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.

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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