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Evidence for megalin-mediated proximal tubular uptake of L-FABP, a carrier of potentially nephrotoxic molecules.

Abstract
Liver-type fatty acid binding protein (L-FABP) binds with high affinity to hydrophobic molecules including free fatty acid, bile acid and bilirubin, which are potentially nephrotoxic, and is involved in their metabolism mainly in hepatocytes. L-FABP is released into the circulation, and patients with liver damage have an elevated plasma L-FABP level. L-FABP is also present in renal tubules; however, the precise localization of L-FABP and its potential role in the renal tubules are not known. In this study, we examined the cellular and subcellular localization of L-FABP in the rat kidney and tried to determine from where the L-FABP in kidney tissues had originated. Immunohistochemical studies of kidney sections localized L-FABP in the lysosomes of proximal tubule cells (PTC). In rats with carbon tetrachloride (CCl4)-induced acute liver injury, we detected high levels of L-FABP in the circulation and in the kidney compared with those in the control rat by immunoblotting, while reverse transcription-polymerase chain reaction showed that the level of L-FABP mRNA expression in the kidney of CCl4-treated rats was low and did not differ from that in the control rat. When 35S-L-FABP was intravenously administered to rats, the kidneys took up 35S-L-FABP more preferentially than the liver and heart, and histoautoradiography of kidney sections revealed that 35S-L-FABP was internalized via the apical domains of PTC. Quartz-crystal microbalance analysis revealed that L-FABP bound to megalin, a multiligand endocytotic receptor on PTC, in a Ca2+-dependent manner. Degradation assays using megalin-expressing rat yolk sac tumor-derived L2 cells demonstrated that megalin mediated the cellular uptake and catabolism of 125I-L-FABP. In conclusion, circulatory L-FABP was found to be filtered by glomeruli and internalized by PTC probably via megalin-mediated endocytosis. These results suggest a novel renal uptake pathway for L-FABP, a carrier of hydrophobic molecules, some of which may exert nephrotoxic effects.
AuthorsYuko Oyama, Tetsuro Takeda, Hitomi Hama, Atsuhito Tanuma, Noriaki Iino, Kiyoko Sato, Ryohei Kaseda, Meilei Ma, Tadashi Yamamoto, Hiroshi Fujii, Junichiro J Kazama, Shoji Odani, Yoshio Terada, Kunihiro Mizuta, Fumitake Gejyo, Akihiko Saito
JournalLaboratory investigation; a journal of technical methods and pathology (Lab Invest) Vol. 85 Issue 4 Pg. 522-31 (Apr 2005) ISSN: 0023-6837 [Print] United States
PMID15696188 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Carrier Proteins
  • DNA Primers
  • Fabp1 protein, rat
  • Fatty Acid-Binding Proteins
  • Low Density Lipoprotein Receptor-Related Protein-2
Topics
  • Animals
  • Base Sequence
  • Carrier Proteins (biosynthesis, metabolism)
  • DNA Primers
  • Fatty Acid-Binding Proteins
  • Immunohistochemistry
  • Kidney Tubules, Proximal (drug effects, metabolism)
  • Low Density Lipoprotein Receptor-Related Protein-2 (physiology)
  • Male
  • Rats
  • Rats, Sprague-Dawley
  • Reverse Transcriptase Polymerase Chain Reaction

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