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

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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