Nephrin is a core component of podocyte (glomerular epithelial cell) slit diaphragm and is required for kidney ultrafiltration. Down-regulation or mislocalization of
nephrin has been observed in
diabetic kidney disease (DKD), characterized by
albuminuria. Here, we investigate the role of
protein kinase C and
casein kinase 2 substrate in neurons 2 (PACSIN2), a regulator of endocytosis and recycling, in the trafficking of
nephrin and development of DKD. We observe that PACSIN2 is up-regulated and
nephrin mislocalized in podocytes of obese Zucker diabetic fatty (ZDF) rats that have altered renal function. In cultured podocytes, PACSIN2 and
nephrin colocalize and interact. We show that
nephrin is endocytosed in PACSIN2-positive membrane regions and that PACSIN2 overexpression increases both
nephrin endocytosis and recycling. We identify rabenosyn-5, which is involved in early endosome maturation and endosomal sorting, as a novel interaction partner of PACSIN2. Interestingly, rabenosyn-5 expression is increased in podocytes in obese ZDF rats, and, in vitro, its overexpression enhances the association of PACSIN2 and
nephrin. We also show that
palmitate, which is elevated in diabetes, enhances this association. Collectively, PACSIN2 is up-regulated and
nephrin is abnormally localized in podocytes of diabetic ZDF rats. In vitro, PACSIN2 enhances
nephrin turnover apparently via a mechanism involving rabenosyn-5. The data suggest that elevated PACSIN2 expression accelerates
nephrin trafficking and associates with
albuminuria.-Dumont, V., Tolvanen, T. A., Kuusela, S., Wang, H., Nyman, T. A., Lindfors, S., Tienari, J., Nisen, H., Suetsugu, S., Plomann, M., Kawachi, H., Lehtonen, S. PACSIN2 accelerates
nephrin trafficking and is up-regulated in
diabetic kidney disease.