NDT Advance Access originally published online on September 18, 2008
Nephrology Dialysis Transplantation 2008 23(12):3767-3770; doi:10.1093/ndt/gfn517
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Obesity, diabetes, adiponectin and the kidney: a podocyte affair*
Unità Operativa di Nefrologia, Dialisi e Trapianto Renale Ospedali Riuniti and IBIM-CNR, Epidemiologia Clinica e Fisiopatologia delle Malattie Renali e dellIpertensione Arteriosa, Reggio Calabria, Italy
Correspondence and offprint requests to: Carmine Zoccali MD, FASN. E-mail: carmine.zoccali@tin.it
Keywords: adiponectin; diabetic nephropathy; insulin; obesity; risk factors
| The first 150 words of the full text of this article appear below. |
| Introduction |
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Elegant studies by Sharma et al. [26] implicate low adiponectin (ADPN) in the pathogenesis of renal disease in obesity. ADPN-knockout mice exhibited effacement and fusion of podocyte foot processes as well as albuminuria and high oxidative stress in the kidney. ADPN abated albumin permeability in cultured podocytes, and via an AMPK-dependent pathway it induced translocation of zona occludens-1 (ZO-1) to the plasma membrane. Intriguingly, ADPN also reduced NADPH oxidase 4 (Nox4) in podocytes, which is the dominant NADPH oxidase in the kidney. These detailed in vitro studies were corroborated by parallel in vivo studies showing that exogenous ADPN administration to the ADPN null mice reduces albuminuria and oxidative stress and attenuates podocyte damage. Thus, podocytes are a physically distant but quite relevant target of a peculiar product of fat cells such as ADPN. These results provide a novel interpretative framework for obesity-related glomerulopathy and diabetic nephropathy. Drugs that
Background
| Renal disease in obesity and type 2 diabetes |
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| Adiponectin in CKD |
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Can we exploit ADPN to diagnose and treat obesity- related nephropathy and diabetic nephropathy?