PMID- 19587356 OWN - NLM STAT- MEDLINE DCOM- 20090930 LR - 20220330 IS - 1939-327X (Electronic) IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 58 IP - 9 DP - 2009 Sep TI - Effect of the monocyte chemoattractant protein-1/CC chemokine receptor 2 system on nephrin expression in streptozotocin-treated mice and human cultured podocytes. PG - 2109-18 LID - 10.2337/db08-0895 [doi] AB - OBJECTIVE: Monocyte chemoattractant protein-1 (MCP-1), a chemokine binding to the CC chemokine receptor 2 (CCR2) and promoting monocyte infiltration, has been implicated in the pathogenesis of diabetic nephropathy. To assess the potential relevance of the MCP-1/CCR2 system in the pathogenesis of diabetic proteinuria, we studied in vitro if MCP-1 binding to the CCR2 receptor modulates nephrin expression in cultured podocytes. Moreover, we investigated in vivo if glomerular CCR2 expression is altered in kidney biopsies from patients with diabetic nephropathy and whether lack of MCP-1 affects proteinuria and expression of nephrin in experimental diabetes. RESEARCH DESIGN AND METHODS: Expression of nephrin was assessed in human podocytes exposed to rh-MCP-1 by immunofluorescence and real-time PCR. Glomerular CCR2 expression was studied in 10 kidney sections from patients with overt nephropathy and eight control subjects by immunohistochemistry. Both wild-type and MCP-1 knockout mice were made diabetic with streptozotocin. Ten weeks after the onset of diabetes, albuminuria and expression of nephrin, synaptopodin, and zonula occludens-1 were examined by immunofluorescence and immunoblotting. RESULTS: In human podocytes, MCP-1 binding to the CCR2 receptor induced a significant reduction in nephrin both mRNA and protein expression via a Rho-dependent mechanism. The MCP-1 receptor, CCR2, was overexpressed in the glomerular podocytes of patients with overt nephropathy. In experimental diabetes, MCP-1 was overexpressed within the glomeruli and the absence of MCP-1 reduced both albuminuria and downregulation of nephrin and synaptopodin. CONCLUSIONS: These findings suggest that the MCP-1/CCR2 system may be relevant in the pathogenesis of proteinuria in diabetes. FAU - Tarabra, Elena AU - Tarabra E AD - Diabetic Nephropathy Laboratory, Department of Internal Medicine, University of Turin, Italy. FAU - Giunti, Sara AU - Giunti S FAU - Barutta, Federica AU - Barutta F FAU - Salvidio, Gennaro AU - Salvidio G FAU - Burt, Davina AU - Burt D FAU - Deferrari, Giacomo AU - Deferrari G FAU - Gambino, Roberto AU - Gambino R FAU - Vergola, Daniela AU - Vergola D FAU - Pinach, Silvia AU - Pinach S FAU - Perin, Paolo Cavallo AU - Perin PC FAU - Camussi, Giovanni AU - Camussi G FAU - Gruden, Gabriella AU - Gruden G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090708 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (CCL2 protein, human) RN - 0 (Ccl2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Membrane Proteins) RN - 0 (Microfilament Proteins) RN - 0 (Phosphoproteins) RN - 0 (RNA, Messenger) RN - 0 (Recombinant Proteins) RN - 0 (SYNPO protein, human) RN - 0 (TJP1 protein, human) RN - 0 (Tjp1 protein, mouse) RN - 0 (Zonula Occludens-1 Protein) RN - 0 (nephrin) RN - EC 2.7.11.1 (rho-Associated Kinases) SB - IM MH - Animals MH - Biopsy MH - Cells, Cultured MH - Chemokine CCL2/genetics/*metabolism/pharmacology MH - Diabetes Mellitus, Experimental/metabolism/pathology/*physiopathology MH - Diabetic Nephropathies/metabolism/pathology/*physiopathology MH - Down-Regulation/physiology MH - Humans MH - In Vitro Techniques MH - Membrane Proteins/*genetics/metabolism MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Microfilament Proteins/metabolism MH - Phosphoproteins/metabolism MH - Podocytes/cytology/*physiology MH - Proteinuria/metabolism/pathology/physiopathology MH - RNA, Messenger/metabolism MH - Recombinant Proteins/pharmacology MH - Zonula Occludens-1 Protein MH - rho-Associated Kinases/metabolism PMC - PMC2731530 EDAT- 2009/07/10 09:00 MHDA- 2009/10/01 06:00 PMCR- 2010/09/01 CRDT- 2009/07/10 09:00 PHST- 2009/07/10 09:00 [entrez] PHST- 2009/07/10 09:00 [pubmed] PHST- 2009/10/01 06:00 [medline] PHST- 2010/09/01 00:00 [pmc-release] AID - db08-0895 [pii] AID - 0895 [pii] AID - 10.2337/db08-0895 [doi] PST - ppublish SO - Diabetes. 2009 Sep;58(9):2109-18. doi: 10.2337/db08-0895. Epub 2009 Jul 8.