Ren Wei, Yi Huiru, Bao Ying, Liu Yingru, Gao Xinru
Department of Internal Medicine, Xi'an Children's Hospital, Xi'an, Shaanxi 710003, P.R. China.
Department of Nephrology, Xi'an Children's Hospital, Xi'an, Shaanxi 710003, P.R. China.
Exp Ther Med. 2019 Mar;17(3):2373-2380. doi: 10.3892/etm.2019.7167. Epub 2019 Jan 14.
Podocytes are a major component of the glomerular filtration membrane, and their apoptosis is involved in a variety of nephrotic syndromes. In the current study, the effects and molecular mechanisms of oestrogen on the proliferation and apoptosis of podocytes were investigated to elucidate the role of oestrogen in the pathogenesis of childhood nephrotic syndrome. The cell proliferation of mouse renal podocytes (MPC-5) and human primary renal podocytes was promoted by 17β-oestradiol (E2) in what appear to be a time-dependent manner. Apoptosis was inhibited by E2 and promoted by the E2 antagonist, tamoxifen. The expression of protein tyrosine phosphatase receptor type O (PTPRO) decreased with the increasing dosage of E2, but increased with the increasing dosage tamoxifen in MPC-5 and human podocytes. The protein, oestrogen receptor (ER)α, was not expressed in MPC-5 and human podocytes. E2 binding to ERβ completely eliminated PTPRO expression in MPC-5. In podocytes, PTPRO was phosphorylated by E2 at the Y1007 and associated with tyrosine-protein kinase JAK2 (JAK2) activation, rather than JAK1 activation. PTPRO was involved in the binding of E2 to signal transducer and activator of transcription (STAT)3 at the Y705 and S727 sites, resulting in the phosphorylation of STAT3 in podocytes. Through PTPRO, E2 also regulated the proliferation and apoptosis of podocytes. In conclusion, oestrogen binding to ERβ, rather than ERα, promoted the proliferation of podocytes and inhibited the apoptosis of podocytes by inhibiting the expression of PTPRO. The mechanism may be associated with the activation of the JAK2/STAT3 signalling pathway. The current study may provide a novel direction for the treatment of childhood nephrotic syndrome.
足细胞是肾小球滤过膜的主要组成部分,其凋亡与多种肾病综合征有关。在本研究中,研究了雌激素对足细胞增殖和凋亡的影响及分子机制,以阐明雌激素在儿童肾病综合征发病机制中的作用。17β-雌二醇(E2)以时间依赖性方式促进小鼠肾足细胞(MPC-5)和人原代肾足细胞的细胞增殖。E2抑制细胞凋亡,而E2拮抗剂他莫昔芬则促进细胞凋亡。在MPC-5和人足细胞中,蛋白酪氨酸磷酸酶受体O型(PTPRO)的表达随E2剂量增加而降低,但随他莫昔芬剂量增加而增加。雌激素受体(ER)α蛋白在MPC-5和人足细胞中未表达。E2与ERβ结合完全消除了MPC-5中PTPRO的表达。在足细胞中,E2在Y1007位点使PTPRO磷酸化,并与酪氨酸蛋白激酶JAK2(JAK2)的激活相关,而非JAK1的激活。PTPRO参与E2与信号转导及转录激活因子(STAT)3在Y705和S727位点的结合,导致足细胞中STAT3的磷酸化。E2还通过PTPRO调节足细胞的增殖和凋亡。总之,雌激素与ERβ而非ERα结合,通过抑制PTPRO的表达促进足细胞增殖并抑制足细胞凋亡。其机制可能与JAK2/STAT3信号通路的激活有关。本研究可能为儿童肾病综合征的治疗提供新的方向。