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Publication : uPAR isoform 2 forms a dimer and induces severe kidney disease in mice.

First Author  Wei C Year  2019
Journal  J Clin Invest Volume  129
Issue  5 Pages  1946-1959
PubMed ID  30730305 Mgi Jnum  J:295248
Mgi Id  MGI:6453684 Doi  10.1172/JCI124793
Citation  Wei C, et al. (2019) uPAR isoform 2 forms a dimer and induces severe kidney disease in mice. J Clin Invest 129(5):1946-1959
abstractText  Soluble urokinase plasminogen activator receptor (suPAR) is an immune-derived circulating signaling molecule that has been implicated in chronic kidney disease, such as focal segmental glomerulosclerosis (FSGS). Typically, native uPAR (isoform 1) translates to a 3-domain protein capable of binding and activating integrins, yet the function of additional isoforms generated by alternative splicing is unknown. Here, we characterized mouse uPAR isoform 2 (msuPAR2), encoding domain I and nearly one-half of domain II, as a dimer in solution, as revealed by 3D electron microscopy structural analysis. In vivo, msuPAR2 transgenic mice exhibited signs of severe renal disease characteristic of FSGS with proteinuria, loss of kidney function, and glomerulosclerosis. Sequencing of the glomerular RNAs from msuPAR2-Tg mice revealed a differentially expressed gene signature that includes upregulation of the suPAR receptor Itgb3, encoding beta3 integrin. Crossing msuPAR2-transgenic mice with 3 different integrin beta3 deficiency models rescued msuPAR2-mediated kidney function. Further analyses indicated a central role for beta3 integrin and c-Src in msuPAR2 signaling and in human FSGS kidney biopsies. Administration of Src inhibitors reduced proteinuria in msuPAR2-transgenic mice. In conclusion, msuPAR2 may play an important role in certain forms of scarring kidney disease.
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