CLDN5：β1インテグリン結合を介した糸球体上皮細胞接着の新規調節因子

The intricate glomerular filtration barrier relies on robust podocyte adhesion to the glomerular basement membrane (GBM), a process critical for kidney function and often compromised in chronic kidney diseases. Here, we reveal that the four-transmembrane protein CLDN5 is an important molecule regulating podocyte adhesion. Utilizing super-resolution imaging, we pinpoint CLDN5's localization at the podocyte-GBM interface, where it notably colocalizes with β1-integrin. CLDN5 deletion in podocytes profoundly impairs cell adhesion, spreading, and resistance to mechanical stress in vitro. Mechanistically, CLDN5 forms a stable complex with β1-integrin and its loss leads to a significant reduction in β1-integrin protein levels coupled with aberrant localization. CLDN5 binds to the intracellular domain of β1-integrin via its intracellular loop and C-terminal domains, thereby impeding HUWE1-mediated ubiquitination at lysine K774 and subsequent proteasomal degradation as well as ensuring proper membrane localization of β1-integrin. The protective role of CLDN5 in maintaining podocyte integrity is supported by in vivo studies, demonstrating markedly exacerbated renal injury in Cldn5-KO mice subjected to hypertensive and adriamycin-induced injury models. These findings not only broaden our understanding of the extra-junctional roles of claudin proteins but also provide critical molecular insights into the complex mechanisms by which podocytes maintain integrity and withstand mechanical forces within the glomerulus.