Department of Medicine, Division of Nephrology, Medical College of Wisconsin, Milwaukee, WI.
Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI.
Diabetes. 2018 Nov;67(11):2206-2212. doi: 10.2337/db18-0308. Epub 2018 Aug 21.
Increased expression of adaptor protein p66Shc has been associated with progression of diabetic nephropathy. Afferent arteriolar dilation and glomerular hyperfiltration in diabetes are due to increased K channel availability and activity. Hyperglycemia was induced in Dahl salt-sensitive (SS) rats in a model of diabetes induced by streptozotocin (STZ). Renal injury was evaluated in SS rats and genetically modified SS rats either lacking p66Shc (p66Shc knockout [p66ShcKO]) or expressing p66Shc mutant (p66Shc-S36A). Afferent arteriolar diameter responses during STZ-induced hyperfiltration were determined by using the juxtamedullary nephron technique. Albuminuria and glomerular injury were mitigated in p66ShcKO and p66Shc-S36A rats with STZ-induced diabetes. SS rats with STZ-induced diabetes had significantly increased afferent arteriolar diameter, whereas p66ShcKO and p66Shc-S36A rats did not. SS rats with STZ-induced diabetes, but not p66ShcKO or p66Shc-S36A rats with STZ-induced diabetes, had an increased vasodilator response to the K channel activator pinacidil. Likewise, the K inhibitor glibenclamide resulted in a greater decrease in afferent arteriolar diameter in SS rats with STZ-induced diabetes than in STZ-treated SS p66ShcKO and p66Shc-S36A rats. Using patch-clamp electrophysiology, we demonstrated that p66ShcKO decreases K channel activity. These results indicate that inactivation of the adaptor protein p66Shc decreases afferent arteriolar K channel activity and decreases renal damage in diabetic SS rats.
衔接蛋白 p66Shc 的表达增加与糖尿病肾病的进展有关。糖尿病时,肾小球高滤过和入球小动脉扩张是由于 K 通道的可利用性和活性增加所致。在链脲佐菌素(STZ)诱导的糖尿病模型中,诱导 Dahl 盐敏感(SS)大鼠发生高血糖。在 SS 大鼠和遗传修饰的 SS 大鼠(缺乏 p66Shc 的 p66Shc 敲除 [p66ShcKO]或表达 p66Shc 突变体 [p66Shc-S36A])中评估肾损伤。使用皮质肾单位技术确定 STZ 诱导的高滤过时入球小动脉直径的反应。用 STZ 诱导糖尿病的 p66ShcKO 和 p66Shc-S36A 大鼠减轻了白蛋白尿和肾小球损伤。STZ 诱导糖尿病的 SS 大鼠的入球小动脉直径显著增加,而 p66ShcKO 和 p66Shc-S36A 大鼠则没有。STZ 诱导糖尿病的 SS 大鼠,而不是 p66ShcKO 或 p66Shc-S36A 大鼠,对 K 通道激活剂匹那地尔的血管舒张反应增加。同样,K 抑制剂格列本脲在 STZ 处理的 SS p66ShcKO 和 p66Shc-S36A 大鼠中,导致 STZ 诱导糖尿病的 SS 大鼠的入球小动脉直径下降幅度更大。通过膜片钳电生理学,我们证明 p66ShcKO 降低了 K 通道活性。这些结果表明,衔接蛋白 p66Shc 的失活降低了糖尿病 SS 大鼠的入球小动脉 K 通道活性并减少了肾脏损伤。