Smad3 deficiency protects mice from obesity-induced podocyte injury that precedes insulin resistance

Kidney Int. 2015 Aug;88(2):286-98. doi: 10.1038/ki.2015.121. Epub 2015 May 6.

Abstract

Signaling by TGF-β/Smad3 plays a key role in renal fibrosis. As obesity is one of the major risk factors of chronic and end-stage renal disease, we studied the role of Smad3 signaling in the pathogenesis of obesity-related renal disease. After switching to a high fat diet, the onset of Smad3 C-terminal phosphorylation, increase in albuminuria, and the early stages of peripheral and renal insulin resistance occurred at 1 day, and 4 and 8 weeks, respectively, in C57BL/6 mice. The loss of synaptopodin, a functional marker of podocytes, and phosphorylation of the Smad3 linker region (T179 and S213) appeared after 4 weeks of the high fat diet. This suggests a temporal pattern of Smad3 signaling activation leading to kidney injury and subsequent insulin resistance in the development of obesity-related renal disease. In vivo, Smad3 knockout attenuated the high fat diet-induced proteinuria, renal fibrosis, overall podocyte injury, and mitochondrial dysfunction in podocytes. In vitro palmitate caused a rapid activation of Smad3 in 30 min, loss of synaptopodin in 2 days, and impaired insulin signaling in 3 days in isolated mouse podocytes. Blockade of either Smad3 phosphorylation by SIS3 (a Smad3 inhibitor) or T179 phosphorylation by flavopiridol (a CDK9 inhibitor) prevented the palmitate-induced loss of synaptopodin and mitochondrial function in podocytes. Thus, Smad3 signaling plays essential roles in obesity-related renal disease and may be a novel therapeutic target.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cells, Cultured
  • Dietary Fats / administration & dosage
  • Enzyme Inhibitors / pharmacology
  • Fibrosis
  • Flavonoids / pharmacology
  • Gene Knockdown Techniques
  • Insulin / metabolism
  • Insulin Resistance
  • Isoquinolines / pharmacology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Microfilament Proteins / metabolism
  • Mitochondria / drug effects
  • Mitochondria / metabolism
  • Obesity / complications*
  • Obesity / metabolism*
  • Palmitic Acid / pharmacology
  • Phosphorylation / drug effects
  • Piperidines / pharmacology
  • Podocytes / drug effects
  • Podocytes / metabolism*
  • Protective Factors
  • Protein Kinase Inhibitors / pharmacology
  • Pyridines / pharmacology
  • Pyrroles / pharmacology
  • Signal Transduction* / drug effects
  • Smad3 Protein / deficiency*
  • Smad3 Protein / genetics

Substances

  • 6,7-dimethyl-2-(2E)-3-(1-methyl-2-phenyl-1H-pyrrolo(2,3-b)pyridin-3-yl-prop-2-enoyl)-1,2,3,4-tetrahydroisoquinoline hydrochloride
  • Dietary Fats
  • Enzyme Inhibitors
  • Flavonoids
  • Insulin
  • Isoquinolines
  • Microfilament Proteins
  • Piperidines
  • Protein Kinase Inhibitors
  • Pyridines
  • Pyrroles
  • Smad3 Protein
  • Smad3 protein, mouse
  • Synpo protein, mouse
  • Palmitic Acid
  • alvocidib