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Physiol. Rev. 83: 253-307, 2003; doi:10.1152/physrev.00020.2002
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Physiological Reviews, Vol. 83, No. 1, January 2003, pp. 253-307; 10.1152/physrev.00020.2002.
Copyright ©2003 by the American Physiological Society

Cell Biology of the Glomerular Podocyte

Hermann Pavenstädt, Wilhelm Kriz, and Matthias Kretzler

Division of Nephrology, Department of Medicine, University Hospital Freiburg, Freiburg; Institute of Anatomy and Cell Biology I, University of Heidelberg, Heidelberg; and Medical Policlinic, University of Munich, Munich, Germany

Pavenstädt, Hermann, Wilhelm Kriz, and Matthias Kretzler. Cell Biology of the Glomerular Podocyte. Physiol. Rev. 83: 253-307, 2003.Glomerular podocytes are highly specialized cells with a complex cytoarchitecture. Their most prominent features are interdigitated foot processes with filtration slits in between. These are bridged by the slit diaphragm, which plays a major role in establishing the selective permeability of the glomerular filtration barrier. Injury to podocytes leads to proteinuria, a hallmark of most glomerular diseases. New technical approaches have led to a considerable increase in our understanding of podocyte biology including protein inventory, composition and arrangement of the cytoskeleton, receptor equipment, and signaling pathways involved in the control of ultrafiltration. Moreover, disturbances of podocyte architecture resulting in the retraction of foot processes and proteinuria appear to be a common theme in the progression of acquired glomerular disease. In hereditary nephrotic syndromes identified over the last 2 years, all mutated gene products were localized in podocytes. This review integrates our recent physiological and molecular understanding of the role of podocytes during the maintenance and failure of the glomerular filtration barrier.




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N. Sachs, M. Kreft, M. A. van den Bergh Weerman, A. J. Beynon, T. A. Peters, J. J. Weening, and A. Sonnenberg
Kidney failure in mice lacking the tetraspanin CD151
J. Cell Biol., October 9, 2006; 175(1): 33 - 39.
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J. Biol. Chem.Home page
J. van den Born, B. Pisa, M. A. H. Bakker, J. W. A. M. Celie, C. Straatman, S. Thomas, G. C. Viberti, L. Kjellen, and J. H. M. Berden
No Change in Glomerular Heparan Sulfate Structure in Early Human and Experimental Diabetic Nephropathy
J. Biol. Chem., October 6, 2006; 281(40): 29606 - 29613.
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J. Am. Soc. Nephrol.Home page
N. Miyauchi, A. Saito, T. Karasawa, Y. Harita, K. Suzuki, H. Koike, G. D. Han, F. Shimizu, and H. Kawachi
Synaptic Vesicle Protein 2B Is Expressed in Podocyte, and Its Expression Is Altered in Proteinuric Glomeruli
J. Am. Soc. Nephrol., October 1, 2006; 17(10): 2748 - 2759.
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J. Bariety, C. Mandet, G. S. Hill, and P. Bruneval
Parietal Podocytes in Normal Human Glomeruli
J. Am. Soc. Nephrol., October 1, 2006; 17(10): 2770 - 2780.
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J. Biol. Chem.Home page
S. V. Griffin, J. P. Olivier, J. W. Pippin, J. M. Roberts, and S. J. Shankland
Cyclin I Protects Podocytes from Apoptosis
J. Biol. Chem., September 22, 2006; 281(38): 28048 - 28057.
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Nephrol Dial TransplantHome page
K. Sawai, M. Mukoyama, K. Mori, H. Yokoi, M. Koshikawa, T. Yoshioka, R. Takeda, A. Sugawara, T. Kuwahara, M. A. Saleem, et al.
Redistribution of connexin43 expression in glomerular podocytes predicts poor renal prognosis in patients with type 2 diabetes and overt nephropathy
Nephrol. Dial. Transplant., September 1, 2006; 21(9): 2472 - 2477.
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CJASNHome page
K. A. Griffin and A. K. Bidani
Progression of Renal Disease: Renoprotective Specificity of Renin-Angiotensin System Blockade
Clin. J. Am. Soc. Nephrol., September 1, 2006; 1(5): 1054 - 1065.
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A. Ichihara, Y. Kaneshiro, T. Takemitsu, M. Sakoda, T. Nakagawa, A. Nishiyama, H. Kawachi, F. Shimizu, and T. Inagami
Contribution of Nonproteolytically Activated Prorenin in Glomeruli to Hypertensive Renal Damage
J. Am. Soc. Nephrol., September 1, 2006; 17(9): 2495 - 2503.
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J. Am. Soc. Nephrol.Home page
C. Dai, D. B. Stolz, S. I. Bastacky, R. St.-Arnaud, C. Wu, S. Dedhar, and Y. Liu
Essential Role of Integrin-Linked Kinase in Podocyte Biology: Bridging the Integrin and Slit Diaphragm Signaling
J. Am. Soc. Nephrol., August 1, 2006; 17(8): 2164 - 2175.
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Am. J. Physiol. Renal Physiol.Home page
F. Guan, G. Villegas, J. Teichman, P. Mundel, and A. Tufro
Autocrine VEGF-A system in podocytes regulates podocin and its interaction with CD2AP
Am J Physiol Renal Physiol, August 1, 2006; 291(2): F422 - F428.
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Am. J. Pathol.Home page
V. H. Rao, D. T. Meehan, D. Delimont, M. Nakajima, T. Wada, M. A. Gratton, and D. Cosgrove
Role for Macrophage Metalloelastase in Glomerular Basement Membrane Damage Associated with Alport Syndrome
Am. J. Pathol., July 1, 2006; 169(1): 32 - 46.
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J. Am. Soc. Nephrol.Home page
Z. Zheng, P. Pavlidis, S. Chua, V. D. D'Agati, and A. G. Gharavi
An Ancestral Haplotype Defines Susceptibility to Doxorubicin Nephropathy in the Laboratory Mouse
J. Am. Soc. Nephrol., July 1, 2006; 17(7): 1796 - 1800.
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HypertensionHome page
M. Nagase, S. Shibata, S. Yoshida, T. Nagase, T. Gotoda, and T. Fujita
Podocyte Injury Underlies the Glomerulopathy of Dahl Salt-Hypertensive Rats and Is Reversed by Aldosterone Blocker
Hypertension, June 1, 2006; 47(6): 1084 - 1093.
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Exp. Biol. Med.Home page
P. K. Datta, M. Sharma, P. Duann, and E. A. Lianos
Effect of Nitric Oxide Synthase Inhibition on Proteinuria in Glomerular Immune Injury.
Experimental Biology and Medicine, May 1, 2006; 231(5): 576 - 584.
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FASEB J.Home page
M. P. Rastaldi, S. Armelloni, S. Berra, N. Calvaresi, A. Corbelli, L. A. Giardino, M. Li, G. Q. Wang, A. Fornasieri, A. Villa, et al.
Glomerular podocytes contain neuron-like functional synaptic vesicles
FASEB J, May 1, 2006; 20(7): 976 - 978.
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J. Chen, S. Boyle, M. Zhao, W. Su, K. Takahashi, L. Davis, M. DeCaestecker, T. Takahashi, M. D. Breyer, and C.-M. Hao
Differential Expression of the Intermediate Filament Protein Nestin during Renal Development and Its Localization in Adult Podocytes
J. Am. Soc. Nephrol., May 1, 2006; 17(5): 1283 - 1291.
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Proc. Natl. Acad. Sci. USAHome page
C. D. Cohen, A. Klingenhoff, A. Boucherot, A. Nitsche, A. Henger, B. Brunner, H. Schmid, M. Merkle, M. A. Saleem, K.-P. Koller, et al.
Comparative promoter analysis allows de novo identification of specialized cell junction-associated proteins
PNAS, April 11, 2006; 103(15): 5682 - 5687.
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Am. J. Pathol.Home page
D. Macconi, M. Abbate, M. Morigi, S. Angioletti, M. Mister, S. Buelli, M. Bonomelli, P. Mundel, K. Endlich, A. Remuzzi, et al.
Permselective Dysfunction of Podocyte-Podocyte Contact upon Angiotensin II Unravels the Molecular Target for Renoprotective Intervention
Am. J. Pathol., April 1, 2006; 168(4): 1073 - 1085.
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J. Pharmacol. Exp. Ther.Home page
P. Duann, P. K. Datta, C. Pan, J. B. Blumberg, M. Sharma, and E. A. Lianos
Superoxide Dismutase Mimetic Preserves the Glomerular Capillary Permeability Barrier to Protein
J. Pharmacol. Exp. Ther., March 1, 2006; 316(3): 1249 - 1254.
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J. Am. Soc. Nephrol.Home page
S. Shibata, M. Nagase, and T. Fujita
Fluvastatin Ameliorates Podocyte Injury in Proteinuric Rats via Modulation of Excessive Rho Signaling
J. Am. Soc. Nephrol., March 1, 2006; 17(3): 754 - 764.
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Am. J. Physiol. Renal Physiol.Home page
M. C. Liebau, D. Lang, J. Bohm, N. Endlich, M. J. Bek, I. Witherden, P. W. Mathieson, M. A. Saleem, H. Pavenstadt, and K.-G. Fischer
Functional expression of the renin-angiotensin system in human podocytes
Am J Physiol Renal Physiol, March 1, 2006; 290(3): F710 - F719.
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Am. J. Physiol. Renal Physiol.Home page
N.-H. Kim, H. Rincon-Choles, B. Bhandari, G. G. Choudhury, H. E. Abboud, and Y. Gorin
Redox dependence of glomerular epithelial cell hypertrophy in response to glucose
Am J Physiol Renal Physiol, March 1, 2006; 290(3): F741 - F751.
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J. Am. Soc. Nephrol.Home page
G. D. Han, K. Suzuki, H. Koike, K. Suzuki, H. Yoneyama, S. Narumi, F. Shimizu, and H. Kawachi
IFN-Inducible Protein-10 Plays a Pivotal Role in Maintaining Slit-Diaphragm Function by Regulating Podocyte Cell-Cycle Balance
J. Am. Soc. Nephrol., February 1, 2006; 17(2): 442 - 453.
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Am. J. Physiol. Renal Physiol.Home page
Y. Harita, N. Miyauchi, T. Karasawa, K. Suzuki, G. D. Han, H. Koike, T. Igarashi, F. Shimizu, and H. Kawachi
Altered expression of junctional adhesion molecule 4 in injured podocytes
Am J Physiol Renal Physiol, February 1, 2006; 290(2): F335 - F344.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
K. Susztak, A. C. Raff, M. Schiffer, and E. P. Bottinger
Glucose-Induced Reactive Oxygen Species Cause Apoptosis of Podocytes and Podocyte Depletion at the Onset of Diabetic Nephropathy
Diabetes, January 1, 2006; 55(1): 225 - 233.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
D. B. N. Lee, E. Huang, and H. J. Ward
Tight junction biology and kidney dysfunction
Am J Physiol Renal Physiol, January 1, 2006; 290(1): F20 - F34.
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Am. J. Pathol.Home page
D. Macconi, M. Bonomelli, A. Benigni, T. Plati, F. Sangalli, L. Longaretti, S. Conti, H. Kawachi, P. Hill, G. Remuzzi, et al.
Pathophysiologic Implications of Reduced Podocyte Number in a Rat Model of Progressive Glomerular Injury
Am. J. Pathol., January 1, 2006; 168(1): 42 - 54.
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Mol. Cell. Biol.Home page
F. Desmots, H. R. Russell, Y. Lee, K. Boyd, and P. J. McKinnon
The Reaper-Binding Protein Scythe Modulates Apoptosis and Proliferation during Mammalian Development
Mol. Cell. Biol., December 1, 2005; 25(23): 10329 - 10337.
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Am. J. Physiol. Renal Physiol.Home page
K. Bijian, T. Takano, J. Papillon, L. Le Berre, J.-L. Michaud, C. R. J. Kennedy, and A. V. Cybulsky
Actin cytoskeleton regulates extracellular matrix-dependent survival signals in glomerular epithelial cells
Am J Physiol Renal Physiol, December 1, 2005; 289(6): F1313 - F1323.
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Am. J. Physiol. Cell Physiol.Home page
W. Yu, R. M. Sandoval, and B. A. Molitoris
Quantitative intravital microscopy using a Generalized Polarity concept for kidney studies
Am J Physiol Cell Physiol, November 1, 2005; 289(5): C1197 - C1208.
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J. Am. Soc. Nephrol.Home page
B. L. Wharram, M. Goyal, J. E. Wiggins, S. K. Sanden, S. Hussain, W. E. Filipiak, T. L. Saunders, R. C. Dysko, K. Kohno, L. B. Holzman, et al.
Podocyte Depletion Causes Glomerulosclerosis: Diphtheria Toxin-Induced Podocyte Depletion in Rats Expressing Human Diphtheria Toxin Receptor Transgene
J. Am. Soc. Nephrol., October 1, 2005; 16(10): 2941 - 2952.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
J. E. Wiggins, M. Goyal, S. K. Sanden, B. L. Wharram, K. A. Shedden, D. E. Misek, R. D. Kuick, and R. C. Wiggins
Podocyte Hypertrophy, "Adaptation," and "Decompensation" Associated with Glomerular Enlargement and Glomerulosclerosis in the Aging Rat: Prevention by Calorie Restriction
J. Am. Soc. Nephrol., October 1, 2005; 16(10): 2953 - 2966.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
M. Kretzler
Role of Podocytes in Focal Sclerosis: Defining the Point of No Return
J. Am. Soc. Nephrol., October 1, 2005; 16(10): 2830 - 2832.
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Am. J. Physiol. Renal Physiol.Home page
J. Ziembicki, R. Tandon, J. R. Schelling, J. R. Sedor, R. T. Miller, and C. Huang
Mechanical force-activated phospholipase D is mediated by G{alpha}12/13-Rho and calmodulin-dependent kinase in renal epithelial cells
Am J Physiol Renal Physiol, October 1, 2005; 289(4): F826 - F834.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
R. V. Durvasula and S. J. Shankland
Mechanical strain increases SPARC levels in podocytes: implications for glomerulosclerosis
Am J Physiol Renal Physiol, September 1, 2005; 289(3): F577 - F584.
[Abstract] [Full Text] [PDF]




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