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Published on: April 17, 2013
Glomerular permeability is altered by loss of P0, a myelin protein expressed in glomerular epithelial cells
Emmanuelle Plaisier1, Béatrice Mougenot, Marie Christine Verpont
1Department of Nephrology, INSERM Unit 702, Tenon Hospital (AP-HP), University Pierre et Marie Curie, Paris, France. emmanuelle.plaisier@tnn.ap-hop-paris.fr
Abstract:
The myelin protein 0 (MPZ or P0) is a transmembrane glycoprotein that represents the most abundant myelin component. Mutations in the P0 gene are associated with one form of autosomal dominant demyelinating peripheral neuropathy, Charcot-Marie-Tooth disease type 1B (CMT1B). Because CMT1 may be associated with renal involvement, mostly focal segmental glomerulosclerosis, we hypothesized that P0 could be expressed in the kidney. P0 mRNA was detected by reverse transcriptase-PCR in the human and mouse renal cortex. P0 transcripts were identified by in situ hybridization at different stages of the mouse kidney development, especially in embryonic structures that give rise to the glomerulus. P0 protein was also detected by Western blot in human and rat glomerular extracts and in a human podocyte cell line using a monoclonal anti-P0 antibody. Immunofluorescence studies on human kidney sections showed that the podocytes were intensely labeled. Immunogold electron microscopy disclosed a predominant staining of the membranes of intracellular vesicles in podocytes. P0 was also detected in the podocyte cell membrane, including at the foot processes. P0(-/-) mice exhibited mild growth retardation and demyelinating neuropathy similar to the one observed in patients with CMT1B. They also presented mild albuminuria, without significant ultrastructural change of the glomerular basement membrane or the podocytes. These results demonstrate that P0, the major myelin protein, is also expressed during nephrogenesis and in mature kidney, mostly in podocytes. They suggest that P0 gene mutations might be involved in renal diseases.
Insights
Myelin protein zero (P0), typically found in nerves, is also present in kidney podocytes. P0 gene mutations may contribute to kidney diseases beyond peripheral neuropathy.
Area of Science:
- Nephrology
- Neuroscience
- Genetics
Background:
- Myelin protein zero (P0) is the primary component of peripheral nervous system myelin.
- Mutations in the P0 gene cause Charcot-Marie-Tooth disease type 1B (CMT1B), a demyelinating neuropathy.
- Renal involvement, including focal segmental glomerulosclerosis, is observed in some CMT1 patients.
Purpose of the Study:
- To investigate the expression of P0 in the kidney.
- To determine if P0 plays a role in kidney development and function.
- To explore the potential link between P0 gene mutations and renal diseases.
Main Methods:
- Reverse transcriptase-PCR to detect P0 mRNA in human and mouse kidneys.
- In situ hybridization to localize P0 transcripts during mouse kidney development.
- Western blot and immunofluorescence to detect P0 protein in human and rat kidney tissues and podocyte cell lines.
- Immunogold electron microscopy to identify the subcellular localization of P0 in podocytes.
- Analysis of P0 knockout (P0-/-) mice for renal phenotypes.
Main Results:
- P0 mRNA and protein are expressed in the human and mouse renal cortex, particularly in podocytes.
- P0 is detected in embryonic kidney structures and mature podocytes, including foot processes.
- P0 knockout mice show mild albuminuria, but no significant glomerular basement membrane or podocyte ultrastructural changes.
- P0(-/-) mice exhibit growth retardation and demyelinating neuropathy consistent with CMT1B.
Conclusions:
- The major myelin protein P0 is expressed in the kidney, predominantly in podocytes, during development and in mature organs.
- These findings suggest a potential role for P0 in kidney physiology and pathology.
- P0 gene mutations may be implicated in certain renal diseases, warranting further investigation.
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