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Publication : Inhibition of MTOR disrupts autophagic flux in podocytes.

First Author  Cinà DP Year  2012
Journal  J Am Soc Nephrol Volume  23
Issue  3 Pages  412-20
PubMed ID  22193387 Mgi Jnum  J:184667
Mgi Id  MGI:5425532 Doi  10.1681/ASN.2011070690
Citation  Cina DP, et al. (2012) Inhibition of MTOR disrupts autophagic flux in podocytes. J Am Soc Nephrol 23(3):412-20
abstractText  Inhibitors of the mammalian target of rapamycin (MTOR) belong to a family of drugs with potent immunosuppressive, antiangiogenic, and antiproliferative properties. De novo or worsening proteinuria can occur during treatment with these agents, but the mechanism by which this occurs is unknown. We generated and characterized mice carrying a podocyte-selective knockout of the Mtor gene. Although Mtor was dispensable in developing podocytes, these mice developed proteinuria at 3 weeks and end stage renal failure by 5 weeks after birth. Podocytes from these mice exhibited an accumulation of the autophagosome marker LC3 (rat microtubule-associated protein 1 light chain 3), autophagosomes, autophagolysosomal vesicles, and damaged mitochondria. Similarly, human podocytes treated with the MTOR inhibitor rapamycin accumulated autophagosomes and autophagolysosomes. Taken together, these results suggest that disruption of the autophagic pathway may play a role in the pathogenesis of proteinuria in patients treated with MTOR inhibitors.
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