Role of mTOR in podocyte function and diabetic nephropathy in humans and mice
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Role of mTOR in podocyte function and diabetic nephropathy in humans and mice. / Gödel, Markus; Hartleben, Björn; Herbach, Nadja; Liu, Shuya; Zschiedrich, Stefan; Lu, Shun; Debreczeni-Mór, Andrea; Lindenmeyer, Maja T; Rastaldi, Maria-Pia; Hartleben, Götz; Wiech, Thorsten; Fornoni, Alessia; Nelson, Robert G; Kretzler, Matthias; Wanke, Rüdiger; Pavenstädt, Hermann; Kerjaschki, Dontscho; Cohen, Clemens D; Hall, Michael N; Rüegg, Markus A; Inoki, Ken; Walz, Gerd; Huber, Tobias B.
in: J CLIN INVEST, Jahrgang 121, Nr. 6, 01.06.2011, S. 2197-209.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Role of mTOR in podocyte function and diabetic nephropathy in humans and mice
AU - Gödel, Markus
AU - Hartleben, Björn
AU - Herbach, Nadja
AU - Liu, Shuya
AU - Zschiedrich, Stefan
AU - Lu, Shun
AU - Debreczeni-Mór, Andrea
AU - Lindenmeyer, Maja T
AU - Rastaldi, Maria-Pia
AU - Hartleben, Götz
AU - Wiech, Thorsten
AU - Fornoni, Alessia
AU - Nelson, Robert G
AU - Kretzler, Matthias
AU - Wanke, Rüdiger
AU - Pavenstädt, Hermann
AU - Kerjaschki, Dontscho
AU - Cohen, Clemens D
AU - Hall, Michael N
AU - Rüegg, Markus A
AU - Inoki, Ken
AU - Walz, Gerd
AU - Huber, Tobias B
PY - 2011/6/1
Y1 - 2011/6/1
N2 - Chronic glomerular diseases, associated with renal failure and cardiovascular morbidity, represent a major health issue. However, they remain poorly understood. Here we have reported that tightly controlled mTOR activity was crucial to maintaining glomerular podocyte function, while dysregulation of mTOR facilitated glomerular diseases. Genetic deletion of mTOR complex 1 (mTORC1) in mouse podocytes induced proteinuria and progressive glomerulosclerosis. Furthermore, simultaneous deletion of both mTORC1 and mTORC2 from mouse podocytes aggravated the glomerular lesions, revealing the importance of both mTOR complexes for podocyte homeostasis. In contrast, increased mTOR activity accompanied human diabetic nephropathy, characterized by early glomerular hypertrophy and hyperfiltration. Curtailing mTORC1 signaling in mice by genetically reducing mTORC1 copy number in podocytes prevented glomerulosclerosis and significantly ameliorated the progression of glomerular disease in diabetic nephropathy. These results demonstrate the requirement for tightly balanced mTOR activity in podocyte homeostasis and suggest that mTOR inhibition can protect podocytes and prevent progressive diabetic nephropathy.
AB - Chronic glomerular diseases, associated with renal failure and cardiovascular morbidity, represent a major health issue. However, they remain poorly understood. Here we have reported that tightly controlled mTOR activity was crucial to maintaining glomerular podocyte function, while dysregulation of mTOR facilitated glomerular diseases. Genetic deletion of mTOR complex 1 (mTORC1) in mouse podocytes induced proteinuria and progressive glomerulosclerosis. Furthermore, simultaneous deletion of both mTORC1 and mTORC2 from mouse podocytes aggravated the glomerular lesions, revealing the importance of both mTOR complexes for podocyte homeostasis. In contrast, increased mTOR activity accompanied human diabetic nephropathy, characterized by early glomerular hypertrophy and hyperfiltration. Curtailing mTORC1 signaling in mice by genetically reducing mTORC1 copy number in podocytes prevented glomerulosclerosis and significantly ameliorated the progression of glomerular disease in diabetic nephropathy. These results demonstrate the requirement for tightly balanced mTOR activity in podocyte homeostasis and suggest that mTOR inhibition can protect podocytes and prevent progressive diabetic nephropathy.
KW - Adaptor Proteins, Signal Transducing
KW - Adult
KW - Animals
KW - Carrier Proteins
KW - Diabetes Mellitus, Experimental
KW - Diabetic Nephropathies
KW - Disease Progression
KW - Gene Dosage
KW - Genetic Predisposition to Disease
KW - Humans
KW - Kidney Glomerulus
KW - Mice
KW - Mice, Inbred C57BL
KW - Mice, Inbred ICR
KW - Mice, Knockout
KW - Mice, Transgenic
KW - Multiprotein Complexes
KW - Nephrosis, Lipoid
KW - Podocytes
KW - Proteins
KW - Proteinuria
KW - Sirolimus
KW - TOR Serine-Threonine Kinases
KW - Trans-Activators
KW - Transcription Factors
U2 - 10.1172/JCI44774
DO - 10.1172/JCI44774
M3 - SCORING: Journal article
C2 - 21606591
VL - 121
SP - 2197
EP - 2209
JO - J CLIN INVEST
JF - J CLIN INVEST
SN - 0021-9738
IS - 6
ER -