1 The serine protease hepsin mediates urinary secretion and 2 polymerisation of Zona Pellucida domain protein uromodulin 3 4 5 6 Martina Brunati1, Simone Perucca1, Ling Han2, Angela Cattaneo1,3, Francesco Consolato1, 7 Annapaola Andolfo4, Céline Schaeffer1, Eric Olinger5, Jianhao Peng6, Sara Santambrogio1, 8 Romain Perrier7, Shuo Li6, Marcel Bokhove2, Angela Bachi1,3, Edith Hummler7, Olivier 9 Devuyst5, Qingyu Wu6, Luca Jovine2, Luca Rampoldi1 10 11 12 1Division of Genetics and Cell Biology, San Raffaele Scientific Institute, I-20132 Milan, 13 Italy; 2Department of Biosciences and Nutrition & Center for Innovative Medicine, 14 Karolinska Institutet, SE-141 83 Huddinge, Sweden; 3Functional Proteomics, FIRC 15 Institute of Molecular Oncology, I-20139 Milan, Italy; 4Protein Microsequencing Facility, 16 San Raffaele Scientific Institute, I-20132 Milan, Italy; 5Institute of Physiology, Zurich Center 17 for Integrative Human Physiology, University of Zurich, CH-8057 Zurich, Switzerland; 18 6Department of Molecular Cardiology, Lerner Research Institute, Cleveland, Ohio 44195, 19 USA; 7Department of Pharmacology and Toxicology, University of Lausanne, CH-1005 20 Lausanne, Switzerland. 21 22 23 Correspondence to L.R. (
[email protected]) 24 1 25 ABSTRACT 26 27 Uromodulin is the most abundant protein in normal human urine. It is exclusively 28 produced by renal epithelial cells and it plays key roles in kidney function and disease. 29 Uromodulin mainly exerts its function as an extracellular matrix whose assembly depends 30 on a conserved, specific proteolytic cleavage leading to conformational activation of a 31 Zona Pellucida (ZP) polymerisation domain. Through a comprehensive approach, 32 including extensive characterisation of uromodulin processing in cellular models and in 33 specific knock-out mice, we demonstrate that the membrane-bound serine protease 34 hepsin is the enzyme responsible for the physiological cleavage of uromodulin.