1. Transglutaminase-mediated stiffening of the glomerular basement membrane mitigates pressure-induced reductions in molecular sieving coefficient by reducing compression.
- Author
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Wang, Dan and Ferrell, Nicholas
- Subjects
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BASAL lamina , *MOLECULAR sieves , *CHRONIC kidney failure , *BIOLOGICAL transport , *SKIN permeability , *MOLECULAR weights , *KIDNEYS - Abstract
• Glomerular basement membranes are compressible ultrafilters with increased molecular selectivity with increased transmembrane pressure. • Compression effects on glomerular basement membrane sieving are mitigated by crosslinking and stiffening. • Disease-mediated changes in glomerular basement membrane mechanics may contributed to loss of glomerular size selectivity in the setting of chronic kidney disease. Proteinuria, the presence of high molecular weight proteins in the urine, is a primary indicator of chronic kidney disease. Proteinuria results from increased molecular permeability of the glomerular filtration barrier combined with saturation or defects in tubular protein reabsorption. Any solute that passes into the glomerular filtrate traverses the glomerular endothelium, the glomerular basement membrane, and the podocyte slit diaphragm. Damage to any layer of the filter has reciprocal effects on other layers to increase glomerular permeability. The GBM is thought to act as a compressible ultrafilter that has increased molecular selectivity with increased pressure due to compression that reduced the porosity of the GBM with increased pressure. In multiple forms of chronic kidney disease, crosslinking enzymes are upregulated and may act to increase GBM stiffness. Here we show that enzymatically crosslinking porcine GBM with transglutaminase increases the stiffness of the GBM and mitigates pressure-dependent reductions in molecular sieving coefficient. This was modeled mathematically using a modified membrane transport model accounting for GBM compression. Changes in the mechanical properties of the GBM may contribute to proteinuria through pressure-dependent effects on GBM porosity. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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