Department of Pathology, Hebei Medical University, Shijiazhuang, China.
Am J Med Sci. 2013 Jun;345(6):470-7. doi: 10.1097/MAJ.0b013e3182648459.
Podocyte injury plays a crucial role in the development of diabetic nephropathy (DN), but its underlying mechanism remains poorly understood. Emerging evidences suggest that the cytoskeleton disruption is related to podocyte injury. The aim of this study was to investigate whether nestin, a cytoskeleton-associated intermediate filament protein, is involved in the development of DN.
Rat diabetes was induced by intraperitoneal injection of streptozotocin. The renal histological changes were investigated by light microscopy and transmission electron microscopy. The location of nestin and vimentin in renal tissues was observed by immunohistochemistry. The protein or messenger RNA levels of nestin and cyclin-dependent kinase 5 (Cdk5) were detected by Western blot and real-time polymerase chain reaction. The relationship between nestin and vimentin was detected by co-immunoprecipitation.
Compared with controls, diabetic rats showed significant characteristics of renal damage. The expression of nestin and vimentin in the glomeruli was increased at the early stage of diabetes, which then gradually decreased. Co-immunoprecipitation assays demonstrated that nestin disassembled with vimentin in diabetic rats. The expression of Cdk5 was increased in a time-dependent manner in diabetic rats. The degree of albuminuria in diabetic rats was negatively correlated with nestin and positively correlated with Cdk5. Roscovitine, a Cdk5 inhibitor, reduced the degradation of nestin. Moreover, podocyte injuries were significantly ameliorated by treatment with roscovitine.
The intermediate filament protein nestin is associated with development of DN. Blockage of Cdk5 increases the level of nestin and attenuates renal damage, which would provide a useful target for DN therapy.
足细胞损伤在糖尿病肾病(DN)的发生发展中起关键作用,但具体机制仍不清楚。新出现的证据表明细胞骨架的破坏与足细胞损伤有关。本研究旨在探讨中间丝蛋白巢蛋白(nestin)是否参与了 DN 的发生发展。
采用腹腔注射链脲佐菌素诱导大鼠糖尿病,光镜和透射电镜观察肾脏组织的病理改变,免疫组化观察巢蛋白和波形蛋白在肾组织中的定位,Western blot 和实时聚合酶链反应检测巢蛋白和细胞周期蛋白依赖性激酶 5(Cdk5)的蛋白和信使 RNA 水平,免疫共沉淀检测巢蛋白和波形蛋白的关系。
与对照组相比,糖尿病大鼠出现明显的肾脏损伤特征。糖尿病早期肾小球中巢蛋白和波形蛋白的表达增加,随后逐渐减少。免疫共沉淀实验表明,糖尿病大鼠中巢蛋白与波形蛋白解聚。糖尿病大鼠中 Cdk5 的表达呈时间依赖性增加。糖尿病大鼠的蛋白尿程度与巢蛋白呈负相关,与 Cdk5 呈正相关。Cdk5 抑制剂罗克洛汀可减少巢蛋白的降解。此外,罗克洛汀治疗可显著改善足细胞损伤。
中间丝蛋白巢蛋白与 DN 的发生发展有关。阻断 Cdk5 可增加巢蛋白水平,减轻肾脏损伤,为 DN 的治疗提供了一个有用的靶点。