Growth hormone induces mitotic catastrophe of glomerular podocytes and contributes to proteinuria

Cell Death Dis. 2021 Apr 1;12(4):342. doi: 10.1038/s41419-021-03643-6.

Abstract

Glomerular podocytes are integral members of the glomerular filtration barrier in the kidney and are crucial for glomerular permselectivity. These highly differentiated cells are vulnerable to an array of noxious stimuli that prevail in several glomerular diseases. Elevated circulating growth hormone (GH) levels are associated with podocyte injury and proteinuria in diabetes. However, the precise mechanism(s) by which excess GH elicits podocytopathy remains to be elucidated. Previous studies have shown that podocytes express GH receptor (GHR) and induce Notch signaling when exposed to GH. In the present study, we demonstrated that GH induces TGF-β1 signaling and provokes cell cycle reentry of otherwise quiescent podocytes. Though differentiated podocytes reenter the cell cycle in response to GH and TGF-β1, they cannot accomplish cytokinesis, despite karyokinesis. Owing to this aberrant cell cycle event, GH- or TGF-β1-treated cells remain binucleated and undergo mitotic catastrophe. Importantly, inhibition of JAK2, TGFBR1 (TGF-β receptor 1), or Notch prevented cell cycle reentry of podocytes and protected them from mitotic catastrophe associated with cell death. Inhibition of Notch activation prevents GH-dependent podocyte injury and proteinuria. Similarly, attenuation of GHR expression abated Notch activation in podocytes. Kidney biopsy sections from patients with diabetic nephropathy (DN) show activation of Notch signaling and binucleated podocytes. These data indicate that excess GH induced TGF-β1-dependent Notch1 signaling contributes to the mitotic catastrophe of podocytes. This study highlights the role of aberrant GH signaling in podocytopathy and the potential application of TGF-β1 or Notch inhibitors, as a therapeutic agent for DN.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cell Cycle / drug effects*
  • Cell Death / drug effects
  • Cell Differentiation / drug effects
  • Diabetic Nephropathies / drug therapy
  • Diabetic Nephropathies / pathology
  • Epithelial Cells / drug effects
  • Epithelial Cells / metabolism
  • Growth Hormone / metabolism
  • Growth Hormone / pharmacology*
  • Humans
  • Kidney Glomerulus / drug effects*
  • Kidney Glomerulus / metabolism
  • Mitosis / drug effects
  • Podocytes / drug effects*
  • Podocytes / metabolism
  • Proteinuria / drug therapy*
  • Proteinuria / metabolism
  • Signal Transduction / drug effects

Substances

  • Growth Hormone