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Cited by 991

The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.

The actin cytoskeleton of kidney podocytes is a direct target of the antiproteinuric effect of cyclosporine A

Open access
Faul, Christian, Donnelly, Mary, Merscher-Gomez, Sandra, Chang, Yoon Hee, Franz, Stefan, Delfgaauw, Jacqueline, Chang, Jer-Ming, Choi, Hoon Young, Campbell, Kirk N, Kim, Kwanghee, Reiser, Jochen, Mundel, Peter·2008·Nature Medicine

Abstract

The immunosuppressive action of the calcineurin inhibitor cyclosporine A (CsA) stems from the inhibition of nuclear factor of activated T cells (NFAT) signaling in T cells. CsA is also used for the treatment of proteinuric kidney diseases. As it stands, the antiproteinuric effect of CsA is attributed to its immunosuppressive action. Here we show that the beneficial effect of CsA on proteinuria is not dependent on NFAT inhibition in T cells, but rather results from the stabilization of the actin cytoskeleton in kidney podocytes. CsA blocks the calcineurin-mediated dephosphorylation of synaptopodin, a regulator of Rho GTPases in podocytes, thereby preserving the phosphorylation-dependent synaptopodin–14-3-3β interaction. Preservation of this interaction, in turn, protects synaptopodin from cathepsin L–mediated degradation. These results represent a new view of calcineurin signaling and shed further light on the treatment of proteinuric kidney diseases. Novel calcineurin substrates such as synaptopodin may provide promising starting points for antiproteinuric drugs that avoid the serious side effects of long-term CsA treatment.

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Crossref · 10.1038/nm.1857

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Metadata

Authors
Faul, C., Donnelly, M., Merscher-Gomez, S., Chang, Y. H., Franz, S., Delfgaauw, J., Chang, J.-M., Choi, H. Y., Campbell, K. N., Kim, K., Reiser, J., & Mundel, P.
Venue
Nature Medicine
Published
2008-08-24
Volume
14
Issue
9
Pages
931-938
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2144479843
Cited by
991
References
42
FWCI
38.88
Type
journal article
Language
en
Open access
green

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