There are > 6000 rare (or orphan) monogenic diseases identified in humans; many of these diseases are caused by the dysfunction of channel proteins, known as channelopathies. A good example is the recently identified mechanosensitive channels PIEZO1 and PIEZO2, of which ~100 missense mutations are associated with at least 26 dysplasias/diseases in the muscular, lymphatic, connective, and cardiovascular tissues. PIEZO1/2 are excitatory mechanosensitive proteins; they are non-selective ion channels that exhibit a preference for calcium in response to mechanical stimuli. Dysfunction of PIEZOs cause a variety of genetic diseases, including the dysplasia in cardiovascular, respiratory, and connective tissues. However, the cellular and molecular mechanisms of PIEZOs in these diseases are less understood. To further understand the function of these proteins, we investigated the roles of
pezo-1, the sole PIEZO ortholog in C. elegans.
pezo-1 is expressed throughout development in C. elegans, with strong expression in reproductive tissues, including spermatheca, oocyte, sperm, and somatic sheath cells. A number of deletion alleles as well as a putative gain-of-function mutant caused severe defects in reproduction. A reduced brood size was observed in the strains depleted of PEZO-1. In vivo observations show that oocytes undergo a variety of transit defects as they enter and exit the spermatheca during ovulation. Post ovulation oocytes were frequently damaged during spermathecal contraction. Given that PIEZO is an ion channel and may regulate spermathecal contractility through Ca2+ signaling pathways, we tested the genetic interactions between
pezo-1 mutants and several cytosolic Ca2+ regulators with RNA interference (RNAi). Indeed, the phenotypes of
pezo-1 mutants are enhanced upon depletion of known cytosolic Ca2+ regulators. We also observed that loss of PEZO-1 revealed an inability of self-sperm to properly navigate back to the spermatheca after being pushed out of the spermatheca during ovulation. Mating with males rescued these reproductive deficiencies in our
pezo-1 mutants. Reduced brood sizes were also observed in a number of auxin-inducible tissue-specific degradation strains, suggesting PEZO-1 may act in different reproductive tissues to coordinate reproduction. Using CRISPR/Cas9, we generated the patient-specific PIEZO2 allele (p.R2718P) in C. elegans, named
pezo-1(R2405P). Homozygous animals carrying the
pezo-1(R2405P) mutation displayed reproductive defects similar to the
pezo-1ko mutants, including reduced ovulation rates, crushed oocytes in the uterus, and reduced brood sizes. Overall, these observations support the idea that C. elegans is an appropriate model system to study PIEZO diseases. An undergoing EMS-mediated suppressor screen with this
pezo-1 patient-specific allele should help identify other genetic interactors.