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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Physiol+Renal+Physiol
2015 ; 308
(6
): F614-26
Nephropedia Template TP
gab.com Text
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English Wikipedia
Podocyte injury-driven intracapillary plasminogen activator inhibitor type 1
accelerates podocyte loss via uPAR-mediated ?1-integrin endocytosis
#MMPMID25587125
Kobayashi N
; Ueno T
; Ohashi K
; Yamashita H
; Takahashi Y
; Sakamoto K
; Manabe S
; Hara S
; Takashima Y
; Dan T
; Pastan I
; Miyata T
; Kurihara H
; Matsusaka T
; Reiser J
; Nagata M
Am J Physiol Renal Physiol
2015[Mar]; 308
(6
): F614-26
PMID25587125
show ga
Podocyte-endothelial cell cross-talk is paramount for maintaining the filtration
barrier. The present study investigated the endothelial response to podocyte
injury and its subsequent role in glomerulosclerosis using the podocyte-specific
injury model of NEP25/LMB2 mice. NEP25/LMB2 mice showed proteinuria and local
podocyte loss accompanied by thrombotic microangiopathy on day 8. Mice showed an
increase of glomerular plasminogen activator inhibitor type 1 (PAI-1) mRNA and
aberrant endothelial PAI-1 protein already on day 1, before thrombosis and
proteinuria. A PAI-1-specific inhibitor reduced proteinuria and thrombosis and
preserved podocyte numbers in NEP25/LMB2 mice by stabilization of ?1-integrin
translocation. Heparin loading significantly reduced thrombotic formation,
whereas proteinuria and podocyte numbers were unchanged. Immortalized podocytes
treated with PAI-1 and the urokinase plasminogen activator (uPA) complex caused
significant cell detachment, whereas podocytes treated with PAI-1 or uPA alone or
with the PAI-1/uPA complex pretreated with an anti-uPA receptor (uPAR) antibody
failed to cause detachment. Confocal microscopy and cell surface biotinylation
experiments showed that internalized ?1-integrin was found together with uPAR in
endocytotic vesicles. The administration of PAI-1 inhibitor or uPAR-blocking
antibody protected cultured podocytes from cell detachment. In conclusion,
PAI-1/uPA complex-mediated uPAR-dependent podocyte ?1-integrin endocytosis
represents a novel mechanism of glomerular injury leading to progressive
podocytopenia. This aberrant cross-talk between podocytes and endothelial cells
represents a feedforward injury response driving podocyte loss and progressive
glomerulosclerosis.