Rapamycin induced ultrastructural and molecular alterations in glomerular podocytes in healthy mice

Kostas Stylianou1, Ioannis Petrakis, Vasiliki Mavroeidi

  • 1Department of Nephrology, Heraklion University Hospital, Crete, Greece. kstylianu@gmail.com

Abstract

Insights

Rapamycin causes early kidney podocyte damage, indicated by albuminuria and altered foot processes, though these effects may improve over time. This study examines rapamycin

Area of Science:

  • Nephrology
  • Pharmacology
  • Cell Biology

Background:

  • Rapamycin is generally considered non-nephrotoxic in healthy kidneys.
  • This study investigates potential nephrotoxicity of rapamycin at the ultrastructural and molecular levels of podocytes.

Purpose of the Study:

  • To examine the ultrastructural and molecular effects of rapamycin on podocytes in healthy mice.
  • To determine if rapamycin induces nephrotoxicity in a dose- and time-dependent manner.

Main Methods:

  • Balb/c mice received varying doses or durations of intraperitoneal rapamycin.
  • Renal function, albuminuria, podocyte structure (foot process width), and molecular markers (nephrin, podocin, Akt) were assessed.
  • Real-time PCR and western blotting were used to measure mRNA and protein levels.

Main Results:

  • Albuminuria and modest renal function decline occurred in high-dose and prolonged treatment groups.
  • Podocyte foot process width increased with rapamycin dose and duration, but improved by week 8.
  • Key podocyte markers (nephrin, podocin) mRNA and protein levels decreased early but recovered by week 8; phospho-Akt increased.

Conclusions:

  • Rapamycin induces early ultrastructural and molecular changes in podocytes, leading to albuminuria.
  • These rapamycin-induced podocyte alterations show a trend towards improvement over an 8-week treatment period.