Agonistic anti-CD148 monoclonal antibody attenuates diabetic nephropathy in mice

Keiko Takahashi1, Rachel H Kim1, Lejla Pasic2

  • 1Division of Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, Tennessee.

Insights

An agonistic anti-CD148 antibody reduced kidney damage in diabetic mice by decreasing growth factor signals in podocytes. This antibody shows potential for treating early diabetic nephropathy.

Area of Science:

  • Nephrology
  • Immunology
  • Molecular Biology

Background:

  • CD148 is a protein tyrosine phosphatase in the kidney vasculature that negatively regulates growth factor signaling.
  • Its role in kidney disease, particularly diabetic nephropathy (DN), is currently unknown.
  • Understanding CD148's function is crucial for developing new therapeutic strategies for DN.

Purpose of the Study:

  • To investigate the therapeutic potential of an agonistic anti-CD148 antibody in a mouse model of diabetic nephropathy.
  • To elucidate the mechanisms by which anti-CD148 antibody affects renal pathology and podocyte function.
  • To assess the efficacy of targeting CD148 for the treatment of early-stage DN.

Main Methods:

  • Generated agonistic anti-mouse CD148 monoclonal antibodies (mAbs) using CD148 knockout mice.
  • Selected the most potent mAb (18E1) based on biological and biochemical assays.
  • Administered 18E1 mAb to wild-type and CD148KO diabetic mice and assessed renal phenotype, including albuminuria, mesangial expansion, podocyte number, and inflammatory markers.
  • Evaluated the effects of 18E1 mAb on podocyte growth factor signaling in vitro and in vivo.

Main Results:

  • 18E1 mAb significantly reduced albuminuria and mesangial expansion in wild-type diabetic mice without affecting blood glucose or pressure.
  • The antibody preserved podocyte number and nephrin expression, decreased fibronectin deposition, and reduced macrophage infiltration in glomeruli.
  • No beneficial effects were observed in CD148 knockout diabetic mice, confirming the antibody's specificity.
  • 18E1 mAb was shown to reduce epidermal growth factor receptor (EGFR) signaling in podocytes.

Conclusions:

  • Agonistic anti-CD148 antibody (18E1 mAb) effectively attenuates diabetic nephropathy in mice.
  • The therapeutic effect is mediated, in part, by the reduction of EGFR signaling in podocytes.
  • This antibody represents a promising therapeutic candidate for early diabetic nephropathy treatment.