Increased lysosomal proteolysis counteracts protein accumulation in the proximal tubule during focal segmental glomerulosclerosis

• Published in: Kidney international Vol. 84; no. 5; pp. 902 - 910
• Main Authors: Nielsen, Rikke, Mollet, Geraldine, Esquivel, Ernie L., Weyer, Kathrin, Nielsen, Pia K., Antignac, Corinne, Christensen, Erik I.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.11.2013; Elsevier Limited
• Subjects: Animals; Disease Models, Animal; Endocytosis; enzymes; Fibrosis; Glomerulosclerosis, Focal Segmental - enzymology; Glomerulosclerosis, Focal Segmental - genetics; Glomerulosclerosis, Focal Segmental - pathology; Inflammation Mediators - metabolism; Intracellular Signaling Peptides and Proteins - deficiency; Intracellular Signaling Peptides and Proteins - genetics; Kidney Tubules, Proximal - enzymology; Kidney Tubules, Proximal - pathology; Ligands; Low Density Lipoprotein Receptor-Related Protein-2 - genetics; Low Density Lipoprotein Receptor-Related Protein-2 - metabolism; lysosome; Lysosomes - enzymology; Lysosomes - pathology; Membrane Proteins - deficiency; Membrane Proteins - genetics; Mice; Mice, 129 Strain; Mice, Inbred C57BL; Mice, Knockout; Peptide Hydrolases - metabolism; Podocytes - metabolism; proteinuria; Proteinuria - genetics; Proteinuria - metabolism; Proteolysis; Receptors, Cell Surface - genetics; Receptors, Cell Surface - metabolism; RNA, Messenger - metabolism; Time Factors; Up-Regulation; endocytosis; enzymes; lysosome; proteinuria
• ISSN: 0085-2538; 1523-1755
• DOI: 10.1038/ki.2013.218

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.