title: Increased lysosomal proteolysis counteracts protein accumulation in the proximal tubule during focal segmental glomerulosclerosis.
abstract: Focal segmental glomerulosclerosis (FSGS) is a prevalent cause of end-stage renal disease, but the mechanisms underlying progression are unresolved. Lysosomal protein accumulation in the proximal tubule, mediated by megalin and cubilin endocytosis of increased amounts of filtered protein, is thought to result in inflammation and fibrosis. Here we determine whether release of inflammatory and fibrotic mediators in response to protein overload in the proximal tubule is caused by lysosomal enzyme deficits and insufficient proteolysis. As a model of FSGS, we used inducible podocyte-specific podocin-knockout mice analyzed at different time points. The content of megalin and cubilin ligands increased in the lysosomes after onset of proteinuria; however, protein and mRNA levels of megalin and cubilin showed only minor changes. To determine if the elevated lysosomal ligand content was caused by deficiency of enzymes, we analyzed protein and mRNA levels of lysosomal enzymes and found increased endogenous synthesis. Injection of dye-quenched fluorescent and iodinated albumin showed that proteolytic turnover in lysosomes of knockout mice adapted to the increased protein load. Inflammatory and fibrotic signals were increased early in disease, although the majority of lysosomes degraded endocytosed proteins effectively. Thus, insufficient lysosomal degradation in FSGS is not the cause of the inflammation and fibrosis during kidney disease.
authors.affiliation: Department of Biomedicine, Aarhus University, Aarhus, Denmark.
authors.forename: Rikke
authors.initials: R
authors.lastname: Nielsen
authors.forename: Geraldine
authors.initials: G
authors.lastname: Mollet
authors.forename: Ernie L
authors.initials: EL
authors.lastname: Esquivel
authors.forename: Kathrin
authors.initials: K
authors.lastname: Weyer
authors.forename: Pia K
authors.initials: PK
authors.lastname: Nielsen
authors.forename: Corinne
authors.initials: C
authors.lastname: Antignac
authors.forename: Erik I
authors.initials: EI
authors.lastname: Christensen
mesh_terms: D000818:Animals; D004195:Disease Models, Animal; D004705:Endocytosis; D005355:Fibrosis; D005923:Glomerulosclerosis, Focal Segmental / Q000201:enzymology* / Q000235:genetics / Q000473:pathology; D018836:Inflammation Mediators / Q000378:metabolism; D047908:Intracellular Signaling Peptides and Proteins / Q000172:deficiency / Q000235:genetics; D007687:Kidney Tubules, Proximal / Q000201:enzymology* / Q000473:pathology; D008024:Ligands; D026561:Low Density Lipoprotein Receptor-Related Protein-2 / Q000235:genetics / Q000378:metabolism; D008247:Lysosomes / Q000201:enzymology* / Q000473:pathology; D008565:Membrane Proteins / Q000172:deficiency / Q000235:genetics; D051379:Mice; D057507:Mice, 129 Strain; D008810:Mice, Inbred C57BL; D018345:Mice, Knockout; D010447:Peptide Hydrolases / Q000378:metabolism*; D050199:Podocytes / Q000378:metabolism; D011507:Proteinuria / Q000235:genetics / Q000378:metabolism; D059748:Proteolysis; D012333:RNA, Messenger / Q000378:metabolism; D011956:Receptors, Cell Surface / Q000235:genetics / Q000378:metabolism; D013997:Time Factors; D015854:Up-Regulation
chemical_list: D018836:Inflammation Mediators; D047908:Intracellular Signaling Peptides and Proteins; D008024:Ligands; D026561:Low Density Lipoprotein Receptor-Related Protein-2; C055127:Lrp2 protein, mouse; D008565:Membrane Proteins; C407223:NPHS2 protein; D012333:RNA, Messenger; D011956:Receptors, Cell Surface; C029486:intrinsic factor-cobalamin receptor; D010447:Peptide Hydrolases