PMID- 27482889 OWN - NLM STAT- MEDLINE DCOM- 20170926 LR - 20181113 IS - 1558-8238 (Electronic) IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 126 IP - 9 DP - 2016 Sep 1 TI - Local TNF causes NFATc1-dependent cholesterol-mediated podocyte injury. PG - 3336-50 LID - 85939 [pii] LID - 10.1172/JCI85939 [doi] AB - High levels of circulating TNF and its receptors, TNFR1 and TNFR2, predict the progression of diabetic kidney disease (DKD), but their contribution to organ damage in DKD remains largely unknown. Here, we investigated the function of local and systemic TNF in podocyte injury. We cultured human podocytes with sera collected from DKD patients, who displayed elevated TNF levels, and focal segmental glomerulosclerosis (FSGS) patients, whose TNF levels resembled those of healthy patients. Exogenous TNF administration or local TNF expression was equally sufficient to cause free cholesterol-dependent apoptosis in podocytes by acting through a dual mechanism that required a reduction in ATP-binding cassette transporter A1-mediated (ABCA1-mediated) cholesterol efflux and reduced cholesterol esterification by sterol-O-acyltransferase 1 (SOAT1). TNF-induced albuminuria was aggravated in mice with podocyte-specific ABCA1 deficiency and was partially prevented by cholesterol depletion with cyclodextrin. TNF-stimulated free cholesterol-dependent apoptosis in podocytes was mediated by nuclear factor of activated T cells 1 (NFATc1). ABCA1 overexpression or cholesterol depletion was sufficient to reduce albuminuria in mice with podocyte-specific NFATc1 activation. Our data implicate an NFATc1/ABCA1-dependent mechanism in which local TNF is sufficient to cause free cholesterol-dependent podocyte injury irrespective of TNF, TNFR1, or TNFR2 serum levels. FAU - Pedigo, Christopher E AU - Pedigo CE FAU - Ducasa, Gloria Michelle AU - Ducasa GM FAU - Leclercq, Farah AU - Leclercq F FAU - Sloan, Alexis AU - Sloan A FAU - Mitrofanova, Alla AU - Mitrofanova A FAU - Hashmi, Tahreem AU - Hashmi T FAU - Molina-David, Judith AU - Molina-David J FAU - Ge, Mengyuan AU - Ge M FAU - Lassenius, Mariann I AU - Lassenius MI FAU - Forsblom, Carol AU - Forsblom C FAU - Lehto, Markku AU - Lehto M FAU - Groop, Per-Henrik AU - Groop PH FAU - Kretzler, Matthias AU - Kretzler M FAU - Eddy, Sean AU - Eddy S FAU - Martini, Sebastian AU - Martini S FAU - Reich, Heather AU - Reich H FAU - Wahl, Patricia AU - Wahl P FAU - Ghiggeri, GianMarco AU - Ghiggeri G FAU - Faul, Christian AU - Faul C FAU - Burke, George W 3rd AU - Burke GW 3rd FAU - Kretz, Oliver AU - Kretz O FAU - Huber, Tobias B AU - Huber TB FAU - Mendez, Armando J AU - Mendez AJ FAU - Merscher, Sandra AU - Merscher S FAU - Fornoni, Alessia AU - Fornoni A LA - eng GR - U24 DK076169/DK/NIDDK NIH HHS/United States GR - U54 DK083912/DK/NIDDK NIH HHS/United States GR - R01 DK104753/DK/NIDDK NIH HHS/United States GR - UM1 DK100846/DK/NIDDK NIH HHS/United States GR - UL1 TR000460/TR/NCATS NIH HHS/United States GR - R01 HL128714/HL/NHLBI NIH HHS/United States GR - P30 DK081943/DK/NIDDK NIH HHS/United States GR - R01 DK090316/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20160802 PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (ABCA1 protein, human) RN - 0 (ABCA1 protein, mouse) RN - 0 (ATP Binding Cassette Transporter 1) RN - 0 (Cyclodextrins) RN - 0 (NFATC Transcription Factors) RN - 0 (NFATC1 protein, human) RN - 0 (Nfatc1 protein, mouse) RN - 0 (Receptors, Tumor Necrosis Factor, Type I) RN - 0 (Receptors, Tumor Necrosis Factor, Type II) RN - 0 (TNFRSF1A protein, human) RN - 0 (TNFRSF1B protein, human) RN - 0 (Tumor Necrosis Factor-alpha) RN - 97C5T2UQ7J (Cholesterol) RN - EC 2.3.1.26 (Sterol O-Acyltransferase) RN - EC 2.3.1.26 (sterol O-acyltransferase 1) SB - IM MH - ATP Binding Cassette Transporter 1/physiology MH - Adolescent MH - Albuminuria/blood MH - Animals MH - Apoptosis MH - Biopsy MH - Case-Control Studies MH - Child MH - Child, Preschool MH - Cholesterol/*chemistry MH - Cyclodextrins/metabolism MH - Diabetic Nephropathies/*blood MH - Female MH - Gene Expression Regulation MH - Glomerular Filtration Rate MH - Glomerulosclerosis, Focal Segmental/*blood MH - Humans MH - Inflammation MH - Kidney/metabolism MH - Male MH - Mice MH - Mice, Inbred BALB C MH - NFATC Transcription Factors/*physiology MH - Nephrotic Syndrome/*blood MH - Podocytes/metabolism MH - Receptors, Tumor Necrosis Factor, Type I/blood MH - Receptors, Tumor Necrosis Factor, Type II/blood MH - Sterol O-Acyltransferase/physiology MH - Tumor Necrosis Factor-alpha/pharmacology/*physiology PMC - PMC5004940 EDAT- 2016/08/03 06:00 MHDA- 2017/09/28 06:00 PMCR- 2016/12/01 CRDT- 2016/08/03 06:00 PHST- 2015/12/14 00:00 [received] PHST- 2016/05/26 00:00 [accepted] PHST- 2016/08/03 06:00 [entrez] PHST- 2016/08/03 06:00 [pubmed] PHST- 2017/09/28 06:00 [medline] PHST- 2016/12/01 00:00 [pmc-release] AID - 85939 [pii] AID - 10.1172/JCI85939 [doi] PST - ppublish SO - J Clin Invest. 2016 Sep 1;126(9):3336-50. doi: 10.1172/JCI85939. Epub 2016 Aug 2.