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Inhibition of the TRPC5 ion channel protects the kidney filter
Thomas Schaldecker, … , Astrid Weins, Anna Greka
Thomas Schaldecker, … , Astrid Weins, Anna Greka
Published November 15, 2013
Citation Information: J Clin Invest. 2013;123(12):5298-5309. https://doi.org/10.1172/JCI71165.
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Research Article Nephrology

Inhibition of the TRPC5 ion channel protects the kidney filter

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Abstract

An intact kidney filter is vital to retention of essential proteins in the blood and removal of waste from the body. Damage to the filtration barrier results in albumin loss in the urine, a hallmark of cardiovascular disease and kidney failure. Here we found that the ion channel TRPC5 mediates filtration barrier injury. Using Trpc5-KO mice, a small-molecule inhibitor of TRPC5, Ca2+ imaging in isolated kidney glomeruli, and live imagining of podocyte actin dynamics, we determined that loss of TRPC5 or its inhibition abrogates podocyte cytoskeletal remodeling. Inhibition or loss of TRPC5 prevented activation of the small GTP-binding protein Rac1 and stabilized synaptopodin. Importantly, genetic deletion or pharmacologic inhibition of TRPC5 protected mice from albuminuria. These data reveal that the Ca2+-permeable channel TRPC5 is an important determinant of albuminuria and identify TRPC5 inhibition as a therapeutic strategy for the prevention or treatment of proteinuric kidney disease.

Authors

Thomas Schaldecker, Sookyung Kim, Constantine Tarabanis, Dequan Tian, Samy Hakroush, Philip Castonguay, Wooin Ahn, Hanna Wallentin, Hans Heid, Corey R. Hopkins, Craig W. Lindsley, Antonio Riccio, Lisa Buvall, Astrid Weins, Anna Greka

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Figure 1

Genetic Trpc5 deletion is protective in 2 models of filter barrier damage.

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Genetic Trpc5 deletion is protective in 2 models of filter barrier damag...
(A) TRPC5 colocalized with synaptopodin. (B) TEM showed that WT and Trpc5-KO mice had an intact filtration barrier, demonstrated by normally arranged FPs and intervening slit diaphragms. After LPS injection, WT mice developed characteristic FPE, while Trpc5-KO mice maintained an intact filtration barrier. (C) PBS did not induce albuminuria in WT or Trpc5-KO mice. WT mice developed significant albuminuria after LPS injection, whereas Trpc5-KO mice were protected from LPS-induced albuminuria (n = 8–12 per group). (D) Western blot from isolated mouse glomeruli showed intact synaptopodin (Synpo) abundance in PBS-injected animals. LPS-injected WT mice showed synaptopodin degradation, including the appearance of the canonical 75-kDa degradation fragment (asterisk). In contrast, Trpc5-KO glomeruli were protected from synaptopodin degradation. GAPDH served as loading control. (E) WT and Trpc5-KO mice perfused with HBSS had a normal filtration barrier. Whereas WT mice perfused with PS developed FPE, Trpc5-KO mice were protected from PS-induced FPE. (F) HBSS-perfused WT and Trpc5-KO animals showed comparable FP numbers (1.8 ± 0.08 and 1.8 ± 0.01, respectively). In contrast, PS perfusion caused significant FPE in WT mice, whereas Trpc5-KO mice were protected to near-normal FP numbers (1.2 ± 0.08 and 1.7 ± 0.07, respectively; n = 6 mice and 90–150 images per group). Original magnification, ×400 (A), ×15,000 (B and E). ***P < 0.001, ANOVA.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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