Linking adiponectin to proteinuria
J. Clin. Invest. Rexford S. Ahima, et al. 118:1619 doi:10.1172/JCI35655 [
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Figure 2Schematic illustration of the effects of adiponectin on podocytes. (
A) In lean individuals, high levels of adiponectin phosphorylate and activate AMPK, presumably via AdipoR1, which prevents oxidative stress and the fusion of podocyte foot processes as well as limits albumin excretion. (
B) As Sharma et al. demonstrate in this issue of the
JCI (
7), total adiponectin deficiency in
Ad–/– mice or partial deficiency in obesity diminishes AMPK activity, increases oxidative stress, promotes the fusion of podocyte foot processes, and leads to higher urinary albumin excretion.