Department of Medicine, Nephrology Division, Medical University of South Carolina, Charleston, South Carolina, USA.
Department of Medicine, Renal Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Kidney Int. 2019 Jul;96(1):139-158. doi: 10.1016/j.kint.2019.02.014. Epub 2019 Mar 4.
Transforming growth factor-β (TGF-β) is known to play a critical role in the pathogenesis of many progressive podocyte diseases. However, the molecular mechanisms regulating TGF-β signaling in podocytes remain unclear. Using a podocyte-specific myosin (Myo)1c knockout, we demonstrate whether Myo1c is critical for TGF-β-signaling in podocyte disease pathogenesis. Specifically, podocyte-specific Myo1c knockout mice were resistant to fibrotic injury induced by Adriamycin or nephrotoxic serum. Further, loss of Myo1c also protected from injury in the TGF-β-dependent unilateral ureteral obstruction mouse model of renal interstitial fibrosis. Mechanistic analyses showed that loss of Myo1c significantly blunted TGF-β signaling through downregulation of canonical and non-canonical TGF-β pathways. Interestingly, nuclear rather than the cytoplasmic Myo1c was found to play a central role in controlling TGF-β signaling through transcriptional regulation. Differential expression analysis of nuclear Myo1c-associated gene promoters showed that nuclear Myo1c targeted the TGF-β responsive gene growth differentiation factor (GDF)-15 and directly bound to the GDF-15 promoter. Importantly, GDF15 was found to be involved in podocyte pathogenesis, where GDF15 was upregulated in glomeruli of patients with focal segmental glomerulosclerosis. Thus, Myo1c-mediated regulation of TGF-β-responsive genes is central to the pathogenesis of podocyte injury. Hence, inhibiting this process may have clinical application in treating podocytopathies.
转化生长因子-β(TGF-β)在许多进行性足细胞疾病的发病机制中起着关键作用。然而,调节足细胞中 TGF-β信号的分子机制尚不清楚。我们使用足细胞特异性肌球蛋白(Myo)1c 敲除,证明 Myo1c 是否对足细胞疾病发病机制中的 TGF-β信号至关重要。具体来说,足细胞特异性 Myo1c 敲除小鼠对阿霉素或肾毒性血清诱导的纤维化损伤具有抗性。此外,Myo1c 的缺失也可防止 TGF-β依赖性单侧输尿管梗阻小鼠模型中肾间质纤维化的损伤。机制分析表明,Myo1c 的缺失通过下调经典和非经典 TGF-β途径显著削弱了 TGF-β信号。有趣的是,我们发现核 Myo1c 而不是细胞质 Myo1c 通过转录调控在控制 TGF-β信号中发挥核心作用。核 Myo1c 相关基因启动子的差异表达分析表明,核 Myo1c 靶向 TGF-β反应基因生长分化因子(GDF)-15,并直接与 GDF-15 启动子结合。重要的是,发现 GDF15 参与了足细胞发病机制,局灶节段性肾小球硬化症患者肾小球中 GDF15 上调。因此,Myo1c 介导的 TGF-β 反应基因的调节是足细胞损伤发病机制的核心。因此,抑制这一过程可能在治疗足细胞病方面具有临床应用价值。