Babelova, A.* ; Jansen, F.* ; Sander, K.* ; Löhn, M.* ; Schäfer, L.* ; Fork, C.* ; Ruetten, H.* ; Plettenburg, O.* ; Stark, H.* ; Daniel, C.* ; Amann, K.* ; Pavenstädt, H.* ; Jung, O.* ; Brandes, R.P.*
    
 
    
        
Activation of Rac-1 and RhoA contributes to podocyte injury in chronic kidney disease.
    
    
        
    
    
        
        PLoS ONE 8:e80328 (2013)
    
    
    
		
		
			
				Rho-family GTPases like RhoA and Rac-1 are potent regulators of cellular signaling that control gene expression, migration and inflammation. Activation of Rho-GTPases has been linked to podocyte dysfunction, a feature of chronic kidney diseases (CKD). We investigated the effect of Rac-1 and Rho kinase (ROCK) inhibition on progressive renal failure in mice and studied the underlying mechanisms in podocytes. SV129 mice were subjected to 5/6-nephrectomy which resulted in arterial hypertension and albuminuria. Subgroups of animals were treated with the Rac-1 inhibitor EHT1846, the ROCK inhibitor SAR407899 and the ACE inhibitor Ramipril. Only Ramipril reduced hypertension. In contrast, all inhibitors markedly attenuated albumin excretion as well as glomerular and tubulo-interstitial damage. The combination of SAR407899 and Ramipril was more effective in preventing albuminuria than Ramipril alone. To study the involved mechanisms, podocytes were cultured from SV129 mice and exposed to static stretch in the Flexcell device. This activated RhoA and Rac-1 and led via TGFβ to apoptosis and a switch of the cells into a more mesenchymal phenotype, as evident from loss of WT-1 and nephrin and induction of α-SMA and fibronectin expression. Rac-1 and ROCK inhibition as well as blockade of TGFβ dramatically attenuated all these responses. This suggests that Rac-1 and RhoA are mediators of podocyte dysfunction in CKD. Inhibition of Rho-GTPases may be a novel approach for the treatment of CKD.
			
			
				
			
		 
		
			
				
					
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Wissenschaftlicher Artikel
    
 
    
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        englisch
    
 
    
        Veröffentlichungsjahr
        2013
    
 
    
        Prepublished im Jahr 
        
    
 
    
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        0
    
 
    
    
        ISSN (print) / ISBN
        1932-6203
    
 
    
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	    Band: 8,  
	    Heft: 11,  
	    Seiten: ,  
	    Artikelnummer: e80328 
	    Supplement: ,  
	
    
 
  
        
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            Verlag
            Public Library of Science (PLoS)
        
 
        
            Verlagsort
            Lawrence, Kan.
        
 
	
        
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        Begutachtungsstatus
        Peer reviewed
    
 
    
        Institut(e)
        Institute of Medicinal Chemistry (IMC)
    
 
    
        POF Topic(s)
        30203 - Molecular Targets and Therapies
    
 
    
        Forschungsfeld(er)
        Enabling and Novel Technologies
    
 
    
        PSP-Element(e)
        G-506300-001
    
 
    
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        Erfassungsdatum
        2013-09-09