Rapamycin attenuates PLA2R activation-mediated podocyte apoptosis via the PI3K/AKT/mTOR pathway

Terry Ting-Yu Chiou1, You-Ying Chau2, Jin-Bor Chen3

  • 1Division of Nephrology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan; School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.

Insights

Group IB secretory phospholipase A2 (sPLA2IB) triggers podocyte apoptosis via the PI3K/AKT/mTOR pathway in membranous nephropathy (MN). Rapamycin inhibits this pathway, offering potential therapeutic benefits for MN.

Area of Science:

  • Nephrology
  • Cell Biology
  • Molecular Medicine

Background:

  • Membranous nephropathy (MN) is a leading cause of nephrotic syndrome in adults, often linked to antibodies against phospholipase A2 receptor (PLA2R).
  • The precise signaling pathways involved in PLA2R-mediated podocyte injury and potential therapeutic targets remain incompletely understood.
  • The mammalian target of rapamycin (mTOR) pathway's role in podocyte function and its interplay with PLA2R signaling in MN require further investigation.

Purpose of the Study:

  • To elucidate the crosstalk between phospholipase A2 receptor (PLA2R) activation and mammalian target of rapamycin (mTOR) signaling in human podocytes.
  • To investigate the role of Group IB secretory phospholipase A2 (sPLA2IB) in podocyte apoptosis and its association with the phosphoinositide 3-kinase (PI3K)/protein kinase B (AKT)/mTOR pathway.
  • To evaluate the potential of rapamycin and LY294002 in mitigating sPLA2IB-induced podocyte apoptosis.

Main Methods:

  • Utilized a human podocyte cell line exposed to Group IB secretory phospholipase A2 (sPLA2IB).
  • Assessed podocyte apoptosis and the activation status of the PI3K/AKT/mTOR pathway.
  • Investigated the effects of pharmacological inhibitors, including rapamycin and LY294002, on sPLA2IB-induced cellular changes.
  • Analyzed the expression of key proteins involved in both extrinsic and intrinsic apoptotic cascades.

Main Results:

  • sPLA2IB induced podocyte apoptosis in a concentration- and time-dependent manner.
  • sPLA2IB-induced apoptosis was mediated by the upregulation of the PI3K/AKT/mTOR pathway.
  • Inhibition of the PI3K/AKT/mTOR pathway by rapamycin or LY294002 significantly reduced sPLA2IB-induced podocyte apoptosis.
  • Aberrant PI3K/AKT/mTOR activation was found to trigger both extrinsic (caspase-8, caspase-3) and intrinsic (BAX, BCL-2, cytochrome c, caspase-9, caspase-3) apoptotic pathways.

Conclusions:

  • PLA2R activation by sPLA2IB promotes podocyte apoptosis through the PI3K/AKT/mTOR signaling cascade.
  • Inhibiting the PI3K/AKT/mTOR pathway offers a protective effect against podocyte apoptosis in the context of PLA2R activation.
  • Rapamycin demonstrates therapeutic potential for membranous nephropathy by protecting podocytes from apoptosis, supporting its repurposing for MN treatment.

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