Hackl, Agnes and Weber, Lutz T. (2025). The Ca2+-actin-cytoskeleton axis in podocytes is an important, non-immunologic target of immunosuppressive therapy in proteinuric kidney diseases. Pediatric Nephrology, 40 (9). pp. 2729-2739. Springer Nature. ISSN 0931-041X

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Identification Number:10.1007/s00467-025-06670-z

Abstract

The integrity of the filtration barrier of the kidney relies on the proper composition of podocyte interdigitating foot processes. Their architecture is supported by a complex actin-cytoskeleton. Following podocyte stress or injury, podocytes encounter structural changes, including rearrangement of the actin network and subsequent effacement of the foot processes. Immunosuppressive drugs, which are currently used as treatment in proteinuric kidney diseases, have been shown to exert not only immune-mediated effects. This review will focus on the direct effects of glucocorticoids, cyclosporine A, tacrolimus, mycophenolate mofetil, and rituximab on podocytes by regulation of Ca 2+ ion channels and consecutive downstream signaling which prevent cytoskeletal rearrangements and ultimately proteinuria. In addition, the efficacy of these drugs in genetic nephrotic syndrome will be discussed

Item Type: Article
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Hackl, Agnes
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Weber, Lutz T.
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URN: urn:nbn:de:hbz:38-797825
Identification Number: 10.1007/s00467-025-06670-z
Journal or Publication Title: Pediatric Nephrology
Volume: 40
Number: 9
Page Range: pp. 2729-2739
Number of Pages: 11
Date: 25 September 2025
Publisher: Springer Nature
ISSN: 0931-041X
Language: English
Faculty: Faculty of Medicine
Divisions: Faculty of Medicine > Kinder- und Jugendmedizin > Klinik und Poliklinik für Kinder- und Jugendmedizin
Subjects: Medical sciences Medicine
['eprint_fieldname_oa_funders' not defined]: Publikationsfonds UzK
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/79782

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