The central function of mammalian kidney is ultrafiltration of plasma through the complex glomerular filtration barrier that is composed of a fenestrated endothelium, a glomerular basement membrane (GBM) and specialized epithelial cells called podocytes. The foot processes of each podocyte interconnect on the top of the GBM and protein bridges between neighboring cells from the slit diaphragm. Disruption of the slit diaphragm (SD) causes leakiness of the glomerulus, manifested as proteinuria, a typical presentation in many renal diseases. Therefore, maintaining the integrity of the glomerular filtration barrier is critical for normal kidney function. Several podocyte gene products have been found to contribute to the structure and function of the SD, such as Nephrin, CD2AP and Podocin. From a search for other factors contributing to SD function, we discovered a novel gene, fam49b, that is highly expressed in developing and mature podocytes in both zebrafish and mouse kidneys. Knocking down fam49b in zebrafish embryos led to podocyte foot process effacement, altered podocyte morphology, and renal failure. A down regulation of fam49b expression was consistently observed in kidneys from mice with proteinuric glomerular dysfunction and from patients with focal segmental glomerulosclerosis (FSGS). From a yeast two-hybrid screen we identified phosphatidylserine synthase-1 (PSS1) as a Fam49b interacting partner. Overexpression of fam49b in HEK293 cells increases the binding of a phosphatidylserine (PS)-binding reporter (Lactadherin-GFP) and enhances vesicular activity in LLCPK1 cells, suggesting that Fam49b positively regulates PSS1 activity and PS content, and increases vesicular activity in cell. Therefore, we propose that Fam49b, a novel protein, plays a conserved and critical role in maintaining the structural and functional integrity of the glomerula filtration barrier by regulating phospholipids metabolism in podocytes. For this study, we will take advantage of the well-characterized zebrafish model in combination with various in vitro model systems to explore the functional role of Fam49b. In addition, we will explore how phospholipid modulates the podocyte function therefore contribute to the pathophysiology of glomerular diseases. Specifically, we will: 1) investigate the role of Fam49b in podocyte biology and maintenance of the structure and function of slit diaphragm (SD);and 2) explore the mechanism that Fam49b regulates the structure and function of the SD through modulating phospholipids metabolism, lipid raft mediated protein trafficking and cell signaling. Our proposed study will further our understanding of not only the function of this novel gene, fam49b, but also explore the role of phospholipids in the pathophysiology of podocyte, therefore provide potentially new therapeutic targets to treat glomerular disease.

Public Health Relevance

Kidney is a critical organ for filtering blood, removing wastes, and regulating water and salt balance in vertebral animals. We have discovered a new gene, fam49b to be critical for formation and/or function of the kidney filter, slit diaphragm. We proposed to examine the underlying mechanism of this gene and understand its contribution to the pathophysiology of """"""""leaky"""""""" kidney diseases.

National Institute of Health (NIH)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Exploratory/Developmental Grants (R21)
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Pathobiology of Kidney Disease Study Section (PBKD)
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Rys-Sikora, Krystyna E
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Massachusetts General Hospital
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Cheung, Pui W; Nomura, Naohiro; Nair, Anil V et al. (2016) EGF Receptor Inhibition by Erlotinib Increases Aquaporin 2-Mediated Renal Water Reabsorption. J Am Soc Nephrol 27:3105-3116
Arthur, Julian; Huang, Jianmin; Nomura, Naohiro et al. (2015) Characterization of the putative phosphorylation sites of the AQP2 C terminus and their role in AQP2 trafficking in LLC-PK1 cells. Am J Physiol Renal Physiol 309:F673-9
Nomura, Naohiro; Nunes, Paula; Bouley, Richard et al. (2014) High-throughput chemical screening identifies AG-490 as a stimulator of aquaporin 2 membrane expression and urine concentration. Am J Physiol Cell Physiol 307:C597-605
Huang, Jianmin; McKee, Mary; Huang, Hong D et al. (2013) A zebrafish model of conditional targeted podocyte ablation and regeneration. Kidney Int 83:1193-200