In response to protein load podocytes reorganize cytoskeleton and modulate endothelin-1 gene - Implication for permselective dysfunction of chronic nephropathies

Effacement of podocyte foot processes occurs in many proteinuric nephropathies and is accompanied by rearrangement of the actin cytoskeleton. Here, we studied whether protein overload affects intracellular path ways, leading to cytoskeletal architecture changes and ultimately to podocyte dysfunction. Mouse podocytes bound and endocytosed both albumin and IgGvia receptor-specific mechanisms. Protein overload caused redistribution of F-actin fibers instrumental to up-regulation of die prepro-endothelin (El)-1 gene and production of the corresponding peptide. Increased DNA-binding activity for nuclear factor (NF)-kappa B and Ap-1 nuclear protenis was measured in nuclear extracts of podocytes exposed to excess proteins. Both Y27632, which inhibits Rho kinase-dependent stress fiber formation, and jasplakinolide, an F-actin stabilizer, decreased NF-kappa B and Ap-1 activity and reduced ET-1 expression. This suggested a role for the cytoskeleton, through activated Rho, in the regulation of the ET-1 peptide. Focal adhesion kinase (FAK), an integrin-associated nonreceptor tyrosine kinase, was phosphorylated by albumin treatment via Rho kinase triggered actin reorganization FAK activation led to NF-kappa B- and Ap-1-dependent ET-1 expression. These data suggest that reorganization of the actin cytoskeletal network in response to protein load is implicated in modulation of die ET-1 gene via Rho kinase-dependent FAK activation of NF-kappa B and Ap-1 in differentiated podocytes. increased ET-1 generation might alter glomerular permselectivity and amplify the noxious effect of protein overload on dysfunctional podocytes.