2013
DOI: 10.1038/nrneph.2013.78
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The role of the podocyte in albumin filtration

Abstract: In the past decade, our understanding of the role of podocytes in the function of the glomerular filtration barrier, and of the role of podocyte injury in the pathogenesis of proteinuric kidney disease, has substantially increased. Landmark genetic studies identified mutations in genes expressed by podocytes as a cause of albuminuria and nephrotic syndrome, leading to breakthrough discoveries from many laboratories. These discoveries contributed to a dramatic change in our view of the glomerular filtration bar… Show more

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Cited by 191 publications
(154 citation statements)
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“…Alteration of the intercellular junctions and cytoskeletal structure of podocytes or their detachment from the membrane results in the development of albuminuria. 47 Interestingly, WT1 direct target genes in podocytes were enriched for regulation of actin cytoskeleton, focal adhesion, tight junction, and adherens junction, indicating that WT1 is a central regulator of podocyte architecture. This is corroborated by the podocyte-specific WT1 knockout mouse model that we used, where the loss of WT1 affected podocyte differentiation and led to kidney failure and death within 24 hours after birth.…”
Section: Discussionmentioning
confidence: 99%
“…Alteration of the intercellular junctions and cytoskeletal structure of podocytes or their detachment from the membrane results in the development of albuminuria. 47 Interestingly, WT1 direct target genes in podocytes were enriched for regulation of actin cytoskeleton, focal adhesion, tight junction, and adherens junction, indicating that WT1 is a central regulator of podocyte architecture. This is corroborated by the podocyte-specific WT1 knockout mouse model that we used, where the loss of WT1 affected podocyte differentiation and led to kidney failure and death within 24 hours after birth.…”
Section: Discussionmentioning
confidence: 99%
“…The filtration barrier of the kidney is a highly specialized structure, composed of glomerular endothelial cells, glomerular basement membrane, and interdigitating podocyte foot processes bridged by the slit diaphragm protein complex (16). The integrity of this barrier to maintain ultrafiltration of plasma depends on the proper expression and signaling of the components of the slit diaphragm (16)(17)(18). Several mutations in the gene that encodes nephrin (NPHS1), and other components of the slit diaphragm complex, have been described in patients with congenital nephrotic syndrome (14,19).…”
Section: Magi-2/s-scam | Glomerulosclerosismentioning
confidence: 99%
“…Most disorders affect the glomerular podocytes, terminally differentiated and highly polarized cells that require tightly controlled signaling to maintain their integrity, viability, and function. 1 Although the most abundant podocyte transcription factor (TF), Wilms' tumor suppressor 1 (WT1), was identified as a key podocyte regulator, 2-4 the WT1-controlled transcriptional podocyte network is poorly understood.…”
mentioning
confidence: 99%