberg,
2006
).
Reagents and online resources
The `worm community' is well known for its open sharing of data and
reagents. Numerous reagents including cosmid, YAC and EST clones are freely
available from public resources. Literally thousands of mutant and transgenic
worm strains are maintained and available at the Caenorhabditis
Genetics Center
(http://www.cbs.umn.edu/CGC/).
In addition, an extraordinary wealth of data on C. elegans is
available online. Indeed, the worm community was an early pioneer in the use
of the Internet for electronic data sharing. WormBase
(http://www.wormbase.org/)
is a particularly noteworthy database. It provides an exhaustive catalog of
worm biology including identification of all known and predicted worm genes.
Gene descriptions include genome location, mutant and RNAi phenotypes,
expression patterns, microarray data, gene ontology, mutant alleles and BLAST
matches (Schwarz et al.,
2006
). WormBook
(http://www.wormbook.org/)
is an extensive online collection of chapters describing C. elegans
biology and methodology.
| Using C. elegans as a model system for integrative physiology research |
|---|
|
|
|---|
Fig. 1 is a cartoon showing
the response of animal cells to hypertonic stress. Exposure of animal cells to
hypertonic media causes rapid water loss and cell shrinkage. Most cells
respond to shrinkage by activation of regulatory volume increase (RVI) salt
uptake mediated by Na+/K+/2Cl
cotransporters or Na+/H+ and Cl/HCO
3 exchange mechanisms. Osmotically obliged water
follows salt uptake and cell volume returns to its original value
(Lang et al., 1998
).
|
While the effector mechanisms that mediate RVI and organic osmolyte
accumulation in animal cells are well described, little is known about the
molecular basis of the signals and signaling mechanisms that activate these
pathways (Fig. 2). C.
elegans seemed to be an ideal model system in which to define how animal
cells detect osmotic stress. As noted earlier, worms inhabit decaying
vegetable matter such as forest floor leaf litter. Soil environments are
osmotically unstable and worms are exposed to constant osmotic challenges. In
the laboratory, C. elegans readily survives and adapts to growth
media made hypertonic by addition of up to 500 mmol l1 NaCl
(Lamitina et al., 2004
). Worms
lose water rapidly and shrink during hypertonic stress, but then regain their
original volume within a few tens of minutes. Over a period of several hours,
worms accumulate the organic osmolyte glycerol. Glycerol accumulation is
mediated by de novo synthesis. Glycerol 3-phosphate dehydrogenase (GPDH)
catalyzes the rate-limiting step in glycerol synthesis. Two genes,
gpdh-1 and gpdh-2, encode this enzyme in C.
elegans. Northern analyses demonstrated that gpdh-1 is
transcriptionally upregulated in response to hypertonic stress. Extensive
genome-wide microarray studies (T. Lamitina and K.S., unpublished
observations), revealed that gpdh-1 shows a sustained and strong
transcriptional upregulation while gpdh-2 shows a weak, transient
increase in expression levels.
|
|
The striking onoff behavior of the gpdh-1 GFP reporter
provided an ideal assay for forward and reverse genetic screens. To begin
identifying signals and signaling mechanisms that regulate osmoprotective gene
expression, we performed a genome-wide RNAi feeding screen using a
commercially available RNAi feeding library that contained individual E.
coli clones engineered to produce double stranded RNA homologous to
16 000 C. elegans genes. Worms were fed single E. coli
clones for 3 days and then visually scored for constitutive activation of the
gpdh-1 GFP reporter. This initial screen identified 106 genes whose
knockdown induced gpdh-1 expression in the absence of hypertonic
stress. These genes are termed regulators of
glycerol-3-phosphate-dehydrogenase (rgpd) expression
(Lamitina et al., 2006
).
|
rgpd gene functions fell into six defined cellular processes as
well as a group of genes with unassigned functions
(Fig. 3). Interestingly, the
majority (44% or 54/122) of rgpd genes fell into a category defined
as protein homeostasis. These genes encode proteins required for RNA
processing, protein synthesis, protein folding and protein degradation.
Protein homeostasis genes function to maintain levels of properly folded and
functioning cellular proteins. Inhibition of these genes is expected to
increase the levels of damaged cellular proteins. Recent studies
(Nollen et al., 2004
) support
this idea. Wild-type GFP expressed in C. elegans muscle cells is
distributed uniformly in the cytoplasm. However, modified GFPs containing
repeats of glutamine undergo age-dependent aggregation
(Morley et al., 2002
).
Genome-wide RNAi screening identified 187 genes that function to slow
ageing-induced protein aggregation (Nollen
et al., 2004
). We found that 34 of the 122 rgpd genes
overlapped with this 187-gene dataset. This is a 24-fold greater overlap than
expected by chance alone (P<0.001). Strikingly, 25 of the 34
overlapping genes are predicted to function in RNA processing, protein
synthesis, protein folding and protein degradation. Thus, genes that function
to prevent protein aggregation also function to inhibit gpdh-1
expression. When the function of these genes is disrupted, damaged and
denatured proteins accumulate in cells and gpdh-1 expression is
increased, leading to glycerol accumulation.
Our results are consistent with a model in which increased levels of
damaged or denatured proteins act as signal that triggers osmoprotective gene
expression and organic osmolyte accumulation
(Fig. 4). Accumulation of
organic osmolytes is expected to stabilize protein structure and decrease
protein misfolding (e.g. Auton and Bolen,
2005
; Ignatova and Gierasch,
2006
), which in turn would serve to autoregulate pathway
activity.
Interestingly, our experimental observations suggest that gpdh-1
expression is specifically activated by osmotically induced disruption of new
protein synthesis and cotranslational folding rather than by denaturation of
existing proteins (Lamitina et al.,
2006
) (Fig. 4).
Such a mechanism would allow cells to discriminate between osmotically induced
protein damage and other forms of stress-induced damage. Our proposed model is
analogous to the unfolded protein response, which is an intracellular
signaling and transcriptional/translational program activated by the
accumulation of unfolded proteins in the ER lumen that functions to restore ER
protein homeostasis (Schroder and Kaufman,
2005
).
The rgpd genes identified in our RNAi screen represent inhibitory
inputs into the signaling pathways that regulate osmoprotective gene
expression (see Fig. 2).
Loss-of-function mutant worm strains exist for several of these rgpd
genes and these worms exhibit constitutive gpdh-1 expression and
glycerol accumulation (Lamitina et al.,
2006
). Importantly, it is now possible to use these mutants and
carry out additional RNAi and mutagenesis screens to identify genes that
suppress gpdh-1 expression. Such suppressor genes will almost
certainly include components of the signaling pathway that function normally
to activate the expression of osmoprotective genes such as gpdh-1.
Thus, by exploiting the experimental attributes of C. elegans, it
should eventually be possible to develop an integrated molecular understanding
of how an animal cell detects osmotic stress and activates protective
mechanisms. It is likely that such mechanisms show strong evolutionary
conservation (e.g. Strange et al.,
2006
). New insights gained from C. elegans will therefore
undoubtedly provide insights into how more complex organisms including mammals
cope with osmotic perturbations.
| Conclusions and future perspective |
|---|
|
|
|---|
| Acknowledgments |
|---|
| Footnotes |
|---|
| References |
|---|
|
|
|---|
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