A Podocyte-Based Automated Screening Assay Identifies Protective Small Molecules

• Published in: Journal of the American Society of Nephrology Vol. 26; no. 11; pp. 2741 - 2752
• Main Authors: Lee, Ha Won, Khan, Samia Q, Faridi, Mohd Hafeez, Wei, Changli, Tardi, Nicholas J, Altintas, Mehmet M, Elshabrawy, Hatem A, Mangos, Steve, Quick, Kevin L, Sever, Sanja, Reiser, Jochen, Gupta, Vineet
• Format: Journal Article
• Language: English
• Published: United States American Society of Nephrology 01-11-2015
• Subjects: Actins - metabolism; Albuminuria - metabolism; Animals; Basic Research; Cell Movement; Epithelial Cells - drug effects; Focal Adhesions - metabolism; High-Throughput Screening Assays; Hydroxyquinolines - chemistry; Integrin beta1 - metabolism; Kidney Diseases - metabolism; Kidney Glomerulus - metabolism; Lipopolysaccharides - chemistry; Mice; Microscopy, Confocal; Phenotype; Podocytes - cytology; Proteinuria - pathology; Puromycin Aminonucleoside - chemistry; Rats; Sulfonamides - chemistry; glomerular epithelial cells; adhesion molecule; glomerular disease
• ISSN: 1046-6673; 1533-3450
• DOI: 10.1681/asn.2014090859

Podocyte injury and loss mark an early step in the pathogenesis of various glomerular diseases, making these cells excellent targets for therapeutics. However, cell-based high-throughput screening assays for the rational development of podocyte-directed therapeutics are currently lacking. Here, we describe a novel high-content screening-based phenotypic assay that analyzes thousands of podocytes per assay condition in 96-well plates to quantitatively measure dose-dependent changes in multiple cellular features. Our assay consistently produced a Z' value >0.44, making it suitable for compound screening. On screening with >2100 pharmacologically active agents, we identified 24 small molecules that protected podocytes against injury in vitro (1% hit rate). Among the identified hits, we confirmed an β1-integrin agonist, pyrintegrin, as a podocyte-protective agent. Treatment with pyrintegrin prevented damage-induced decreases in F-actin stress fibers, focal adhesions, and active β1-integrin levels in cultured cells. In vivo, administration of pyrintegrin protected mice from LPS-induced podocyte foot process effacement and proteinuria. Analysis of the murine glomeruli showed that LPS administration reduced the levels of active β1 integrin in the podocytes, which was prevented by cotreatment with pyrintegrin. In rats, pyrintegrin reduced peak proteinuria caused by puromycin aminonucleoside-induced nephropathy. Our findings identify pyrintegrin as a potential therapeutic candidate and show the use of podocyte-based screening assays for identifying novel therapeutics for proteinuric kidney diseases.