Department of Molecular and Integrative Physiology, University of Michigan Medical School, Ann Arbor, Michigan, USA.
State Key Laboratory of Medical Chemical Biology, College of Life Sciences, Frontiers Science Center for Cell Responses, Nankai University, Tianjin, China.
J Clin Invest. 2021 Apr 1;131(7). doi: 10.1172/JCI143988.
Podocytes are key to the glomerular filtration barrier by forming a slit diaphragm between interdigitating foot processes; however, the molecular details and functional importance of protein folding and degradation in the ER remain unknown. Here, we show that the SEL1L-HRD1 protein complex of ER-associated degradation (ERAD) is required for slit diaphragm formation and glomerular filtration function. SEL1L-HRD1 ERAD is highly expressed in podocytes of both mouse and human kidneys. Mice with podocyte-specific Sel1L deficiency develop podocytopathy and severe congenital nephrotic syndrome with an impaired slit diaphragm shortly after weaning and die prematurely, with a median lifespan of approximately 3 months. We show mechanistically that nephrin, a type 1 membrane protein causally linked to congenital nephrotic syndrome, is an endogenous ERAD substrate. ERAD deficiency attenuated the maturation of nascent nephrin, leading to its retention in the ER. We also show that various autosomal-recessive nephrin disease mutants were highly unstable and broken down by SEL1L-HRD1 ERAD, which attenuated the pathogenicity of the mutants toward the WT allele. This study uncovers a critical role of SEL1L-HRD1 ERAD in glomerular filtration barrier function and provides insights into the pathogenesis associated with autosomal-recessive disease mutants.
足细胞通过在相互交错的足突之间形成裂隙隔膜来形成肾小球滤过屏障;然而,内质网中蛋白质折叠和降解的分子细节和功能重要性仍然未知。在这里,我们表明内质网相关降解 (ERAD) 的 SEL1L-HRD1 蛋白复合物对于裂隙隔膜的形成和肾小球滤过功能是必需的。SEL1L-HRD1 ERAD 在小鼠和人类肾脏的足细胞中高度表达。足细胞特异性 Sel1L 缺乏的小鼠在断奶后不久就会出现足细胞病和严重的先天性肾病综合征,裂隙隔膜受损,并且过早死亡,中位寿命约为 3 个月。我们从机制上表明,与先天性肾病综合征相关的 1 型膜蛋白 Nephrin 是一种内源性 ERAD 底物。ERAD 缺乏会减弱新生 Nephrin 的成熟,导致其在内质网中滞留。我们还表明,各种常染色体隐性 Nephrin 病突变体高度不稳定,被 SEL1L-HRD1 ERAD 破坏,从而减弱了突变体对 WT 等位基因的致病性。这项研究揭示了 SEL1L-HRD1 ERAD 在肾小球滤过屏障功能中的关键作用,并为常染色体隐性疾病突变体相关的发病机制提供了新的见解。