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Updated: Jul 6, 2026

Mechanism of Kemeng Fang's Inhibition of Podocyte Apoptosis in Rats with Membranous Nephropathy through the PI3K/AKT Signaling Pathway
Published on: August 23, 2024
Failure to phosphorylate AKT in podocytes from mice with early diabetic nephropathy promotes cell death
1Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
Abstract:
Loss of podocytes by apoptosis characterizes the early stages of diabetic nephropathy. To examine its mechanism we studied glomeruli and podocytes isolated from db/db mice with early diabetic nephropathy and albuminuria. Phosphorylation of AKT (protein kinase B, a key survival protein) was found to be lower in the glomeruli of 12 week old db/db compared to db/+ mice. In vitro, insulin phosphorylated AKT solely in podocytes from db/+ mice. Serum deprivation and exposure to tumor necrosis factor-alpha significantly compromised cell viability in podocytes from db/db but not from db/+ mice, and this was associated with a significant decrease in AKT phosphorylation. Inhibition of AKT was necessary to achieve the same degree of cell death in db/+ podocytes. Our study shows that podocyte inability to respond to insulin and susceptibility to cell death may partially account for the decreased podocyte number seen in early diabetic nephropathy.
Insights
Diabetic nephropathy involves podocyte loss. In this study, podocytes from diabetic mice showed reduced AKT survival protein phosphorylation, impaired insulin response, and increased susceptibility to cell death, contributing to kidney damage.
Area of Science:
- Nephrology
- Molecular Biology
- Diabetology
Background:
- Diabetic nephropathy is characterized by podocyte apoptosis.
- Understanding the mechanisms of podocyte loss is crucial for early intervention.
Purpose of the Study:
- To investigate the mechanism of podocyte apoptosis in early diabetic nephropathy.
- To examine the role of AKT phosphorylation and insulin signaling in podocyte survival.
Main Methods:
- Studied glomeruli and podocytes from db/db mice with early diabetic nephropathy.
- Assessed AKT phosphorylation levels in response to insulin, serum deprivation, and TNF-alpha.
- Evaluated podocyte viability and cell death.
Main Results:
- Lower AKT phosphorylation was observed in db/db mouse glomeruli compared to controls.
- Podocytes from db/db mice exhibited impaired AKT phosphorylation in response to insulin.
- db/db podocytes showed reduced viability under serum deprivation and TNF-alpha exposure, linked to decreased AKT phosphorylation.
Conclusions:
- Podocyte's inability to respond to insulin contributes to decreased podocyte number in diabetic nephropathy.
- Susceptibility to cell death, mediated by impaired AKT signaling, plays a role in early diabetic kidney disease progression.
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