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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
PTEN Inhibits High Glucose-Induced Phenotypic Transition in Podocytes
Lingling Xing1,2, Qingjuan Liu1, Shuxia Fu2
1Department of Pathology, Hebei Medical University, Key Laboratory of Kidney Diseases of Hebei Province, Shijiazhuang, Hebei, 050017, China.
Abstract:
Accumulating evidence has suggested that podocytes undergo epithelial-mesenchymal transition (EMT) in diabetic nephropathy (DN). However, the underlying mechanisms of EMT in podocyte are not well understood. PI3K/Akt pathway is involved in the progression of DN. In the present study, we demonstrated that PI3K/Akt pathway was activated in podocytes exposed to high glucose conditions, accompanied by down-regulation of the podocalyxin (PCX) and nephrin expression and up-regulation of the desmin and α-smooth muscle actin (α-SMA) expression. Inhibition of PI3K/Akt pathway by chemical LY294002 or Phosphase and tensin homology deleted on chromosome ten (PTEN) prevented the phenotypic transition. These findings indicate that PTEN/PI3K/Akt pathway mediates high glucose-induced phenotypic transition in podocytes.
Insights
High glucose activates the PTEN/PI3K/Akt pathway in kidney podocytes, driving diabetic nephropathy progression. Inhibiting this pathway prevents harmful cellular changes, offering potential therapeutic targets.
Area of Science:
- Nephrology
- Cell Biology
- Molecular Biology
Background:
- Diabetic nephropathy (DN) is a leading cause of kidney failure.
- Podocyte injury, including epithelial-mesenchymal transition (EMT), is a hallmark of DN.
- The precise molecular mechanisms driving podocyte EMT in DN remain unclear.
Purpose of the Study:
- To investigate the role of the Phosphatidylinositol 3-kinase/Protein kinase B (PI3K/Akt) pathway in high glucose-induced podocyte EMT.
- To identify key molecular players involved in this process.
Main Methods:
- Cultured podocytes were exposed to high glucose conditions.
- Activation of the PI3K/Akt pathway was assessed.
- Expression levels of podocyte markers (podocalyxin, nephrin) and EMT markers (desmin, α-smooth muscle actin) were measured.
- The effects of PI3K/Akt pathway inhibition (using LY294002 or PTEN) were evaluated.
Main Results:
- High glucose activated the PI3K/Akt pathway in podocytes.
- This activation correlated with decreased expression of podocalyxin and nephrin.
- Concurrently, desmin and α-smooth muscle actin expression increased, indicating EMT.
- Inhibition of the PI3K/Akt pathway using LY294002 or PTEN reversed these phenotypic changes.
Conclusions:
- The PTEN/PI3K/Akt pathway is a critical mediator of high glucose-induced EMT in podocytes.
- Targeting this pathway may offer a therapeutic strategy for diabetic nephropathy.
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