Enhanced insulin receptor, but not PI3K, signalling protects podocytes from ER stress

Kathryn L Garner1, Virginie M S Betin1, Vanda Pinto1

  • 1Bristol Renal, Bristol Medical School, University of Bristol, Dorothy Hodgkin Building, Whitson Street, Bristol, BS1 3NY, UK.

Scientific Reports
|March 4, 2018
PubMed

Insights

Improving insulin sensitivity protects kidney podocytes from endoplasmic reticulum (ER) stress and apoptosis in diabetic nephropathy. Targeting the insulin receptor (IR) or inhibiting protein tyrosine-phosphatase 1B (PTP1B) offers protection, while PTEN knockdown sensitizes podocytes.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Diabetology

Background:

  • Diabetic nephropathy involves endoplasmic reticulum (ER) stress in kidney podocytes, leading to apoptosis and proteinuria.
  • The insulin-PI3K-Akt signaling pathway is crucial in podocyte function and survival.

Purpose of the Study:

  • To investigate whether enhancing insulin sensitivity can protect kidney podocytes from ER stress.
  • To explore the roles of specific signaling molecules in ER stress response within podocytes.

Main Methods:

  • Utilized activating transcription factor 6 (ATF6)- and ER stress element (ERSE)-luciferase assays.
  • Employed a novel high-throughput imaging-based C/EBP homologous protein (CHOP) assay.
  • Examined three models of enhanced insulin sensitivity in podocytes.

Main Results:

  • Over-expressing the insulin receptor (IR) or knocking down protein tyrosine-phosphatase 1B (PTP1B) protected podocytes from ER stress induced by fatty acids or diabetic media.
  • Knocking down phosphatase and tensin homolog deleted from chromosome 10 (PTEN) sensitized podocytes to ER stress and apoptosis, despite increased Akt phosphorylation.
  • Inhibiting the MEK/ERK signaling pathway rescued PTEN knockdown podocytes from ER stress, suggesting non-PI3K-Akt pathway involvement.

Conclusions:

  • Improving insulin sensitivity, particularly at the insulin receptor level, can protect podocytes from ER stress.
  • Podocyte protection from ER stress involves complex signaling pathways beyond just PI3K-Akt.
  • Targeting specific regulators of insulin signaling may offer therapeutic strategies for diabetic nephropathy.

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