The Major Podocyte Protein Nephrin Is Transcriptionally Activated by the Wilms Tumor Suppressor WT1
Nicole Wagner*,
Kay-Dietrich Wagner*,
Yiming Xing,
Holger Scholz and
Andreas Schedl*
*INSERM U636, Centre de Biochimie, Faculté des Sciences, Nice, France; Department of Development & Cell Biology, UCI, Irvine California; and Institut für Physiologie, Charité, Universitätsmedizin Berlin, Berlin, Germany
Correspondence to Dr. Andreas Schedl, INSERM U636, Centre de Biochimie, Parc Valrose, 06108 Nice, France. Phone: +33-04-92-07-6401; Fax: +33-04-92-07-6475; E-mail: schedl{at}unice.fr
NPHS1 encodes the structural protein nephrin, which has a crucialrole in the filtration barrier of the glomerular podocyte. Mutationsor deregulation of NPHS1 are associated with a variety of renaldiseases, including the Finnish type congenital nephrotic syndrome.This study analyzed a potential regulation of nephrin by theWilms tumor protein, Wt1. Using an inducible U2OS osteosarcomacell line, it is shown that upon Wt1 induction, endogenous nephrinmRNA becomes highly upregulated. Co-transfection studies demonstratethat Wt1 can activate the nephrin promoter >10-fold. DNasefootprinting and mutation analysis identify a Wt1 responsiveelement in the nephrin promoter, which is required for the bindingof Wt1 protein. Mutations or deletion of this Wt1 responsiveelement completely abolished transactivation of the nephrinpromoter by Wt1. Moreover, transgenic analysis demonstratesthe requirement of the identified binding site to direct podocyte-specificexpression of a reporter gene in transgenic mice, thus confirmingthe importance of this site for the regulation of nephrin invivo. Finally, it is shown that nephrin expression is lowestin kidneys of mice that lack specifically the Wt1(KTS)splice variant, but in comparison with wild-type littermates,it is also reduced in animals with disruption of the Wt1(+KTS)splice variant. Taken together, these data identify nephrinas a direct transcriptional target for Wt1 and underline theimportance of Wt1 as a key regulator in podocyte function.
NPHS1 (encoding nephrin) has been identified by its mutationalinactivation in patients who have congenital nephrotic syndromeof the Finnish type (1). The nephrin protein has been detectedin glomerular podocytes, in different regions of the brain,and in -cells of the pancreas. In the kidney, it is predominantlylocalized to the glomerular slit diaphragm, which forms thefiltration barrier of the kidney (1,2). Consistently, nephrinknockout mice show podocyte effacement, absence of the slitdiaphragm, and massive proteinuria and die within 1 d afterbirth as a result of nephrotic syndrome (2). Recently, it wasshown that nephrin is redistributed in the glomerular podocytesof patients with minimal-change nephropathy, membranoproliferativeglomerulonephritis, and other renal disorders, suggesting amore general role for this protein in glomerular disease (3).
The extracellular segments of nephrin have been demonstratedto interact with Neph1 and other members of the nephrin genefamily (4). The cytoplasmic segment interacts with the actincytoskeleton via CD2AP (5,6) and directly with podocin (7),making nephrin a unique molecule for maintaining the structureof glomerular podocytes and the slit diaphragm. Furthermore,it was found that nephrin functions as a signaling moleculethat can activate mitogen-activated protein kinase cascades(8). Despite its central role in podocyte function, the regulationof nephrin on the molecular level is unclear.
The Wilms tumor gene Wt1 encodes a zinc finger proteinthat has been identified on the basis of its involvement innephroblastoma, an embryonic kidney tumor. Alternative splicingin the zinc finger region of Wt1 leads to the inclusion or omissionof the three amino acids KTS, which influences the biochemicalproperties of the resulting protein. Isoforms that lack theKTS sequence (Wt1KTS) are potent transcriptional activatorsand bind preferentially to DNA, whereas Wt1+KTS proteins mayalso have a role in RNA binding. Despite these biochemical differences,some of the functions of Wt1 seem to be overlapping (9). Knockout,transgenic, and siRNA analyses have demonstrated the importanceof Wt1 at several stages of kidney development (1012).However, expression of Wt1 continues in podocytes of adult kidneys,suggesting that this gene is also required during glomerularfunction. Consistent with this observation, we recently foundthat the two major podocyte proteins nephrin and podocalyxinwere lowered in the kidneys of mice with reduced expressionof Wt1 (13), suggesting co-regulation of nephrin and Wt1.
Here we investigated whether Wt1 might act as a direct activatorof nephrin. Using a combination of in vitro and in vivo approaches,we show that Wt1 can bind and activate the nephrin promoterand that this binding is essential for podocyte-specific expressionin vivo. Consistently, nephrin expression is reduced in mousemodels that lack specific isoforms of Wt1.
Mouse Strains, Generation, and Analysis of Transgenic Mice
A description of the generation of mutant mice, which lackedspecifically either the KTS or the +KTS splice variantof Wt1, and a genotyping protocol of the embryos are given byHammes et al. (9). Transgenic animals were generated by pronuclearmicroinjection into fertilized mouse oocytes according to standardprocedures (11). Superovulation was performed using the F1 generationof CBAxC57B6 crosses (Charles River, LArbresle, France).Fosters were killed at embryonic day 17.5 (E17.5; the day ofmicroinjection was taken as E0.5), and embryos were dissectedfor PCR and lacZ analysis. Transgenic embryos were identifiedusing the primers Neph-LacZ forward 5'-AAGACTGCGACAGTCACAGACA-3'and Neph-LacZ backward 5'-GCTGCAAGGCGATTAAGTTGG-3'. LacZ stainingwas performed on isolated embryonic kidneys following a protocoldescribed in Hogan et al. (14). After staining, kidneys werepostfixed for 3 h in 4% paraformaldehyde; washed two times inPBS; and embedded in a mixture of 13% BSA, 0.5% gelatin, and2.5% glutaraldehyde (Sigma, St. Quentin Fallavier, France) inPBS. Vibratome sections were cut to 100 µm on a LeicaVT1000S. Sections were transferred onto gelatin-coated glassslides and viewed under a DMLB microscope (Leica) connectedto a digital camera (Spot RT Slider, Diagnostic Instruments)using the Spot Software.
Cell Culture
U2OS osteosarcoma cells (ATCC HTB-96) were obtained from theAmerican Type Culture Collection. U2OS cells (clone UB27) withtetracycline-repressible expression of Wt1(KTS) werethe gift of Dr. C. Englert (15). The cells were grown as describedelsewhere (16).
Cloning
The nephrin promoter (accession no. AY183460) was a gift ofDr. K. Tryggvason (17). This 6.2-kb promoter fragment was subclonedinto the KpnI and HindIII restriction sites of the luciferasereporter plasmid pGl2basic (Promega). Deletion and mutationsof the WT1 binding site were performed with the aid of the QuikChange II site-directed mutation kit (Stratagene) accordingto the manufacturers instruction using the followingprimers: WTB, 5'-ACAGAAAATGAGAAGGGAGGAGGGGGGAGATG-3' (forward);Mut1, 5'-AATGAGAAGGGGGTAGGAATTAATTAGGAGGAGGAGGGGGGAGATG-3' (forward);Mut2, 5'-GAAGGGGGTAGGAATGGATTATAAGGAGGAGGGGGGAGATGG-3' (forward);Mut3, 5'-GAAGGGGGTAGGAATGGAGGATTATAAGGAGGGGGGAGATGGAATTAAAG-3'(forward); and Mut4, 5'-GGGGTAGGAATGGAGGAGGATTATAAGGGGGGAGATGGAATTAAAGAC-3'(forward). Reverse primers were in the corresponding antisenseorientation. All plasmids were sequenced (ABI Prism310 instrument)using the BigDye Terminator v1.1 Cycle sequencing kit (AppliedBiosystems) according to the manufacturers instructions.
Cell Transfections and Reporter Gene Assays
A total of 0.3 µg of the reporter constructs togetherwith 1.6 µg either of Wt1(KTS) or Wt1(+KTS) expressionvectors (Wt1 cDNA in pCB6+ plasmid) and 0.1 µg of a cytomegalovirus-driven-galactosidase plasmid were transiently co-transfected intoU2OS osteosarcoma cells using the Fugene reagent (Roche). Appropriatecontrol experiments were performed, in which we transfectedidentical amounts (1.6 µg) of the empty pCB6+ expressionplasmid. Luciferase and -galactosidase activities were measuredas described previously (18,19). Luciferase activities are givenas relative light units normalized to -galactosidase activity.Results shown are averages of 10 transfection experiments. P< 0.05 was considered significant (ANOVA with Bonferronitest as post hoc test).
DNase I Footprint Assay
Two consecutive nephrin promoter fragments, spanning 693 and582 bp, respectively, were generated by PCR using one nonlabeledand one 32P-labeled primer (distal fragment: FP1 forward, 5'-TCCTGCAGGAGATAAGCAGG-3',FP1 reverse, 5'-AGGATGGAACGCAGAGC-3'; proximal fragment: FP2forward, 5'-CTAGCTCTGCGTTCCATCCT-3', FP2 reverse, 5'-CACCAGCAGCTTGTTTGTTGC-3').The PCR fragments were gel-purified, and probes (50,000 cpm)were incubated with 50 µg of GST, GST-WT1(KTS),and GST-WT1(+KTS), respectively, in binding buffer (100 mM KCl,5 mM MgCl2, 10 mM Tris [pH 7.5], 1 mM CaCl2, 2 mM dithiothreitol,50 µg/ml BSA, and 2 µg/ml herring sperm DNA) for30 min at room temperature. Samples were treated with RQ1-DNaseI (Promega) in a total reaction volume of 100 µl, anddigestion was terminated after 3 min by adding 90 µl ofprewarmed (37°C) stop solution (200 mM NaCl, 30 mM EDTA,1% SDS, and 100 µg/ml yeast RNA). DNA fragments were phenol/chloroform-extracted,ethanol-precipitated, and separated by electrophoresis on a6% polyacrylamide sequencing gel in 1x TBE buffer. The sequenceof the protected region was determined by alignment with a sequencingreaction using a Thermo Sequenase radiolabeled terminator cyclesequencing kit (Amersham) with the primer, which was labeledin the respective footprinting reaction.
Electrophoretic Mobility Shift Assays
Electrophoretic mobility shift assays using recombinant Wt1protein are described in detail elsewhere (16). The end-labeled22-bp double-stranded oligonucleotide (5'-GGTAGGAATGGAGGAGGAGGAG-3')contained the Wt1 responsive element from the mouse nephrinpromoter. Control experiments were performed with mutated oligonucleotides).An unlabeled 21-bp DNA sequence including the previously identifiedWt1(KTS) binding site from the vitamin D receptor genepromoter (5'-TGAACTTAGTGGGCGTGGTTG-3') (14) was used at 10-to 250-fold molar excess amounts in competition experiments.
Reverse TranscriptionPCR
Wt1 expression was induced in UB27 cells by omission of tetracyclinefrom the culture medium for 24 h. Reverse transcriptionPCRwas performed as described in detail elsewhere (16) using thefollowing primers for amplification: human -actin, 5'-TTCTACAATGAGCTGCGTGTG-3'(forward), 5'-CGTCACACTTCATGATGGAGT-3' (reverse); human nephrin,5'-ACGACGCTCAGGGCTTCTCT-3' (forward), 5'-TCTAGCAGGGTCCCCTTCCA-3'(reverse); mouse Wt1, 5'-ATCAGATGAACCTAGGAG-3' (forward), 5'-CTGGGTATGCACACATGA-3'(reverse).
For real-time PCR analysis of the kidneys from splice-specificknockout mice, the LightCycler instrument (Roche) was used accordingto the following protocol: Denaturation at 95°C for 15 s,annealing at 55°C for 10 s, and elongation at 72°C for20 s (40 cycles). Serial dilutions of cDNA were used to generatea standard curve. Primers and probes, which were designed byTIB Molbiol (Berlin, Germany), had the following sequences:nephrin, 5'-AGGGTCGGAGGAGGATCGAA-3' (forward), 5'-GGGAAGCTGGGGACTGAAGT-3'(reverse), 5'-GTCCCCAGTCCACTGACTCTCTCCTC-p-3' (LC-Red640), 5'-CTAACCGTGGAGCTTCTTGTGTCCC-X-3'(FL), glyceraldehyde-3-phosphate dehydrogenase, 5'-ATTCAACGGCACAGTCAAGG-3'(forward), 5'-TGGATGCAGGGATGATGTTC-3' (reverse), 5'-TGGAAAGCTGTGGCGTGATGGC-p-3'(LC-Red640), 5'-CCAGAAGACTGTGGATGGCCCCT-X-3' (FL).
Immunohistochemistry
Tissue was fixed overnight at 4°C in 3% paraformaldehydein PBS. Thereafter, tissue was washed 3 x 20 min in PBS andsnap-frozen in prechilled isopentane. Snap-frozen tissue sampleswere embedded in Tissue-Tek OCT compound (Sakura Finetek). Ten-micrometertissue sections were cut on a cryostat and transferred ontogelatin-coated glass slides. The tissue was permeabilized with0.1% Triton X-100 in PBS and blocked by incubation for 1 h in10% normal donkey serum (in PBS, 0.1% Triton X-100, and 3% BSA).An indirect immunofluorescent double-labeling technique wasused to mark Wt1-, nephrin-, and synaptopodin-expressing cells(20). Staining was performed with the following primary antibodieseach diluted 1:50 in PBS, 0.1% Triton X-100, 3% normal donkeyserum, and 3% BSA: Polyclonal rabbit anti-Wt1 antibody (C-19;Santa Cruz Biotechnology), polyclonal goat anti-nephrin antibody(N-20; Santa Cruz Biotechnology), or polyclonal rabbit anti-nephrinantibody (gift from L. Holzman). Monoclonal mouse antisynaptopodinantibody (Progen) was used undiluted. The slides were viewedunder an epifluorescence microscope (DMLB, Leica) connectedto a digital camera (Spot RT Slider, Diagnostic Instruments)using the Spot Software.
To investigate whether Wt1 can activate the endogenous nephringene, we made use of an osteosarcoma cell line, which expressesWt1(KTS) under control of a tetracycline-repressiblepromoter (U2OS, clone UB27) (15). The Wt1(KTS) splicevariant lacks the tripeptide insertion (lysine, threonine, serine,and KTS) between zinc fingers 3 and 4 of the molecule and functionsas a transcriptional regulator (21). As expected, removal oftetracycline from the culture medium induced the expressionof Wt1 (Figure 1A). This induction of Wt1 was associated witha clear increase in the amount of endogenous mRNA for nephrin.For analyzing whether nephrin is activated directly by Wt1,the published mouse nephrin promoter (17) was cloned in frontof a luciferase reporter plasmid and co-transfected with plasmidscoding for the major Wt1 isoforms into U2OS osteosarcoma cells(21). Co-transfection with Wt1(KTS) plasmid stimulatedthe basal activity of the nephrin promoter >10-fold (Figure 1B).For comparison, the Wt1(+KTS) isoform, which has a lowerDNA binding affinity than the Wt1(KTS) protein, stimulatedthe nephrin promoter activity to a lesser extent.
Figure 1. (A) Wt1, nephrin, and -actin mRNA detected by reverse transcriptionPCR (RT-PCR) in an osteosarcoma-derived cell line (clone UB27) with tetracycline-repressible expression of the mouse Wt1(KTS) variant. Nephrin mRNA is upregulated upon induction of Wt1 by removal of tetracycline from the culture medium. (B) Activation of a luciferase reporter harboring a 6.2-kb sequence of the mouse nephrin promoter by transient co-transfection of expression constructs for the Wt1(KTS) and Wt1(+KTS) variants. Shown are relative luciferase activities normalized to -galactosidase in each sample. Values are means ± SEM of 10 experiments. *Statistical significance (P < 0.05). pGL2basic is the empty reporter vector. (C) DNase I footprint assay to reveal binding of Wt1 protein to the nephrin promoter. Two different promoter segments (FP1, 1.2 to 0.6 kb; FP2, 0.6 kb to 4 bp), spanning 582 and 693 bp, respectively, were analyzed. The 22-bp sequence, which was protected from DNase I digest by the Wt1(KTS) protein, is indicated. (D) Electrophoretic mobility shift assay (EMSA) demonstrating binding of the Wt1(KTS) and, to a lesser extent, the Wt1(+KTS) protein to the 22-bp protected element (WTB) in the nephrin promoter. Binding could be competed with a 10- to 250-fold molar excess of an unlabeled Wt1(KTS) binding site from the mouse vitamin D receptor promoter (18).
Published binding sites for Wt1 have been demonstrated to beGC rich or contain TCC (opposite strand GGA) motifs [for review,see (22)]. Sequence analysis of the nephrin promoter revealedseveral potential elements in a 1.2-kb fragment upstream ofthe predicted transcription start site. To identify potentialWt1 binding site(s) in this fragment, we performed DNase I footprintanalysis of two segments covering 582 and 693 bp, respectively(designated as FP1 and FP2). A 22-bp element in the FP1 fragmentwas protected by the Wt1(KTS) protein but not by theWt1(+KTS) product (Figure 1C). No additional footprints wereobtained. To confirm further specific binding of Wt1 to theidentified sequence, we tested the protected element for itsability to bind Wt1(KTS) and Wt1(+KTS) protein in electrophoreticmobility shift assays. A strong retardation band was detectedwhen the oligonucleotide from the nephrin promoter was incubatedwith Wt1(KTS) protein (Figure 1D). Binding could be competedwith increasing amounts of unlabeled oligonucleotide, whichwas identical to a Wt1 consensus element from the vitamin Dreceptor promoter (18). Wt1(+KTS) protein also bound the identifiedelement but apparently with a much lower affinity (Figure 1D).
To test whether the identified element is required for the activationof the nephrin promoter by Wt1, we decided to mutate this sequencein our reporter plasmid and test its ability to respond to Wt1in co-transfection assays. Remarkably, a 22-bp deletion of theWt1 binding element (pNephWTB) completely abolished activationof the 6.2-kb promoter construct by Wt1(KTS) (Figure 2A).Because the identified 22-bp sequence contained four degeneraterepeats of a 5'-GGAGG-3' binding site, we mutated each of theGG doublets (Figure 2A). Any mutation alone abolished activationof the nephrin promoter construct by Wt1(KTS), suggestinga cooperative effect of the repeats for transactivation by Wt1.Accordingly, electrophoretic mobility shift assay analysis revealedthat the binding affinity for Wt1(KTS) protein was clearlyreduced by each single mutation in the 22-bp fragment (Figure 2B).
Figure 2. (A) Activity of the wild-type and mutated nephrin promoter in U2OS cells in response to transient co-transfection of the Wt1(KTS) isoform. Shown are relative luciferase activities. Values are means ± SEM of 10 experiments. *Statistical significance (P < 0.05). (B) EMSA demonstrating binding of Wt1 to the 22-bp element (WTB) in the nephrin promoter. Binding of Wt1(KTS) could be competed with a 10- to 250-fold molar excess of an unlabeled Wt1 consensus sequence from the mouse vitamin D receptor promoter. Introduction of mutations identical to those in the promoter constructs clearly reduced binding of Wt1(KTS). (C) Schematic illustration of the nephrin promoter constructs used for transfection experiments. The localization and sequence of the identified Wt1-binding element (WTB) is indicated. In construct pNephWTB, the Wt1-binding element has been deleted selectively.
The molecular analysis described above clearly identified aWt1 responsive element in the U2OS osteosarcoma cell line. However,there remained the small possibility that this binding sitewas present only in the heterologous system. Because of difficultiesof transforming currently available podocyte cell lines, confirmationof our data using co-transfection assays in podocytes was impossible.Hence, to confirm the importance of the identified Wt1 bindingsite in vivo, we decided to use a transgenic approach. The 6.2-kbnephrin promoter has been shown previously to direct expressionof a lacZ reporter gene (nephA) in glomeruli of transgenic mice(17). To test the importance of the above-identified Wt1 bindingsite, we introduced the same 22-bp deletion as in the pNephWTBplasmid into the nephA lacZ construct and injected both thewild-type and the mutant constructs into fertilized mouse oocytes.Foster mothers were killed at E17.5, and embryos were analyzedby PCR for the integration of the transgene. For identifyingpromoter activity, the kidneys of all embryos were isolatedand stained for -galactosidase activity. As expected, five ofsix transient transgenic embryos showed blue staining withinthe podocytes (Figure 3A). In contrast, none of four transgenicanimals that were generated with the 22-bp deletion constructshowed lacZ-positive cells in the kidney, indicating that thispromoter could not direct podocyte-specific expression of thereporter gene. Taken together, these data clearly demonstratethat the identified binding site is also relevant for tissue-specificexpression in vivo.
Figure 3. LacZ analysis of transgenic mice. (A) Design of transgenic constructs. Nephrin:LacZ contains a 6.2-kb nephrin promoter fragment cloned in front of a lacZ reporter construct (17). WTB:LacZ represents the identical construct but carrying a 22-bp deletion of the identified Wt1 binding site. (B) Vibratome sections of kidneys isolated at embryonic day 17.5 (E17.5) and stained for -galactosidase activity. Nephrin:LacZ transgenic kidneys showed strong staining within the podocyte layer of glomeruli (a and arrows in c). In contrast, kidneys from WTB:LacZ transgenic animals (b and d) lacked -galactosidase activity, indicating the absence of transgene expression. Scale bars = 200 µm.
The published expression pattern of Wt1 and nephrin stronglysuggest that both are expressed in the same cell type (2,2325).To explore whether Wt1 and nephrin share overlapping expressionpatterns, we performed double-immunofluorescent labeling forboth proteins in the kidney. Indeed, Wt1 was detected in thenuclei of glomerular podocytes, whereas nephrin was localizedin podocyte cell membranes and to some extent in the cytoplasm(Figure 4). To investigate further the role of alternativelyspliced Wt1 products for nephrin expression in vivo, we madeuse of our recently established mouse lines lacking either theWt1(KTS) or the Wt1(+KTS) splice variant (9). Using quantitativereverse transcriptionPCR, nephrin expression at E16.5was lowest in kidneys of animals that lacked Wt1(KTS)(P < 0.001; Figure 5). However, also Wt1(+KTS)-deficientmice had lower nephrin mRNA levels than wild-type littermates.Theoretically, the observed reduction of nephrin mRNA expressioncould represent a delay of kidney differentiation in the Wt1mutants rather than a reduction of nephrin on a cellular level.To distinguish between this two possibilities, we analyzed nephrinprotein expression and tissue distribution at E18.5 using immunohistochemistryon kidney sections. As already seen for mRNA expression, nephrinprotein levels were lowest in the Wt1(KTS)-deficientmice but in comparison with wild-type littermates were alsoreduced in animals with disruption of the Wt1(+KTS) splice variant.Synaptopodin as a marker for early glomerular development wasused in double-immunofluorescence experiments together withnephrin to exclude a developmental delay in the splice-specificknockout animals. Although the number of glomeruli was reducedin Wt1(KTS/) mice (9), those glomerulithat were present showed similar levels of synaptopodin expressionwhen compared with Wt1(+KTS/) mice or wild-typelittermates (Figure 6).
Figure 4. Double-immunofluorescent labeling of nephrin (red) and Wt1 (green) in adult mouse kidney. Note the overlapping expression in glomerular podocytes. Counterstaining with DAPI (blue) was used to visualize nuclei (c). Scale bars = 100 µm.
Figure 5. Quantitative RT-PCR for nephrin in kidneys of mice lacking specifically either the Wt1(KTS) or the Wt1(+KTS) splice variant at E16.5. Wild-type littermates (wt) served as controls. Nephrin expression was normalized to glyceraldehyde-3-phosphate dehydrogenase (GAPDH) expression. Values are means ± SEM of five animals each. *Statistical significance (P < 0.001).
Figure 6. Double-immunofluorescent labeling for nephrin (green) and synaptopodin (red) in kidney sections from mice with specific lack either of the Wt1(KTS) (b, e, h, and k) or the Wt1(+KTS) (c, f, i, and l) splice variant and from wild-type littermates (a, d, g, and h) at E18.5. Counterstaining with DAPI (blue) was used to visualize nuclei (j, k, and l). Scale bars = 100 µm. Note that the differences in nephrin protein expression match those of nephrin mRNA in the splice-specific Wt1 knockouts, whereas synaptopodin protein expression is only slightly reduced in the splice-specific knockouts.
The nephrin expression pattern during kidney development isstrikingly overlapping with that of Wt1 and can first be foundin the presumptive podocyte layer of the S-shaped body, a timepoint when also Wt1 expression increases (2,25). This observationprompted us to analyze whether Wt1 acts as a direct transcriptionfactor on the nephrin promoter. Here we have shown that Wt1stimulated nephrin expression in cultured cells and that specificablation of either the Wt1(KTS) or the Wt1(+KTS) proteinsresulted in reduced expression levels of nephrin in vivo. Itis interesting that the promoter of the nephrin gene was stimulatednot only by the Wt1(KTS) variant but also by the Wt1(+KTS)protein, albeit to a lesser extent. This may seem surprisingconsidering that the Wt1(+KTS) protein is believed to play arole mainly in posttranscriptional mechanisms, such as mRNAsplicing (26,27). However, our previous observations both invitro and in vivo support the idea of some functional redundancybetween +KTS and KTS isoforms (9,18). The analysis ofsplice-specific mutants performed in this study showed a reductionof nephrin in glomeruli of both strains. This seems to be atleast in part a direct rather than an indirect effect, as theearly glomerular marker synaptopodin remained unaffected, suggestingthat initial differentiation of podocytes occurs in both models.Because overall levels of Wt1 expression are largely unchangedin Wt1 splice-specific mutants and because compound heterozygotes(Wt1KTS/Wt1+KTS) survive normally (9),we may speculate that both Wt1 isoforms are required for theactivation of nephrin in vivo. This may either involve two independent/successivedifferentiation steps or alternatively require the interactionof both proteins. In support of the latter hypothesis, Wt1 canheterodimerize at least in vitro (28), and mutant proteins havebeen shown to act in a dominant negative manner in a mouse modelfor Denys-Drash syndrome (29).
The Wt1 responsive element in the nephrin promoter identifiedhere consists of several repeats of a predicted Wt1 core-bindingsite (16,30). Presumably, these repeats are functioning in acooperative manner, as mutations of each one of the elementsresulted in a strong reduction in the binding affinity for Wt1(KTS)in vitro. Our transgenic analysis suggested an absolute requirementof the identified element for podocyte-specific expression notonly in vitro but also in vivo. Two other groups have used fragmentsof the nephrin promoter to drive transgene expression in thekidney. The position of the Wt1 responsive element identifiedhere is in agreement with the promoter fragment identified byMoeller et al. (31). In contrast, promoter studies by Beltchevaet al. (17) suggested a region farther upstream to be requiredfor podocyte-specific expression, suggesting that an additionalelement(s) is required together with the Wt1 binding site toallow kidney-specific activation of the nephrin promoter. Hence,Wt1 may require a cooperative interaction with other as-yet-unknownfactors to stimulate nephrin expression. Thus, our data supportbut not directly prove that Wt1 is regulating nephrin expressionin vivo solely through the identified binding site.
From patient analyses as well as knockout studies, it is clearthat nephrin serves a crucial role in glomerular filtration.Given the importance of the regulatory element for nephrin expressionidentified here, we can speculate that mutations or polymorphismsin this sequence may contribute to glomerular diseases in humanpatients. Furthermore, that expression of nephrin and podocalyxin(30), both key structural proteins of the podocyte, are regulatedby Wt1 may suggest that Wt1 acts as a central regulatory moleculeto protect the structural and functional integrity of glomerularpodocytes. It is interesting that the respective Wt1 bindingelements in the nephrin and podocalyxin promoter differ in sequence.This suggests that the podocyte-specific regulation of thesegenes is not the result of a duplication of regulatory elementsbut rather that regulatory sequences have evolved independently.In either case, it will be interesting to study other potentialtargets, such as podocin, Neph1, and CD2AP, which may also dependon the expression of Wt1. A detailed knowledge of the relevantdownstream effectors of Wt1 would permit us to evaluate theregulatory pathways that have evolved to establish podocyte-specificmorphology and function.
Acknowledgments
This study was supported in part by a grant from the DeutscheForschungsgemeinschaft (DFG; Scho 634/4-1) and the Asssociationpour le Recherche contre le Cancer (#5198). K.-D.W. and N.W.are recipients of a fellowship from EMBO (K.D.W.), from theDFG, and from the Charité (Rahel-Hirsch Program; N.W.).
The expert technical assistance of M. Magliano, A. Richter,and I. Grätsch is gratefully acknowledged. The nephrinpromoter was a gift of K. Tryggvason. We thank D. Haber andC. Englert for the gift of the Wt1 expression constructs andthe U2OS osteosarcoma cells with inducible Wt1 expression andLarry Holzman for the antinephrin antibody.
Footnotes
N.W. and K.-D.W. contributed equally to this work.
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Received for publication May 6, 2004.
Accepted for publication September 6, 2004.
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