Department of Biochemistry, School of Life Sciences, University of Hyderabad, Hyderabad, 500046, India.
Department of Animal Biology, School of Life Sciences, University of Hyderabad, Hyderabad, 500046, India.
Cell Death Dis. 2021 Apr 1;12(4):342. doi: 10.1038/s41419-021-03643-6.
Glomerular podocytes are integral members of the glomerular filtration barrier in the kidney and are crucial for glomerular permselectivity. These highly differentiated cells are vulnerable to an array of noxious stimuli that prevail in several glomerular diseases. Elevated circulating growth hormone (GH) levels are associated with podocyte injury and proteinuria in diabetes. However, the precise mechanism(s) by which excess GH elicits podocytopathy remains to be elucidated. Previous studies have shown that podocytes express GH receptor (GHR) and induce Notch signaling when exposed to GH. In the present study, we demonstrated that GH induces TGF-β1 signaling and provokes cell cycle reentry of otherwise quiescent podocytes. Though differentiated podocytes reenter the cell cycle in response to GH and TGF-β1, they cannot accomplish cytokinesis, despite karyokinesis. Owing to this aberrant cell cycle event, GH- or TGF-β1-treated cells remain binucleated and undergo mitotic catastrophe. Importantly, inhibition of JAK2, TGFBR1 (TGF-β receptor 1), or Notch prevented cell cycle reentry of podocytes and protected them from mitotic catastrophe associated with cell death. Inhibition of Notch activation prevents GH-dependent podocyte injury and proteinuria. Similarly, attenuation of GHR expression abated Notch activation in podocytes. Kidney biopsy sections from patients with diabetic nephropathy (DN) show activation of Notch signaling and binucleated podocytes. These data indicate that excess GH induced TGF-β1-dependent Notch1 signaling contributes to the mitotic catastrophe of podocytes. This study highlights the role of aberrant GH signaling in podocytopathy and the potential application of TGF-β1 or Notch inhibitors, as a therapeutic agent for DN.
肾小球足细胞是肾脏肾小球滤过屏障的固有组成部分,对肾小球的选择性滤过至关重要。这些高度分化的细胞容易受到多种肾小球疾病中存在的多种有害刺激的影响。循环生长激素 (GH) 水平升高与糖尿病患者的足细胞损伤和蛋白尿有关。然而,过量 GH 引发足细胞病的确切机制仍有待阐明。先前的研究表明,足细胞表达 GH 受体 (GHR),并在暴露于 GH 时诱导 Notch 信号。在本研究中,我们证明 GH 诱导 TGF-β1 信号并引发原本静止的足细胞重新进入细胞周期。尽管分化的足细胞对 GH 和 TGF-β1 作出反应重新进入细胞周期,但它们不能完成胞质分裂,尽管有核分裂。由于这种异常的细胞周期事件,GH 或 TGF-β1 处理的细胞仍然双核,并经历有丝分裂灾难。重要的是,抑制 JAK2、TGFBR1(TGF-β 受体 1)或 Notch 可阻止足细胞的细胞周期重新进入,并防止与细胞死亡相关的有丝分裂灾难。抑制 Notch 激活可防止 GH 依赖性足细胞损伤和蛋白尿。同样,抑制 GHR 表达可减轻足细胞中的 Notch 激活。糖尿病肾病 (DN) 患者的肾活检切片显示 Notch 信号激活和双核足细胞。这些数据表明,过量 GH 诱导的 TGF-β1 依赖性 Notch1 信号导致足细胞的有丝分裂灾难。本研究强调了异常 GH 信号在足细胞病中的作用以及 TGF-β1 或 Notch 抑制剂作为治疗 DN 的潜在应用。
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