Effect of the Monocyte Chemoattractant Protein-1/CC Chemokine Receptor 2 System on Nephrin Expression in Streptozotocin-Treated Mice and Human Cultured Podocytes

Effect of the Monocyte Chemoattractant Protein-1/CC Chemokine Receptor 2 System on Nephrin Expression in Streptozotocin-Treated Mice and Human Cultured Podocytes Elena Tarabra 1 , Sara Giunti 1 , 2 , Federica Barutta 1 , Gennaro Salvidio 3 , Davina Burt 1 , Giacomo Deferrari 3 , Roberto Gambino 1 ,...

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Veröffentlicht in:Diabetes (New York, N.Y.) N.Y.), 2009-09, Vol.58 (9), p.2109-2118
Hauptverfasser: TARABRA, Elena, GIUNTI, Sara, CAMUSSI, Giovanni, GRUDEN, Gabriella, BARUTTA, Federica, SALVIDIO, Gennaro, BURT, Davina, DEFERRARI, Giacomo, GAMBINO, Roberto, VERGOLA, Daniela, PINACH, Silvia, CAVALLO PERIN, Paolo
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Sprache:eng
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Zusammenfassung:Effect of the Monocyte Chemoattractant Protein-1/CC Chemokine Receptor 2 System on Nephrin Expression in Streptozotocin-Treated Mice and Human Cultured Podocytes Elena Tarabra 1 , Sara Giunti 1 , 2 , Federica Barutta 1 , Gennaro Salvidio 3 , Davina Burt 1 , Giacomo Deferrari 3 , Roberto Gambino 1 , Daniela Vergola 3 , Silvia Pinach 1 , Paolo Cavallo Perin 1 , Giovanni Camussi 1 and Gabriella Gruden 1 1 Diabetic Nephropathy Laboratory, Department of Internal Medicine, University of Turin, Italy; 2 Emergency Medicine Division, Umberto Parini Hospital, Aosta, Italy; 3 Department of Cardionephrology, University of Genoa, Italy. Corresponding author: Gabriella Gruden, ggruden{at}hotmail.com . Abstract OBJECTIVE Monocyte chemoattractant protein-1 (MCP-1), a chemokine binding to the CC chemokine receptor 2 (CCR2) and promoting monocyte infiltration, has been implicated in the pathogenesis of diabetic nephropathy. To assess the potential relevance of the MCP-1/CCR2 system in the pathogenesis of diabetic proteinuria, we studied in vitro if MCP-1 binding to the CCR2 receptor modulates nephrin expression in cultured podocytes. Moreover, we investigated in vivo if glomerular CCR2 expression is altered in kidney biopsies from patients with diabetic nephropathy and whether lack of MCP-1 affects proteinuria and expression of nephrin in experimental diabetes. RESEARCH DESIGN AND METHODS Expression of nephrin was assessed in human podocytes exposed to rh-MCP-1 by immunofluorescence and real-time PCR. Glomerular CCR2 expression was studied in 10 kidney sections from patients with overt nephropathy and eight control subjects by immunohistochemistry. Both wild-type and MCP-1 knockout mice were made diabetic with streptozotocin. Ten weeks after the onset of diabetes, albuminuria and expression of nephrin, synaptopodin, and zonula occludens-1 were examined by immunofluorescence and immunoblotting. RESULTS In human podocytes, MCP-1 binding to the CCR2 receptor induced a significant reduction in nephrin both mRNA and protein expression via a Rho-dependent mechanism. The MCP-1 receptor, CCR2, was overexpressed in the glomerular podocytes of patients with overt nephropathy. In experimental diabetes, MCP-1 was overexpressed within the glomeruli and the absence of MCP-1 reduced both albuminuria and downregulation of nephrin and synaptopodin. CONCLUSIONS These findings suggest that the MCP-1/CCR2 system may be relevant in the pathogenesis of proteinuria in diabetes. Footnotes The cost
ISSN:0012-1797
1939-327X
DOI:10.2337/db08-0895