Targeting VE-PTP phosphatase protects the kidney from diabetic injury

Isabel A Carota1,2,3, Yael Kenig-Kozlovsky1,2, Tuncer Onay1,2

  • 1Feinberg Cardiovascular and Renal Research Institute, Northwestern University Feinberg School of Medicine, Chicago, IL.

Insights

Diabetic nephropathy involves reduced TIE2 signaling. Inhibiting VE-PTP restores TIE2 activity, protecting kidneys from diabetic injury and inflammation.

Area of Science:

  • Nephrology
  • Vascular Biology
  • Molecular Medicine

Background:

  • Diabetic nephropathy is a major cause of kidney failure.
  • Reduced angiopoietin-TIE2 receptor tyrosine kinase signaling contributes to diabetic complications by increasing vascular permeability and inflammation.
  • The mechanism of TIE2 signaling attenuation in diabetes was previously unclear.

Purpose of the Study:

  • To elucidate the mechanism by which TIE2 signaling is reduced in diabetic nephropathy.
  • To investigate the role of vascular endothelial protein tyrosine phosphatase VE-PTP in regulating TIE2 activity in diabetic kidneys.
  • To evaluate VE-PTP inhibition as a potential therapeutic strategy for diabetic kidney disease.

Main Methods:

  • Assessed VE-PTP expression in the renal microvasculature of diabetic rodents.
  • Investigated the dependence of VE-PTP upregulation on hypoxia-inducible factor (HIF) activity.
  • Utilized genetic deletion of VE-PTP in a mouse model of severe diabetic nephropathy.
  • Examined the downstream effects of VE-PTP inhibition on endothelial nitric oxide synthase (eNOS) and FOXO1.

Main Results:

  • VE-PTP (PTPRB) expression is significantly upregulated in the renal microvasculature of diabetic rodents, correlating with reduced TIE2 activity.
  • VE-PTP upregulation is dependent on HIF transcriptional activity.
  • Genetic deletion of VE-PTP restored TIE2 activity and protected kidney structure and function in diabetic mice.
  • VE-PTP inhibition activated eNOS and promoted FOXO1 nuclear exclusion, decreasing pro-inflammatory and pro-fibrotic gene expression.

Conclusions:

  • VE-PTP dephosphorylates and inhibits TIE2 signaling in the diabetic kidney.
  • VE-PTP upregulation, driven by HIF, is a key mechanism for TIE2 attenuation in diabetic nephropathy.
  • Inhibiting VE-PTP represents a promising therapeutic target for mitigating diabetic kidney injury.

Related Concept Videos

Protein Kinases and Phosphatases02:54

Protein Kinases and Phosphatases

Proteins undergo chemical modifications that trigger changes in the charge, structure, and conformation of the proteins. Phosphorylation, acetylation, glycosylation, nitrosylation, ubiquitination, lipidation, methylation, and proteolysis are various protein modifications that regulate protein activity. Such modifications are usually enzyme-driven.
Protein kinases
Many proteins in the cell are regulated by phosphorylation, the addition of a phosphate group. A family of enzymes called kinases...
15.1K
Protein Kinases and Phosphatases02:54

Protein Kinases and Phosphatases

4.5K
Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
661
Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
1.0K
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
435
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
326