Department of Cadre Ward, Department of General Practice, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Department of Nephrology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Ann Palliat Med. 2020 Jul;9(4):1596-1605. doi: 10.21037/apm-19-602. Epub 2020 Jul 13.
An accumulating amount of evidence has suggested that there is a contributive role of sympathetic nervous hyperactivity in the pathogenesis of chronic kidney disease (CKD). α1-AR promotes an increase in calcium levels in podocytes and adjusts podocyte contraction. Changes in TRPC6 expression and function can directly affect the podocyte cytoskeleton, which is a key component in podocyte injury. This study proposed to clarify the correlation between α1-AR activation-induced signal cascade reaction and TRPC6 in human podocytes.
Human podocytes were incubated with the calcium probe Fluo-3/AM. Next, the effects of the α1-AR agonists or antagonists and nonselective TRPC6 blockers on intracellular calcium were observed under laser confocal microscopy. FITC-phalloidin was employed to stain podocytes, and the change of F-actin under the α1-AR activation condition was observed.
The α1-AR agonist PE (phenylephrine hydrochloride) induced an increase in intracellular Ca2+ ([Ca2+]i) in human podocytes. Moreover, the downregulation of TRPC6 by siRNA or TRPC blocker could attenuate the PE-induced [Ca2+]i elevation in a phospholipase C (PLC)-dependent pattern. When podocytes were stimulated to the PE, their F-actin fiber cytoskeletal structure was lost. PE subsequently increased the expression of RhoA, and the TRPC6-dependent Ca2+ influx was involved in this process. The abnormal activation of RhoA could result in disturbance of the podocyte skeleton structure, thus leading to podocyte injury.
We concluded that TRPC6 is involved in α1-AR activation-induced calcium signal changes in podocytes. Meanwhile, the α1-AR agonists can destroy the cell's cytoskeletal structure, which is mediated by TRPC6 via the RhoA/ROCK pathway.
越来越多的证据表明,交感神经活性亢进在慢性肾脏病(CKD)的发病机制中起作用。α1-AR 促进足细胞内钙水平升高,并调节足细胞收缩。TRPC6 表达和功能的变化可直接影响足细胞细胞骨架,细胞骨架是足细胞损伤的关键组成部分。本研究旨在阐明人足细胞中α1-AR 激活诱导的信号级联反应与 TRPC6 之间的相关性。
用人足细胞孵育钙探针 Fluo-3/AM。然后,在激光共聚焦显微镜下观察α1-AR 激动剂或拮抗剂和非选择性 TRPC6 阻断剂对细胞内钙的影响。用 FITC-鬼笔环肽染色足细胞,观察α1-AR 激活条件下 F-肌动蛋白的变化。
α1-AR 激动剂 PE(盐酸苯肾上腺素)诱导人足细胞内钙增加([Ca2+]i)。此外,siRNA 下调 TRPC6 或 TRPC 阻断剂可减弱 PLC 依赖性模式下 PE 诱导的[Ca2+]i 升高。当足细胞受到 PE 刺激时,其 F-肌动蛋白纤维细胞骨架结构丢失。PE 随后增加 RhoA 的表达,TRPC6 依赖性 Ca2+内流参与这一过程。RhoA 的异常激活可导致足细胞骨架结构紊乱,从而导致足细胞损伤。
我们得出结论,TRPC6 参与了α1-AR 激活诱导的足细胞内钙信号变化。同时,α1-AR 激动剂可通过 RhoA/ROCK 途径破坏细胞骨架结构,该过程通过 TRPC6 介导。