A molecular mechanism explaining albuminuria in kidney disease
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A molecular mechanism explaining albuminuria in kidney disease. / Butt, Linus; Unnersjö-Jess, David; Höhne, Martin; Edwards, Aurelie; Binz-Lotter, Julia; Reilly, Dervla; Hahnfeldt, Robert; Ziegler, Vera; Fremter, Katharina; Rinschen, Markus M; Helmstädter, Martin; Ebert, Lena K; Castrop, Hayo; Hackl, Matthias J; Walz, Gerd; Brinkkoetter, Paul T; Liebau, Max C; Tory, Kálmán; Hoyer, Peter F; Beck, Bodo B; Brismar, Hjalmar; Blom, Hans; Schermer, Bernhard; Benzing, Thomas.
In: NAT METAB, Vol. 2, No. 5, 05.2020, p. 461-474.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A molecular mechanism explaining albuminuria in kidney disease
AU - Butt, Linus
AU - Unnersjö-Jess, David
AU - Höhne, Martin
AU - Edwards, Aurelie
AU - Binz-Lotter, Julia
AU - Reilly, Dervla
AU - Hahnfeldt, Robert
AU - Ziegler, Vera
AU - Fremter, Katharina
AU - Rinschen, Markus M
AU - Helmstädter, Martin
AU - Ebert, Lena K
AU - Castrop, Hayo
AU - Hackl, Matthias J
AU - Walz, Gerd
AU - Brinkkoetter, Paul T
AU - Liebau, Max C
AU - Tory, Kálmán
AU - Hoyer, Peter F
AU - Beck, Bodo B
AU - Brismar, Hjalmar
AU - Blom, Hans
AU - Schermer, Bernhard
AU - Benzing, Thomas
PY - 2020/5
Y1 - 2020/5
N2 - Mammalian kidneys constantly filter large amounts of liquid, with almost complete retention of albumin and other macromolecules in the plasma. Breakdown of the three-layered renal filtration barrier results in loss of albumin into urine (albuminuria) across the wall of small renal capillaries, and is a leading cause of chronic kidney disease. However, exactly how the renal filter works and why its permeability is altered in kidney diseases is poorly understood. Here we show that the permeability of the renal filter is modulated through compression of the capillary wall. We collect morphometric data prior to and after onset of albuminuria in a mouse model equivalent to a human genetic disease affecting the renal filtration barrier. Combining quantitative analyses with mathematical modelling, we demonstrate that morphological alterations of the glomerular filtration barrier lead to reduced compressive forces that counteract filtration pressure, thereby resulting in capillary dilatation, and ultimately albuminuria. Our results reveal distinct functions of the different layers of the filtration barrier and expand the molecular understanding of defective renal filtration in chronic kidney disease.
AB - Mammalian kidneys constantly filter large amounts of liquid, with almost complete retention of albumin and other macromolecules in the plasma. Breakdown of the three-layered renal filtration barrier results in loss of albumin into urine (albuminuria) across the wall of small renal capillaries, and is a leading cause of chronic kidney disease. However, exactly how the renal filter works and why its permeability is altered in kidney diseases is poorly understood. Here we show that the permeability of the renal filter is modulated through compression of the capillary wall. We collect morphometric data prior to and after onset of albuminuria in a mouse model equivalent to a human genetic disease affecting the renal filtration barrier. Combining quantitative analyses with mathematical modelling, we demonstrate that morphological alterations of the glomerular filtration barrier lead to reduced compressive forces that counteract filtration pressure, thereby resulting in capillary dilatation, and ultimately albuminuria. Our results reveal distinct functions of the different layers of the filtration barrier and expand the molecular understanding of defective renal filtration in chronic kidney disease.
KW - Albuminuria/etiology
KW - Animals
KW - Capillaries
KW - Disease Models, Animal
KW - Female
KW - Genotype
KW - Glomerular Filtration Barrier
KW - Glomerular Filtration Rate
KW - Humans
KW - Kidney Glomerulus/pathology
KW - Mice
KW - Mice, Inbred C57BL
KW - Mice, Transgenic
KW - Models, Theoretical
KW - Podocytes/pathology
KW - RNA/genetics
KW - Renal Insufficiency, Chronic/complications
KW - Vasodilation
U2 - 10.1038/s42255-020-0204-y
DO - 10.1038/s42255-020-0204-y
M3 - SCORING: Journal article
C2 - 32694662
VL - 2
SP - 461
EP - 474
JO - NAT METAB
JF - NAT METAB
SN - 2522-5812
IS - 5
ER -