Literature DB >> 30221708

Amino acid starvation promotes podocyte autophagy through mammalian target of rapamycin inhibition and transcription factor EB activation.

Yuanhan Chen1, Xingchen Zhao1, Jiaxin Li2, Li Zhang3, Ruizhao Li3, Hong Zhang3, Ruyi Liao3, Shuangxin Liu3, Wei Shi1, Xinling Liang3.   

Abstract

Autophagy is important for maintaining normal physiological functions and podocyte cell homeostasis. Amino acid signaling is an important upstream signaling pathway for autophagy regulation. However, the function and the associated mechanism of amino acid signaling in podocyte autophagy is unclear. The present study used normal culture medium and amino acid deprivation medium to culture podocytes in vitro. Multiple methods were utilized to detect autophagic activity including western blot analysis to measure the levels of microtubule‑associated protein 1 light chain 3 (LC3) II and beclin1, reverse transcription‑quantitative polymerase chain reaction was performed to evaluate the levels of LC3 mRNA and transmission electron microscopy was conducted to observe autophagosomes. In addition, tandem green fluorescent protein (GFP)‑monomeric red fluorescent protein (mRFP)‑LC3 adenoviruses were employed to transduce podocytes to observe autophagic flux. Furthermore, the present study examined the effects of amino acid signaling on mammalian target of rapamycin (mTOR) activity and the nuclear translocation of transcription factor EB (TFEB), a core regulator of autophagy, using western blotting and immunofluorescence. The results revealed that amino acid starvation promoted the expression of LC3II and beclin1, and increased the number of autophagosomes and autolysosomes. Amino acid starvation inhibited mTOR activity, and promoted nuclear translocation and TFEB activity. Inhibition of TFEB blocked amino acid starvation‑induced autophagy. These results indicated that amino acid starvation stimulated podocyte autophagy, and thus suggested that mTOR suppression and TFEB activation may mediate amino acid starvation‑induced autophagy in podocytes.

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Year:  2018        PMID: 30221708      PMCID: PMC6172392          DOI: 10.3892/mmr.2018.9438

Source DB:  PubMed          Journal:  Mol Med Rep        ISSN: 1791-2997            Impact factor:   2.952


Introduction

Autophagy is a process of degrading and recycling discarded proteins and organelles that is dependent on lysosomes. The process of autophagy involves formation of autophagosomes, fusion of autophagosomes and lysosomes into autolysosomes, and substrate degradation. This dynamic process, called autophagic flux, is crucial for maintaining intracellular homeostasis and preventing aging (1,2). Podocytes are key components of the glomerular filtration barrier. Podocyte injury is a common pathogenesis for many glomerular diseases. Since podocytes are a type of terminally differentiated cells, their ability to regenerate after injury is weak. Therefore, self-repair mechanisms are particularly important for podocytes. Podocytes have high constitutive autophagy and podocyte-specific autophagy knockdown aggravates podocyte damage and progression of glomerular diseases (3). However, the mechanism of podocyte autophagy is not completely understood. Amino acids (AA) are important upstream signals for autophagy regulation. Amino acid starvation (AAS) is a critical mechanism for autophagy induction, but the functions of AA in podocyte autophagy are unclear. Mammalian target of rapamycin (mTOR) is a serine/threonine phosphorylase that has key functions in intracellular regulation of cell proliferation and energy. mTOR is also important in inhibiting autophagy. Short-term AAS can block mTOR activity and relieve its inhibition of autophagy-related molecules in downstream pathways, initiating autophagy (4,5). AA signaling also regulates autophagy at the transcriptional level, such as through transcription factor EB (TFEB). TFEB promotes transcription of multiple genes in the autophagy process, including formation of autophagosomes, autolysosome formation and substrate degradation. As observed in HeLa cells stably expressing high levels of TFEB (6) and in HEK-293T cells (7), AAS promotes nuclear translocation of TFEB. We hypothesized that AA may also regulate podocyte autophagy via mTOR and TFEB pathways. Therefore, this study aimed to investigate the functions and mechanisms of AA signaling in podocyte autophagy.

Materials and methods

Cell culture and treatment

The conditionally immortalized mouse podocyte cell line (Mouse Podocyte Clone-5, MPC-5) was a kind gift from Dr. Jochen Reiser (Rush University Medical Center, Chicago, IL, USA). Differentiated podocytes are unable to replicate, and primary podocytes would result in rapid growth arrest when culturing. The MPC-5 has overcome these difficulties, and conditionally retains a differentiation potential similar to that of podocytes in vivo (8), which is widely used as a cell model in research focusing on human podocyte injury. Cells were cultured as described previously (9). The recovered cells were cultured at 33°C in RPMI-1640 medium supplemented with 10% fetal bovine serum (FBS; both Gibco; Thermo Fisher Scientific, Inc., Waltham, MA, USA) and recombinant interferon (IFN)-γ (ProSpec, Tany Technogene, Ness Ziona, Israel) for 2–3 days for proliferation. Podocytes were then transferred to 100-cm2 culture dishes coated with type-I collagen (BD Bioscience, Bedford, MA, USA) in IFN-γ free RPMI-1640 medium containing 5% FBS and cultured at 37°C for 10–13 days for differentiation. To establish an AA-starved podocyte model, differentiated podocytes were treated with AA-deprivation RPMI-1640 medium (Gibco; Thermo Fisher Scientific, Inc.) supplemented with 5% FBS for 6, 12 or 24 h. Podocytes were treated with complete RPMI-1640 medium (Gibco; Thermo Fisher Scientific, Inc.) supplemented with 5% FBS as the control group.

Small interfering RNA (siRNA) transfection

SiRNA targeting TFEB and control siRNA were designed and synthesized by RiboBio Co. Ltd (Guangzhou, China). TFEB siRNA or control scrambled siRNA was transfected into podocytes with Lipofectamine 2000 reagent (Invitrogen, Carlsbad, CA, USA) according to the manufacturer's protocol. Podocytes were transfected for 48 h at 37°C. The sequence of siRNA used in this study was: siTFEB 5′CCATGGCCATGCTACATATdTdT-3′.

Western blot analysis

Podocytes were washed three times with cold phosphate-buffered saline (PBS) and lysed with lysis buffer (Beyotime Institute of Biotechnology, Shanghai, China) premixed with proteinase inhibitor (Guangzhou Genebase Bioscience, Guangzhou, China). Protein was measured using bicinchoninic acid protein quantification kits (Thermo Fisher Scientific, Inc.) and 15–30 micrograms protein was processed on 7.5–10% sodium dodecyl sulfate-polyacrylamide gels and transferred to polyvinylidene fluoride membranes (Millipore, Billerica, MA, USA). After blocking with 5% non-fat dry milk for 1 h at room temperature, membranes were incubated overnight at 4°C with primary antibodies: Rabbit anti-light chain (LC)3A/B (1:1,000; cat. no. 4108), rabbit anti-beclin1 (1:1,000; cat. no. 3495), rabbit anti-p62 (1:1,000; cat. no. 5114), rabbit anti-phospho-p70s6k (1:1,000; cat. no. 9205; all Cell Signaling Technology, Danvers, MA, USA); rabbit anti-GAPDH (1:3,000; cat. no. AP0063; Bioworld Technology, Nanjing, China); rabbit anti-p70s6k (1:1,000; cat. no. ab32359; Abcam, Cambridge, MA, USA). Anti-rabbit IgG (1:3,000; cat. no. 31460; Thermo Fisher Scientific, Inc.) was incubated with membranes at room temperature for 1 h. Blots were treated with enhanced chemiluminescence reagent (Advansta, Menlo Park, CA, USA). Images were captured by automatic imager (General Electric, Fairfield, CT, USA). Densitometric analyses of protein bands used ImageJ software (National Institutes of Health, Bethesda, MD, USA).

Transmission electron microscopy

Podocytes were fixed in 2.5% glutaraldehyde. Samples were dehydrated with alcohol and post-fixed with 1% osmium tetroxide. Samples were embedded into resin (Epon 812) and cut into ultrathin slices and double stained with uranyl acetate and examined by transmission electron microscope (FEI, TECNAI 12, Lausanne, Netherlands). Numbers of autophagosomes or autolysosomes per cell were counted blind (10,11).

Green fluorescent protein (GFP)-monomeric red fluorescent protein monomeric red fluorescent protein (mRFP)-LC3 adenovirus transduction

Cultured podocytes were seeded onto cover slides in six-well plates. To detect autophagic flux, podocytes were transduced with tandem GFP-mRFP-LC3 adenovirus which was purchased from Hanbio Technology (Shanghai, China) as described previously (9). Podocytes were transduced with the GFP-mRFP-LC3 adenovirus at a concentration of 1×107 PFU/well and incubated in RPMI-1640 medium containing 2% FBS. The transduction medium was replaced with fresh culture medium after 6 h of transduction. Treatment (with AA-deprivation RPMI-1640 medium supplemented with 5% FBS or complete RPMI-1640 medium supplemented with 5% FBS for 6 h) was performed at 24 h post-transduction.

Immunofluorescent staining

Cultured podocytes transduced with GFP-mRFP-LC3 adenovirus were washed with PBS and fixed with 4% paraformaldehyde and permeabilized using 0.1% Triton X-100 for 10 min. After washing with PBS, podocytes were stained with DAPI (Sigma, St. Louis, MO, USA) for 10 min at room temperature. Photomicrographs were taken by confocal laser scanning microscopy (KS 400; Zeiss, Postfach, Germany). GFP signal is sensitive to acidic proteolytic conditions of the lysosome lumen, whereas mRFP is more stable (12). Colocalization of GFP and mRFP indicates autophagosomes (yellow). MRFP signal alone indicates autolysosomes (red). To observe subcellular localization of TFEB, 4% paraformaldehyde was used to fix cells at room temperature for 15 min. Samples were permeabilized using 0.1% Triton X-100 for 10 min and blocked with 5% bovine serum albumin at room temperature for 30 min followed by incubating overnight at 4°C with rabbit anti-TFEB antibody (1:200; cat. no. A303-673A; Bethyl, Montgomery, TX, USA,). Samples were washed 3 times with PBS and incubated with goat anti-rabbit AlexaFluor 555 antibody (1:200; cat. no. A32732; Thermo Fisher Scientific, Inc.) for 1 h at room temperature. After washing with PBS, podocytes were stained with DAPI for 10 min at room temperature and analyzed by confocal laser scanning microscopy.

Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)

Total RNA samples were extracted using a TRIzol RNA isolation system (Invitrogen). Purity and concentration of mRNA samples were measured using a NanoDrop 2000 spectrophotometer (Thermo Fisher Scientific, Inc., Wilmington, DE, USA). Samples were reverse transcribed (RT) into cDNAs using PrimeScript™ RT regent kits (Takara Biotechnology, Shiga, Japan). cDNAs were used for RT-qPCR analysis using a Power SYBR Green PCR Master Mix (Takara Biotechnology). qPCR was performed with 2 µl aliquots of cDNA (10 ng/µl) using specific primer pairs. Primers were as follows: LC3A forward, 5′-GACCGCTGTAAGGAGGTGC-3′ and reverse, 5′-CTTGACCAACTCGCTCATGTTA-3′; LC3B forward, 5′-TTATAGAGCGATACAAGGGGGAG-3′ and reverse, 5′-CGCCGTCTGATTATCTTGATGAG-3′; GAPDH forward, 5′-AGGTCGGTGTGAACGGATTTG-3′ and reverse, 5′-TGTAGACCATGTAGTTGAGGTCA-3′. Samples were amplified by 95°C for 2 min, 40 cycles of 95°C for 30 sec, 95°C for 5 sec, 60°C for 5 sec, and a 72°C for 10 min. Data were calculated using the 2−ΔΔCq method (13).

Statistical analysis

Values are expressed as mean ± standard error of the mean. Data were analyzed by the statistical package SPSS for Windows version 21.0 (IBM Corp., Armonk, NY, USA). Multiple comparisons were performed with one-way analysis of variance followed by the least-significant difference post hoc test. Data from two groups were compared by Student's t-test. P<0.05 was considered to indicate a statistically significant difference. All experimental procedures were repeated at least three times.

Results

AAS promotes podocyte autophagy

To determine if AAS regulated podocyte autophagy, we used AA deprivation medium and normal medium to culture podocytes for indicated times. Western blots showed that after 6-h AAS, LC3II, an autophagosome marker, increased in podocytes significantly to peak level (Fig. 1A). After 12-h AAS treatment, LC3II levels were still higher than the control group, but decreased compared with 6-h AAS treatment (Fig. 1A). After 24-h AAS, LC3II levels returned to baseline (Fig. 1A). The effect of AA signal on autophagy was further studied by transmission electron microscopy, which showed that 6-h AAS promoted formation of autophagic vacuoles in podocytes (Fig. 1B). Western blots found that the changes for beclin1, a marker of autophagy initiation, at different AAS times coincided with LC3II (Fig. 1C). These results suggested that AAS increased autophagic activity. p62 serves as a substrate of autophagy. In certain settings, stimulation of autophagy correlates with decreased level of p62 (14). We investigated the p62 expression by western blots and the results showed that p62 did not altered significantly under the stimulation of AAS for 6 h (Fig. 1D). This is inconsistent with the increased autophagic activity under AAS stimulation (Fig. 1A-C), indicating that in addition to autophagy, there are other factors that can affect the level of p62 in this AAS-stimulated model.
Figure 1.

Amino acid starvation stimulates autophagy in podocytes. (A) Western blots of LC3II in cultured podocytes: Untreated (Control) or amino acid starved for the indicated times. AAS induced LC3II expression in a time-dependent manner. (B) Transmission electron microscopy of the cultured podocytes treated, as indicated. AAS for 6 h increased the number of autophagic vacuoles (indicated by arrows) in podocytes. Scale bars, 500 nm. (C) Western blot of beclin1 in cultured podocytes: Untreated (Control) or amino acid starved for the indicated times. AAS induced beclin1 expression in a time-dependent manner. (D) Western blot of p62 in cultured podocytes: Untreated (Control) or amino acid starved for 6 h. Values are presented as the mean ± standard error of the mean (n=3). **P<0.01 vs. control; #P<0.05 vs. AAS 6 h. NS, non-significant; LC3, microtubule-associated protein 1 light chain 3; Con, control; AAS, amino acid starvation; AV, autophagic vacuoles.

AAS promotes autophagic flux

We evaluated the effect of AAS on autophagic flux in podocytes. The AAS-induced enhancement of beclin1 expression (Fig. 1C) suggested the AAS-induced increase of autophagosomes (Fig. 1A and B) was related to the enhancement of autophagy initiation. Moreover, in podocytes transduced with GFP-mRFP-LC3 adenovirus, AAS increased the number of autophagosomes (Fig. 2) and autolysosomes (Fig. 2). These results indicated that AAS contributed to formation and turnover of autophagosomes.
Figure 2.

Amino acid starvation induces autophagic flux in podocytes. Confocal laser scanning microscopy images of cultured podocytes: Untreated (Control) or amino acid starved for 6 h, transduced with GFP-mRFP-LC3 adenovirus. AAS increased autophagosomes (green staining) and autolysosomes (red staining). Scale bars, 20 µm. Values are presented as the mean ± standard error of the mean (n=20). *P<0.05 and **P<0.01 vs. control. GFP-mRFP-LC3, tandem green fluorescent protein-monomeric red fluorescent protein-microtubule associated protein 1 light chain 3; Con, control; AAS, amino acid starvation; DAPI, 4′,6-diamidino-2-phenylindole.

mTOR was inactivated under AAS

We investigated the molecular mechanisms underlying AAS regulation of autophagy in podocytes. mTOR is a well-known negative regulator of autophagy. p70S6k (p70 ribosomal protein S6 kinase) is the phosphorylation substrate of mTOR, and the level of phosphorylated p70S6k reflects mTOR activity (15). Western blots showed that 6-h AAS inhibited mTOR activity (Fig. 3). The mTOR activity gradually recovered after 12-h AAS (Fig. 3), contrary to the changes of autophagy after AAS. This result suggested that AAS promoted autophagy by inhibiting mTOR activity.
Figure 3.

Amino acid starvation inhibits mTOR activity in podocytes. Western blotting of p-p70s6k and p70s6k in cultured podocytes: Untreated (Control) or amino acid starved for the indicated times. AAS 6 h decreased the ratio of p-p70s6k to p70s6k. Values are presented as the mean ± standard error of the mean (n=4). *P<0.05 vs. control; #P<0.05 vs. AAS 6 h. mTOR, mammalian target of rapamycin; p70s6k, p70 ribosomal protein S6 kinase; p-, phosphorylated; Con, control; AAS, amino acid starvation.

TFEB mediated AAS-induced autophagy

The above-mentioned results demonstrated AAS promote autophagic flux at multiple steps. We have reported previously that TFEB promoted podocyte autophagy through enhancing autophagosome formation and degradation (16). Thus, we studied the role of TFEB in AAS-induced autophagy in cultured podocytes. AAS promoted nuclear translocation of TFEB (Fig. 4A) and raised levels of mRNA (Fig. 4B) and protein (Fig. 1A) for LC3B, a target gene of TFEB (6,16), indicating increased TFEB activity by AAS. Next, we utilized TFEB siRNA to observe whether TFEB mediated AAS-induced autophagy. As we reported previously, TFEB siRNA significantly inhibited the expression of TFEB at mRNA, total protein and nuclear protein level in cultured podocytes (16). The present study found that TFEB siRNA blocked AAS-induced LC3II upregulation (Fig. 4C and D), indicating TFEB mediated the AAS-induced autophagy in podocytes.
Figure 4.

TFEB-mediated amino acid starvation induces autophagy in podocytes. (A) Immunofluorescence staining for TFEB (red staining) and DAPI (blue staining) in cultured podocytes: Untreated (Control) or amino acid starved for 6 h. AAS enhanced TFEB nuclear translocation. Scale bars, 20 µm. (B) RT-qPCR analyses of LC3A and LC3B in cultured podocytes: Untreated (Control) or amino acid starved for 6 h. (C) RT-qPCR of TFEB mRNA expression. (D) Western blotting of LC3II in podocytes transfected with scrambled or TFEB siRNA: Untreated (Control) or amino acid starved for 6 h. TFEB siRNA blocked AAS-induced autophagy. *P<0.05 and **P<0.01 vs. control; ##P<0.01 vs. AAS + scrambled. (E) Western blotting of p62 in podocytes transfected with scrambled or TFEB siRNA. TFEB siRNA decreased the p62 expression. Values are presented as the mean ± standard error of the mean (n=3). *P<0.05 vs. Scramble. TFEB, transcription factor EB; DAPI, 4′,6-diamidino-2-phenylindole; Con, control; AAS, amino acid starvation; LC3, microtubule-associated protein 1 light chain 3; siRNA, small interfering RNA; RT-qPCR, reverse transcription-quantitative polymerase chain reaction; Scramble, scrambled siRNA.

Moreover, p62 serves as a target gene of TFEB (6,16). We found that TFEB siRNA decreased the p62 protein expression in cultured podocytes (Fig. 4E). As AAS increased the nuclear transportation and activity of TFEB, these results suggested a potential role of TFEB in regulating p62 levels in AAS-stimulated podocytes.

Discussion

The present study investigated the effect of AA on podocyte autophagy. We found that AAS promoted autophagy in podocytes. AAS affected autophagy through at least two pathways, inhibiting mTOR activity and promoting TFEB nuclear translocation and activity. AA regulation of autophagy was time-dependent: 6 h of AAS promoted podocyte autophagy to reach peak level. With AAS over 6 h, autophagy decreased gradually and resumed basic levels at 24 h. The changes of mTOR activity were time-dependent under AAS, but opposite of autophagy. The changes of mTOR under AAS were similar to a study that found that short-term nutrient deprivation inhibits the mTOR signaling pathway in normal rat kidney cells, but mTOR was reactivated with prolonged starvation (17). This result may be due to starvation-induced autophagy leading to decomposing and recycling autophagy substrates, which reactivates mTOR (17). In addition to post-transcriptional regulation of autophagy through mTOR, AA signaling also regulates autophagy transcriptionally. Our study found that AAS promoted nuclear translocation of TFEB and increased TFEB activity in podocytes. Moreover, TFEB siRNA inhibited the increased autophagy induced by AAS in podocytes. These results demonstrated that AAS also contributed to podocyte autophagy via activating TFEB. Autophagy is a dynamic and multi-step process orchestrated by series of proteins. Thus, multi-dimensional assessments of autophagy are recommended to interpret it. The present study utilized western blots to detect LC3 and beclin1, GFP-mRFP-LC3 fluorescent probe and TEM to examine autophagy, which all suggested an increasing autophagic activity by AAS. Autophagy upregulation often correlates with enhanced autolysosome-mediated degradation of substrates such as p62 (14). We also investigated the level of p62 under AAS stimulation. However, p62 did not altered significantly under AAS stimulation for 6 h, which is inconsistent with the AAS-induced upregulation of autophagic activity. Moreover, p62 serves as a target gene of TFEB (6) and we validated the role of TFEB in regulating p62 protein levels in podocytes. We also observed that AAS increased TFEB activity. These results suggested that in this AAS-stimulated model, p62 level was affected not only by the increased activity of autophagy (led to p62 downregulation) but also by increased activation of TFEB (led to p62 upregulation). Therefore, p62 may not serve as an effective marker for autophagy degradation in this model. Autophagy in podocytes has been studied often, but the level of autophagy in podocytes is too weak to be measured precisely by commonly used detection methods. Nutritional starvation is a common method to increase autophagic activity (11). Previous studies reported serum starvation (18), Hanks solution induced starvation (11) or EBSS solution induced starvation (19) promoted podocyte autophagy. These were autophagy induction models induced by a variety of nutrient deficiencies. Our study showed that, among these nutrient components, AA were a key component in inducing autophagy. In addition, AAS induced high autophagic activity in cultured podocyte model, providing a new tool for studying podocyte autophagy. Studies found that podocyte autophagy damage occurs in many glomerular diseases, contributing to pathogenesis and progression of renal disease such as diabetic nephropathy (20), focal segmental glomerulosclerosis (11) and membranous nephropathy (21). Restoring podocyte autophagy levels is an urgent problem to be solved. Previous studies found that serum concentrations of various AAs in patients with chronic kidney disease and diabetic nephropathy are abnormal (22,23). Very-low-protein diets (AA restriction) alleviated renal injury and restored autophagy levels in diabetic rats (24). Our results suggested that manipulation of local AA concentrations in podocytes may be a potential method for regulating podocyte autophagy. In conclusion, this study found that short-term AAS promoted podocyte autophagy by inhibiting mTOR and promoting TFEB activity.
  24 in total

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5.  Autophagy influences glomerular disease susceptibility and maintains podocyte homeostasis in aging mice.

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Journal:  J Clin Invest       Date:  2010-04       Impact factor: 14.808

6.  Impaired Podocyte Autophagy Exacerbates Proteinuria in Diabetic Nephropathy.

Authors:  Atsuko Tagawa; Mako Yasuda; Shinji Kume; Kosuke Yamahara; Jun Nakazawa; Masami Chin-Kanasaki; Hisazumi Araki; Shin-Ichi Araki; Daisuke Koya; Katsuhiko Asanuma; Eun-Hee Kim; Masakazu Haneda; Nobuyuki Kajiwara; Kazuyuki Hayashi; Hiroshi Ohashi; Satoshi Ugi; Hiroshi Maegawa; Takashi Uzu
Journal:  Diabetes       Date:  2015-09-17       Impact factor: 9.461

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Authors:  Nan Mao; Rui-Zhi Tan; Shao-Qing Wang; Cong Wei; Xin-Li Shi; Jun-Ming Fan; Li Wang
Journal:  Cell Biol Int       Date:  2016-06-28       Impact factor: 3.612

8.  Lipopolysaccharide-induced podocyte injury is mediated by suppression of autophagy.

Authors:  Xiaofan Tan; Yuanhan Chen; Xinling Liang; Chunping Yu; Yuxiong Lai; Li Zhang; Xingchen Zhao; Hong Zhang; Ting Lin; Ruizhao Li; Wei Shi
Journal:  Mol Med Rep       Date:  2016-05-18       Impact factor: 2.952

9.  A lysosome-to-nucleus signalling mechanism senses and regulates the lysosome via mTOR and TFEB.

Authors:  Carmine Settembre; Roberto Zoncu; Diego L Medina; Francesco Vetrini; Serkan Erdin; SerpilUckac Erdin; Tuong Huynh; Mathieu Ferron; Gerard Karsenty; Michel C Vellard; Valeria Facchinetti; David M Sabatini; Andrea Ballabio
Journal:  EMBO J       Date:  2012-02-17       Impact factor: 11.598

10.  Blockage of the lysosome-dependent autophagic pathway contributes to complement membrane attack complex-induced podocyte injury in idiopathic membranous nephropathy.

Authors:  Wei Jing Liu; Zhi-Hang Li; Xiao-Cui Chen; Xiao-Lu Zhao; Zhen Zhong; Chen Yang; Hong-Luan Wu; Ning An; Wei-Yan Li; Hua-Feng Liu
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Journal:  Mol Med Rep       Date:  2020-08-20       Impact factor: 2.952

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