Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
State Key Laboratory of Organ Failure Research, Southern Medical University, Nanfang Hospital, Guangzhou, China.
JCI Insight. 2020 Nov 19;5(22):142740. doi: 10.1172/jci.insight.142740.
Evidence for reduced expression of cyclin G associated kinase (GAK) in glomeruli of patients with chronic kidney disease was observed in the Nephroseq human database, and GAK was found to be associated with the decline in kidney function. To examine the role of GAK, a protein that functions to uncoat clathrin during endocytosis, we generated podocyte-specific Gak-knockout mice (Gak-KO), which developed progressive proteinuria and kidney failure with global glomerulosclerosis. We isolated glomeruli from the mice carrying the mutation to perform messenger RNA profiling and unearthed evidence for dysregulated podocyte calpain protease activity as an important contributor to progressive podocyte damage. Treatment with calpain inhibitor III specifically inhibited calpain-1/-2 activities, mitigated the degree of proteinuria and glomerulosclerosis, and led to a striking increase in survival in the Gak-KO mice. Podocyte-specific deletion of Capns1, essential for calpain-1 and calpain-2 activities, also improved proteinuria and glomerulosclerosis in Gak-KO mice. Increased podocyte calpain activity-mediated proteolysis of IκBα resulted in increased NF-κB p65-induced expression of growth arrest and DNA-damage-inducible 45 beta in the Gak-KO mice. Our results suggest that loss of podocyte-associated Gak induces glomerular injury secondary to calcium dysregulation and aberrant calpain activation, which when inhibited, can provide a protective role.
在 Nephroseq 人类数据库中观察到慢性肾脏病患者肾小球中环磷酰胺相关激酶 (GAK) 的表达减少,并且发现 GAK 与肾功能下降有关。为了研究 GAK 的作用,一种在胞吞作用中解包网格蛋白的蛋白质,我们生成了足细胞特异性 Gak 敲除小鼠 (Gak-KO),这些小鼠表现出进行性蛋白尿和伴有全球肾小球硬化的肾功能衰竭。我们从携带突变的小鼠中分离出肾小球,进行信使 RNA 谱分析,并发现调节性足细胞钙蛋白酶活性失调是进行性足细胞损伤的重要因素。钙蛋白酶抑制剂 III 的治疗特异性抑制钙蛋白酶-1/-2 活性,减轻蛋白尿和肾小球硬化的程度,并导致 Gak-KO 小鼠的存活率显著增加。Calpain-1 和 calpain-2 活性所必需的足细胞特异性 Capns1 的缺失也改善了 Gak-KO 小鼠的蛋白尿和肾小球硬化。增加的足细胞钙蛋白酶活性介导的 IκBα 蛋白水解导致 Gak-KO 小鼠中 NF-κB p65 诱导的生长停滞和 DNA 损伤诱导蛋白 45β 的表达增加。我们的结果表明,足细胞相关 Gak 的缺失导致钙失调和异常钙蛋白酶激活继发的肾小球损伤,当抑制这些时,可提供保护作用。