Uromodulin is a 95 kDa glycoprotein produced by the epithelial cells lining the thick ascending limb (TAL) of Henle’s loop and the early distal convoluted tubules of the nephron . In felines, this protein is synthesized in a similar manner and is found in the urine. The protein is initially synthesized as a precursor and undergoes several post-translational modifications, including glycosylation, before being secreted into the urine .
Uromodulin has several important functions:
Mutations in the UMOD gene, which encodes uromodulin, are associated with several inherited kidney diseases, including familial juvenile hyperuricemic nephropathy (FJHN) and medullary cystic kidney disease type 2 (MCKD2) . Altered expression of uromodulin is also linked to an increased risk of urinary tract infections, kidney stones, hypertension, hyperuricemia, and both acute and chronic kidney diseases .