Division of Nephrology, Center for Internal Medicine, Hannover Medical School, Carl-Neuberg-Str 1, 30625 Hannover, Germany.
Hypertension. 2013 Oct;62(4):726-30. doi: 10.1161/HYPERTENSIONAHA.113.01882. Epub 2013 Aug 19.
Hypertension is one of the major risk factors for chronic kidney disease. Using quantitative trait loci analysis, we identified the gene of the F-BAR protein NOSTRIN in the center of an overlapping region in rat and human quantitative trait loci that are associated with hypertension. Immunohistochemical analysis revealed a predominantly podocytic expression pattern of NOSTRIN in human and mouse glomeruli. Further, NOSTRIN colocalizes with cell-cell contact-associated proteins β-catenin and zonula occludens-1 and interacts with the slit-membrane-associated adaptor protein CD2AP. In zebrafish larvae, knockdown of nostrin alters the glomerular filtration barrier function, inducing proteinuria and leading to ultrastructural morphological changes on the endothelial and epithelial side and of the glomerular basement membrane of the glomerular capillary loop. We conclude that NOSTRIN expression is an important factor for the integrity of the glomerular filtration barrier. Disease-related alteration of NOSTRIN expression may not only affect the vascular endothelium and, therefore, contribute to endothelial cell dysfunction but might also contribute to the development of podocyte disease and proteinuria.
高血压是慢性肾脏病的主要危险因素之一。通过数量性状位点分析,我们在与高血压相关的大鼠和人类数量性状位点的重叠区域的中心鉴定出 F-BAR 蛋白 NOSTRIN 的基因。免疫组织化学分析显示,NOSTRIN 在人和小鼠肾小球中主要表达于足细胞。此外,NOSTRIN 与细胞-细胞接触相关蛋白 β-连环蛋白和封闭蛋白-1 共定位,并与裂孔膜相关衔接蛋白 CD2AP 相互作用。在斑马鱼幼虫中,敲低 nostrin 会改变肾小球滤过屏障功能,诱导蛋白尿,并导致肾小球毛细血管袢的内皮和上皮侧以及肾小球基底膜的超微结构形态改变。我们得出结论,NOSTRIN 的表达是肾小球滤过屏障完整性的重要因素。NOSTRIN 表达的疾病相关改变不仅可能影响血管内皮,从而导致内皮细胞功能障碍,而且可能导致足细胞疾病和蛋白尿的发展。