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Publication : Suppression of nephrin expression by TNF-alpha via interfering with the cAMP-retinoic acid receptor pathway.

First Author  Saito Y Year  2010
Journal  Am J Physiol Renal Physiol Volume  298
Issue  6 Pages  F1436-44
PubMed ID  20237236 Mgi Jnum  J:159987
Mgi Id  MGI:4453239 Doi  10.1152/ajprenal.00512.2009
Citation  Saito Y, et al. (2010) Suppression of nephrin expression by TNF-{alpha} via interfering with the cAMP-retinoic acid receptor pathway. Am J Physiol Renal Physiol 298(6):F1436-44
abstractText  Nephrin, a crucial component of the slit diaphragm, is downregulated in proteinuric glomerular diseases including glomerulonephritis. We previously reported that 1) expression of nephrin in cultured podocytes is reinforced by retinoic acid (RA) and 1,25-dihydroxyvitamin D(3), 2) these effects are mediated by retinoic acid receptor (RAR) and vitamin D receptor (VDR), and 3) basal and inducible expression of nephrin is downregulated by TNF-alpha. In the present investigation, we identified that TNF-alpha selectively represses activity of RAR but not VDR. To elucidate mechanisms underlying this observation, we tested involvement of downstream targets for TNF-alpha: nuclear factor-kappaB (NF-kappaB), mitogen-activated protein (MAP) kinases, phosphatidylinositol 3-kinase (PI3K)-Akt, and cAMP-protein kinase A (PKA). TNF-alpha caused activation of NF-kappaB, MAP kinases, and PI3K-Akt in podocytes, whereas blockade of these molecules did not affect inhibition of RAR by TNF-alpha. In contrast, TNF-alpha depressed activity of cAMP-PKA, and blockade of PKA inhibited basal and RA-induced activation of RAR. Furthermore, activity of RAR was significantly upregulated by cAMP, and the suppressive effect of TNF-alpha on RAR was reversed by cAMP-elevating agents. These results suggest that 1) expression of nephrin in podocytes is regulated by the cAMP-RAR pathway and 2) suppression of nephrin by TNF-alpha is caused, at least in part, through selective inhibition of this pathway.
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