mTOR-mediated podocyte hypertrophy regulates glomerular integrity in mice and humans
Standard
mTOR-mediated podocyte hypertrophy regulates glomerular integrity in mice and humans. / Puelles, Victor G; van der Wolde, James W; Wanner, Nicola; Scheppach, Markus W; Cullen-McEwen, Luise A; Bork, Tillmann; Lindenmeyer, Maja T; Gernhold, Lukas; Wong, Milagros N; Braun, Fabian; Cohen, Clemens D; Kett, Michelle M; Kuppe, Christoph; Kramann, Rafael; Saritas, Turgay; van Roeyen, Claudia R; Moeller, Marcus J; Tribolet, Leon; Rebello, Richard; Sun, Yu By; Li, Jinhua; Müller-Newen, Gerard; Hughson, Michael D; Hoy, Wendy E; Person, Fermin; Wiech, Thorsten; Ricardo, Sharon D; Kerr, Peter G; Denton, Kate M; Furic, Luc; Huber, Tobias B; Nikolic-Paterson, David J; Bertram, John F.
in: JCI INSIGHT, Jahrgang 4, Nr. 18, 19.09.2019.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - mTOR-mediated podocyte hypertrophy regulates glomerular integrity in mice and humans
AU - Puelles, Victor G
AU - van der Wolde, James W
AU - Wanner, Nicola
AU - Scheppach, Markus W
AU - Cullen-McEwen, Luise A
AU - Bork, Tillmann
AU - Lindenmeyer, Maja T
AU - Gernhold, Lukas
AU - Wong, Milagros N
AU - Braun, Fabian
AU - Cohen, Clemens D
AU - Kett, Michelle M
AU - Kuppe, Christoph
AU - Kramann, Rafael
AU - Saritas, Turgay
AU - van Roeyen, Claudia R
AU - Moeller, Marcus J
AU - Tribolet, Leon
AU - Rebello, Richard
AU - Sun, Yu By
AU - Li, Jinhua
AU - Müller-Newen, Gerard
AU - Hughson, Michael D
AU - Hoy, Wendy E
AU - Person, Fermin
AU - Wiech, Thorsten
AU - Ricardo, Sharon D
AU - Kerr, Peter G
AU - Denton, Kate M
AU - Furic, Luc
AU - Huber, Tobias B
AU - Nikolic-Paterson, David J
AU - Bertram, John F
PY - 2019/9/19
Y1 - 2019/9/19
N2 - The cellular origins of glomerulosclerosis involve activation of parietal epithelial cells (PECs) and progressive podocyte depletion. While mammalian target of rapamycin-mediated (mTOR-mediated) podocyte hypertrophy is recognized as an important signaling pathway in the context of glomerular disease, the role of podocyte hypertrophy as a compensatory mechanism preventing PEC activation and glomerulosclerosis remains poorly understood. In this study, we show that glomerular mTOR and PEC activation-related genes were both upregulated and intercorrelated in biopsies from patients with focal segmental glomerulosclerosis (FSGS) and diabetic nephropathy, suggesting both compensatory and pathological roles. Advanced morphometric analyses in murine and human tissues identified podocyte hypertrophy as a compensatory mechanism aiming to regulate glomerular functional integrity in response to somatic growth, podocyte depletion, and even glomerulosclerosis - all of this in the absence of detectable podocyte regeneration. In mice, pharmacological inhibition of mTOR signaling during acute podocyte loss impaired hypertrophy of remaining podocytes, resulting in unexpected albuminuria, PEC activation, and glomerulosclerosis. Exacerbated and persistent podocyte hypertrophy enabled a vicious cycle of podocyte loss and PEC activation, suggesting a limit to its beneficial effects. In summary, our data highlight a critical protective role of mTOR-mediated podocyte hypertrophy following podocyte loss in order to preserve glomerular integrity, preventing PEC activation and glomerulosclerosis.
AB - The cellular origins of glomerulosclerosis involve activation of parietal epithelial cells (PECs) and progressive podocyte depletion. While mammalian target of rapamycin-mediated (mTOR-mediated) podocyte hypertrophy is recognized as an important signaling pathway in the context of glomerular disease, the role of podocyte hypertrophy as a compensatory mechanism preventing PEC activation and glomerulosclerosis remains poorly understood. In this study, we show that glomerular mTOR and PEC activation-related genes were both upregulated and intercorrelated in biopsies from patients with focal segmental glomerulosclerosis (FSGS) and diabetic nephropathy, suggesting both compensatory and pathological roles. Advanced morphometric analyses in murine and human tissues identified podocyte hypertrophy as a compensatory mechanism aiming to regulate glomerular functional integrity in response to somatic growth, podocyte depletion, and even glomerulosclerosis - all of this in the absence of detectable podocyte regeneration. In mice, pharmacological inhibition of mTOR signaling during acute podocyte loss impaired hypertrophy of remaining podocytes, resulting in unexpected albuminuria, PEC activation, and glomerulosclerosis. Exacerbated and persistent podocyte hypertrophy enabled a vicious cycle of podocyte loss and PEC activation, suggesting a limit to its beneficial effects. In summary, our data highlight a critical protective role of mTOR-mediated podocyte hypertrophy following podocyte loss in order to preserve glomerular integrity, preventing PEC activation and glomerulosclerosis.
U2 - 10.1172/jci.insight.99271
DO - 10.1172/jci.insight.99271
M3 - SCORING: Journal article
C2 - 31534053
VL - 4
JO - JCI INSIGHT
JF - JCI INSIGHT
SN - 2379-3708
IS - 18
ER -