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Klotho inhibits PKCα/p66SHC-mediated podocyte injury in diabetic nephropathy
Wei Jiang1, Tangli Xiao1, Wenhao Han1
1Department of Nephrology, Institute of Nephrology of Chongqing and Kidney Center of PLA, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Abstract:
Diabetic nephropathy (DN) is a progressive disease, the main pathogeny of which is podocyte injury. As a calcium-dependent serine/threonine protein kinase involved in podocyte injury, protein kinase C isoform α (PKCα) was reported to regulate the phosphorylation of p66SHC. However, the role of PKCα/p66SHC in DN remains unknown. Klotho, an anti-aging protein with critical roles in protecting kidney, is expressed predominantly in the kidney and secreted in the blood. Nonetheless, the mechanism underlying amelioration of podocyte injury by Klotho in DN remains unclear. Our data showed that Klotho was decreased in STZ-treated mice and was further declined in diabetic KL ± mice. As expected, Klotho deficiency aggravated diabetes-induced proteinuria and podocyte injury, accompanied by the activation of PKCα and p66SHC. In contrast, overexpression of Klotho partially ameliorated PKCα/p66SHC-mediated podocyte injury and proteinuria. In addition, in vitro experiments showed that activation of PKCα and subsequently increased intracellular reactive oxygen species (ROS) was involved in podocytic apoptosis induced by high glucose (HG), which could be partially reversed by Klotho. Hence, we conclude that Klotho might inhibit PKCα/p66SHC-mediated podocyte injury in diabetic nephropathy.
Insights
Klotho protein may protect against diabetic nephropathy by inhibiting the PKCα/p66SHC pathway, which contributes to podocyte injury and kidney damage in diabetes.
Area of Science:
- Nephrology
- Endocrinology
- Molecular Biology
Background:
- Diabetic nephropathy (DN) is a leading cause of kidney disease, characterized by podocyte injury.
- Protein kinase C alpha (PKCα) and p66SHC are implicated in podocyte injury, but their role in DN is unclear.
- Klotho, an anti-aging protein, protects the kidney, yet its mechanism in DN remains elusive.
Purpose of the Study:
- To investigate the role of the Klotho/PKCα/p66SHC pathway in diabetic nephropathy.
- To elucidate how Klotho ameliorates podocyte injury in the context of DN.
Main Methods:
- Utilized STZ-induced diabetic mouse models with and without Klotho deficiency.
- Employed in vitro experiments with high glucose to study podocyte apoptosis.
- Assessed proteinuria, podocyte injury markers, PKCα, p66SHC, and reactive oxygen species (ROS).
Main Results:
- Klotho levels were reduced in diabetic mice, and its deficiency exacerbated DN.
- PKCα and p66SHC activation correlated with podocyte injury and proteinuria in DN.
- Klotho overexpression partially reversed PKCα/p66SHC-mediated podocyte injury and ROS production.
Conclusions:
- Klotho may protect against diabetic nephropathy by inhibiting the PKCα/p66SHC pathway.
- This pathway contributes to high glucose-induced podocyte apoptosis and kidney damage.
- Klotho represents a potential therapeutic target for managing diabetic nephropathy.
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