This is the third renewal application for this project to understand the pathophysiology of proteinuric kidney diseases. Progress over the last 20 years has focused attention on the podocyte, at least in part because of our pioneering work on CD2AP. In the last funding period, we hypothesized that foot process effacement, a universal feature of proteinuria, was the physiological manifestation of Rac activation. Previous in vitro studies showed that Rac controlled actin cytoskeletal structures like the lamellopodia and membrane ruffling. We postulated that podocytes maintain high levels of Rho activity, which functions to enhance cell adhesion by controlling the formation of actin cables known as stress fibers. To prove our hypothesis, we showed that the acute activation of Rac induced foot process effacement and proteinuria. However, others in the field have argued that it is Rho activation that is the cause of effacement and proteinuria. Because all of this work is based on transgenics, which are difficult to compare because of the number of copies of the transgene and because of random integration, we propose to generate mice using ES cell technology, where a single copy of the transgene is targeted to a specific chromosomal locus. This will allow different transgenics to be compared to each other.
In specific aim #1, we will compare and contrast three transgenic mice that we generated that allow for inducible expression of constitutively active Cdc42, RhoA and Rac1.
In specific aim #2, we will test whether the activation of RhoA can attenuate the activation of Rac1 and proteinuria in several different models of podocyte injury. Since GPCRs are a major regulator of Rho in cells, and as we believe that Rho activation to be a potential strategy for the treatment of proteinuria, we propose to first characterize all of the GPCRs expressed in podocytes. We will then test whether ligands for this GPCRs can activate Rho using both cultured podocytes and a novel minced kidney assay that we developed in the last funding period. We believe that a better understanding of the mechanistic cell biological causes of foot process effacement and proteinuria will allow for novel therapeutics to be developed that will allow this process to be reversed.

Public Health Relevance

The goals of this project are to better understand the pathogenesis of proteinuric kidney disease. One of the major findings of the last funding period was our discovery that foot process effacement is largely caused by the activation of the Rac GTPase. The current proposal aims to continue to expand this idea and use the antagonism between Rac and Rho to develop therapeutic strategies for the reversal of proteinuria.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK058366-20
Application #
9751830
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Mullins, Christopher V
Project Start
2000-08-15
Project End
2020-07-31
Budget Start
2019-08-01
Budget End
2020-07-31
Support Year
20
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Washington University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
068552207
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
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Beckerman, Pazit; Bi-Karchin, Jing; Park, Ae Seo Deok et al. (2017) Transgenic expression of human APOL1 risk variants in podocytes induces kidney disease in mice. Nat Med 23:429-438
Tsuji, Kenji; Suleiman, Hani; Miner, Jeffrey H et al. (2017) Ultrastructural Characterization of the Glomerulopathy in Alport Mice by Helium Ion Scanning Microscopy (HIM). Sci Rep 7:11696

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