Department of Internal Medicine, Nephrology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Pathology, Renal Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Kidney Int. 2018 Jan;93(1):110-127. doi: 10.1016/j.kint.2017.05.016. Epub 2017 Jul 26.
Ubiquitin C-terminal hydrolase L1 (UCH-L1) is a major deubiquitinating enzyme of the nervous system and associated with the development of neurodegenerative diseases. We have previously shown that UCH-L1 is found in tubular and parietal cells of the kidney and is expressed de novo in injured podocytes. Since the role of UCH-L1 in the kidney is unknown we generated mice with a constitutive UCH-L1-deficiency to determine its role in renal health and disease. UCH-L1-deficient mice developed proteinuria, without gross changes in glomerular morphology. Tubular cells, endothelial cells, and podocytes showed signs of stress with an accumulation of oxidative-modified and polyubiquitinated proteins. Mechanistically, abnormal protein accumulation resulted from an altered proteasome abundance leading to decreased proteasomal activity, a finding exaggerated after induction of anti-podocyte nephritis. UCH-L1-deficient mice exhibited an exacerbated course of disease with increased tubulointerstitial and glomerular damage, acute renal failure, and death, the latter most likely a result of general neurologic impairment. Thus, UCH-L1 is required for regulated protein degradation in the kidney by controlling proteasome abundance. Altered proteasome abundance renders renal cells, particularly podocytes and endothelial cells, susceptible to injury.
泛素羧基末端水解酶 L1(UCH-L1)是神经系统中主要的去泛素化酶,与神经退行性疾病的发展有关。我们之前已经表明,UCH-L1 存在于肾脏的管状和壁细胞中,并在受损的足细胞中从头表达。由于 UCH-L1 在肾脏中的作用尚不清楚,我们生成了组成型 UCH-L1 缺陷型小鼠,以确定其在肾脏健康和疾病中的作用。UCH-L1 缺陷型小鼠出现蛋白尿,而肾小球形态无明显变化。管状细胞、内皮细胞和足细胞出现应激迹象,氧化修饰和多泛素化蛋白积累。从机制上讲,异常蛋白积累是由于蛋白酶体丰度改变导致蛋白酶体活性降低所致,在诱导抗足细胞肾炎后,这种情况更为明显。UCH-L1 缺陷型小鼠表现出疾病加重,肾小管间质和肾小球损伤增加,急性肾衰竭和死亡,后者很可能是由于一般神经损伤所致。因此,UCH-L1 通过控制蛋白酶体丰度来调节肾脏中的蛋白质降解。蛋白酶体丰度的改变使肾脏细胞,特别是足细胞和内皮细胞容易受到损伤。