Cyclic AMP prevents decrease of phosphorylated ezrin/radixin/moesin and chloride intracellular channel 5 expressions in injured podocytes
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Updated: Apr 16, 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
Hua Tao1, Xiaoying Li1, Kai Wei1
1Renal Division and Molecular Cell Lab for Kidney Disease, Renji Hospital, School of Medicine, Shanghai Jiaotong University, 160#, Pu Jian Road, Shanghai, 200001, China.
Background:
Our previous in vitro studies suggested that cyclin AMP (cAMP) signaling protects against podocyte injury. However, the molecular mechanisms remain unknown. The aim of the present study was to explore the role of forskolin, an agonist for adenylate cyclase, on ezrin/radixin/moesin (ERM) phosphorylation and chloride intracellular channel 5 (CLIC5) expressions in injured podocytes.
Methods:
ADR nephrosis model were induced by adriamycin (ADR) injection in BalB/C mice. Parts of ADR nephrosis mice were pretreated with forskolin. Albuminuria was estimated by urine Coomassie blue stain. Nephrin, synaptopodin, CLIC5, phosphorylated ERM and podocalyxin were measured by confocal microscopy. CLIC5 and phosphorylated ERM also were studied using western blotting. RhoA and Rac1 were estimated by G-Lisa kit.
Results:
We found that forskolin partially alleviated albuminuria and width of foot processes. Nephrin, synaptopodin, phosphorylated-ERM (p-ERM) and CLIC5 expression were decreased in ADR mice, which were improved by forskolin pretreatment. In vitro studies, pretreatment of podocytes with pCPT-cAMP(PKA-selective cAMP analogue)prevented puromycin aminonucleoside (PAN)-induced CLIC5 downregulation. 8-pCPT-2'-O-Me-cAMP (2Me-cAMP, an Epac-selective cAMP analogue) blocked PAN-induced p-ERM downregulation. PAN inhibited RhoA activation in podocytes, which could be prevented by pCPT-cAMP pretreatment. Y-27632, a Rho inhibitor, decreased CLIC5 expression in podocytes.
Conclusion:
Activation cAMP signaling might attenuate albuminuria in ADR-induced nephrosis mice. Different downstream signaling pathway might mediate cAMP protection on CLIC5 and p-ERM expression, respectively.
Insights
Cyclic AMP (cAMP) signaling protects podocytes from injury by improving ezrin/radixin/moesin (ERM) phosphorylation and chloride intracellular channel 5 (CLIC5) expression. Forskolin, a cAMP activator, alleviates albuminuria in a mouse model of nephrosis.
Area of Science:
- Nephrology
- Molecular Biology
- Cell Biology
Background:
- Cyclic AMP (cAMP) signaling is implicated in protecting podocytes from injury.
- The precise molecular mechanisms underlying cAMP-mediated podocyte protection remain unclear.
- This study investigates the role of forskolin in modulating key proteins in injured podocytes.
Purpose of the Study:
- To explore the effects of forskolin, an adenylate cyclase agonist, on ezrin/radixin/moesin (ERM) phosphorylation and chloride intracellular channel 5 (CLIC5) expression in podocytes.
- To elucidate the molecular pathways involved in cAMP-mediated protection against podocyte injury.
Main Methods:
- Adriamycin (ADR)-induced nephrosis model in BalB/C mice.
- Forskolin pretreatment in ADR-induced nephrosis.
- Assessment of albuminuria using urine Coomassie blue stain.
- Confocal microscopy and western blotting to measure nephrin, synaptopodin, CLIC5, and phosphorylated ERM (p-ERM).
- In vitro studies using podocytes treated with cAMP analogues and Rho inhibitor.
Main Results:
- Forskolin treatment partially reduced albuminuria and foot process effacement in ADR-induced nephrosis.
- ADR-induced decreases in nephrin, synaptopodin, p-ERM, and CLIC5 were restored by forskolin.
- PKA-selective cAMP analogue prevented puromycin aminonucleoside (PAN)-induced CLIC5 downregulation.
- Epac-selective cAMP analogue blocked PAN-induced p-ERM downregulation.
- PAN-induced RhoA activation was inhibited by pCPT-cAMP, and Rho inhibition decreased CLIC5 expression.
Conclusions:
- Activation of cAMP signaling may attenuate albuminuria in ADR-induced nephrosis.
- Distinct downstream signaling pathways likely mediate the protective effects of cAMP on CLIC5 and p-ERM expression, respectively.
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