PPAR-gamma agonist protects podocytes from injury

Kidney Int. 2007 Jun;71(12):1232-9. doi: 10.1038/sj.ki.5002248. Epub 2007 Apr 25.

Abstract

Podocyte injury and loss contribute to progressive glomerulosclerosis. Peroxisome proliferator-activated receptor-gamma (PPAR-gamma) is a nuclear hormone receptor, which we have found to be increased in podocytes in a variety of kidney diseases. It is not known if PPAR-gamma contributes to renal injury or if it serves as a countermeasure to limit renal injury during disease progression. We tested these possibilities utilizing the puromycin aminonucleoside (PAN) model of renal injury in immortalized mouse podocytes. The cultured podocytes expressed PPAR-gamma mRNA at baseline but this was decreased by PAN. Pioglitazone, a pharmacologic agonist of PPAR-gamma, increased both PPAR-gamma mRNA and activity in injured podocytes, as assessed by a reporter plasmid assay. Further, pioglitazone significantly decreased PAN-induced podocyte apoptosis and necrosis while restoring podocyte differentiation. The PPAR-gamma agonist significantly restored expression of the cyclin-dependent kinase inhibitor p27 and the antiapoptotic molecule Bcl-xL while significantly decreasing proapoptotic caspase-3 activity. Pioglitazone tended to decrease PAN-induced transforming growth factor-beta (TGF-beta) mRNA expression. Our study shows that PPAR-gamma is normally expressed by podocytes and its activation is protective against PAN-induced apoptosis and necrosis. We postulate that this protective effect may be mediated in part by effects on p27 and TGF-beta expression.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis / drug effects*
  • Caspase Inhibitors
  • Cell Proliferation / drug effects
  • Cells, Cultured
  • Cyclin-Dependent Kinase Inhibitor p27 / metabolism
  • Kidney Glomerulus / pathology*
  • Mice
  • Necrosis
  • PPAR gamma / agonists*
  • PPAR gamma / metabolism
  • Pioglitazone
  • Plasmids / drug effects
  • Podocytes / drug effects*
  • Podocytes / metabolism
  • Podocytes / pathology*
  • Puromycin Aminonucleoside / toxicity
  • RNA, Messenger / antagonists & inhibitors
  • RNA, Messenger / metabolism
  • Thiazolidinediones / pharmacology
  • Transforming Growth Factor beta / antagonists & inhibitors
  • Transforming Growth Factor beta / metabolism
  • bcl-X Protein / genetics
  • bcl-X Protein / metabolism

Substances

  • Caspase Inhibitors
  • PPAR gamma
  • RNA, Messenger
  • Thiazolidinediones
  • Transforming Growth Factor beta
  • bcl-X Protein
  • Cyclin-Dependent Kinase Inhibitor p27
  • Puromycin Aminonucleoside
  • Pioglitazone