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J Am Soc Nephrol 10:1487-1497, 1999
© 1999 American Society of Nephrology


REGULAR ARTICLES

Activation of Mitogenic Pathways by Albumin in Kidney Proximal Tubule Epithelial Cells

Implications for the Pathophysiology of ProteinuricStates

RICK DIXON* and NIGEL JOHN BRUNSKILL*,{dagger}

* Department of Cell Physiology and Pharmacology, Leicester University School of Medicine, Leicester, United Kingdom.
{dagger} Department of Nephrology, Leicester University School of Medicine, Leicester, United Kingdom.

Correspondence to Dr. Nigel Brunskill, Department of Cell Physiology and Pharmacology, University of Leicester, P.O. Box 138, Maurice Shock Medical Sciences Building, University Road, Leicester LE1 9HN, United Kingdom. Phone: 44 116 252 3078; Fax: 44 116 252 5045; E-mail: njb18{at}le.ac.uk

Abstract. Albumin is filtered into the proximal tubule in large quantities in nephrotic states. It has been proposed that this protein may have a toxic effect on tubular epithelial cells and may be responsible for the initiation of interstitial inflammation and scarring. The mitogenic effect of recombinant human albumin in wild-type opossum kidney cells and in similar cells transfected with a dominant negative p85 subunit ({Delta}p85) of phopshatidylinositide 3-kinase (PI 3-kinase) has been studied. This study demonstrates that recombinant human albumin stimulates proliferation of opossum kidney cells in culture. This effect is mediated via PI 3-kinase, and is inhibited by wortmannin and {Delta}p85 expression. Albumin stimulates PI 3-kinase activity in opossum kidney cells as determined by three different experimental procedures. Recombinant albumin also stimulates pp70s6 kinase activity in a kinase cascade downstream of PI 3-kinase. Activity of pp70s6 kinase is essential for albumin-induced proliferation of opossum kidney cells. It is proposed that this mitogenic pathway may have a critical role in proximal tubular homeostasis and pathophysiology of proteinuric states.




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