AKAP1 contributes to impaired mtDNA replication and mitochondrial dysfunction in podocytes of diabetic kidney disease

Jun Feng1,2, Zhaowei Chen1,2, Yiqiong Ma1,2

  • 1Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.

Insights

A-kinase anchoring protein 1 (AKAP1) impairs mitochondrial DNA replication in diabetic kidney disease (DKD) by activating protein kinase C (PKC) signaling. This AKAP1-PKC pathway exacerbates podocyte injury and mitochondrial dysfunction in DKD.

Area of Science:

  • Nephrology
  • Mitochondrial Biology
  • Molecular Medicine

Background:

  • Diabetic kidney disease (DKD) involves podocyte injury and mitochondrial dysfunction.
  • Mitochondrial DNA (mtDNA) replication defects contribute to mitochondrial dysfunction, but their role in podocyte injury in DKD remains unclear.
  • A-kinase anchoring protein 1 (AKAP1) regulates mitochondrial signals.

Purpose of the Study:

  • To investigate the role of AKAP1 in high glucose-induced mtDNA replication in podocytes.
  • To elucidate the molecular mechanism by which AKAP1 affects mtDNA replication and podocyte injury in DKD.

Main Methods:

  • Examined mtDNA replication, mitochondrial function, and podocyte injury in DKD models.
  • Assessed AKAP1 expression and protein kinase C (PKC) signaling under hyperglycemic conditions.
  • Investigated the effects of AKAP1 knockdown, PKC inhibition (enzastaurin), and AKAP1 overexpression on podocyte function and mtDNA replication.

Main Results:

  • DKD podocytes exhibited decreased mtDNA replication and mitochondrial dysfunction.
  • High glucose upregulated AKAP1 expression and activated PKC signaling.
  • AKAP1 recruited PKC, leading to Larp1 phosphorylation and reduced TFAM expression, impairing mtDNA replication.
  • Knocking down AKAP1 or inhibiting PKC rescued mtDNA replication, mitochondrial function, and podocyte injury.
  • AKAP1 overexpression exacerbated podocyte injury and mtDNA replication impairment.

Conclusions:

  • AKAP1 phosphorylates Larp1 via PKC activation, reducing TFAM and impairing mtDNA replication in DKD.
  • This mechanism accelerates mitochondrial dysfunction and podocyte injury in diabetic kidney disease.
  • Targeting the AKAP1-PKC pathway may offer a therapeutic strategy for DKD.