GIV/Girdin Links Vascular Endothelial Growth Factor Signaling to Akt ...

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GIV/Girdin Links Vascular Endothelial Growth Factor Signaling to Akt Survival Signaling in Podocytes Independent of Nephrin Honghui Wang,* Taro Misaki,* Vanessa Taupin,* Akiko Eguchi,† Pradipta Ghosh,† and Marilyn G. Farquhar* Departments of *Cellular and Molecular Medicine and †Medicine, University of California, San Diego, La Jolla, California

ABSTRACT Podocytes are critically involved in the maintenance of the glomerular filtration barrier and are key targets of injury in many glomerular diseases. Chronic injury leads to progressive loss of podocytes, glomerulosclerosis, and renal failure. Thus, it is essential to maintain podocyte survival and avoid apoptosis after acute glomerular injury. In normal glomeruli, podocyte survival is mediated via nephrin-dependent Akt signaling. In several glomerular diseases, nephrin expression decreases and podocyte survival correlates with increased vascular endothelial growth factor (VEGF) signaling. How VEGF signaling contributes to podocyte survival and prevents apoptosis remains unknown. We show here that Ga–interacting, vesicle-associated protein (GIV)/girdin mediates VEGF receptor 2 (VEGFR2) signaling and compensates for nephrin loss. In puromycin aminonucleoside nephrosis (PAN), GIV expression increased, GIV was phosphorylated by VEGFR2, and p-GIV bound and activated Gai3 and enhanced downstream Akt2, mammalian target of rapamycin complex 1 (mTORC1), and mammalian target of rapamycin complex-2 (mTORC2) signaling. In GIV-depleted podocytes, VEGF-induced Akt activation was abolished, apoptosis was triggered, and cell migration was impaired. These effects were reversed by introducing GIV but not a GIV mutant that cannot activate Gai3. Our data indicate that after PAN injury, VEGF promotes podocyte survival by triggering assembly of an activated VEGFR2/GIV/Gai3 signaling complex and enhancing downstream PI3K/Akt survival signaling. Because of its important role in promoting podocyte survival, GIV may represent a novel target for therapeutic intervention in the nephrotic syndrome and other proteinuric diseases. J Am Soc Nephrol 26: ccc–ccc, 2014. doi: 10.1681/ASN.2013090985

Podocytes are highly specialized glomerular epithelial cells uniquely organized into foot processes and filtration slits that are essential for glomerular filtration; podocyte injury often leads to foot process effacement and proteinuria.1–5 Podocyte injury is the initiating cause of many human and experimental glomerular diseases such as minimal change disease (MCD), FSGS, membranous nephropathy, and diabetic nephropathy.5–8 Podocytes have the capability to recover from mild injury; however, if injury is sustained, it can lead to their detachment from the glomerular basement membrane as well as cell death, followed by glomerulosclerosis and ESRD.1,5,7,8 Thus, it is essential to understand how podocytes respond to early injury and to J Am Soc Nephrol 26: ccc–ccc, 2014

characterize early signaling events that determine the reversibility of podocyte injury in order to develop novel therapeutics that can be used to

Received September 17, 2013. Accepted May 15, 2014. H.W. and T.M. contributed equally to this work. Published online ahead of print. Publication date available at www.jasn.org. Correspondence: Dr. Marilyn G. Farquhar, Department of Cellular and Molecular Medicine, University of California, San Diego, George Palade Laboratories, 9500 Gilman Drive, Room 210, La Jolla, CA 92093-0651. Email: [email protected] Copyright © 2014 by the American Society of Nephrology

ISSN : 1046-6673/2602-ccc

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maintain podocyte viability and to restore kidney function. Nephrin is currently assumed to act as the key signaling molecule that maintains the filtration slits and podocyte survival by recruitment of phosphoinositide 3-kinase (PI3K) and subsequent activation of prosurvival Akt signaling.3,9–11 In normal podocytes, nephrin interacts with podocin and CD2AP and recruits the p85 subunit of PI3K to initiate Akt activation and inhibit apoptosis in cultured podocytes.4,9,10,12 However, podocytes of nephrin-null mice have rates of apoptosis similar to wild-type mice.13 In addition, nephrin is downregulated and nephrin-p85 interaction12 and tyrosine phosphorylation of nephrin14 (required for activation of Akt) are diminished in patients in early stages of MCD12,14 as well as in puromycin aminonucleoside nephrosis (PAN),15–17 a rat model of MCD, whereas podocytes survive.7,18,19 Furthermore, no significant differences in Akt phosphorylation and podocyte apoptosis were seen in nephrin-null and wild-type mice even though these mice showed foot process effacement, slit diaphragm disruption, and proteinuria.13 Thus, an alternative mechanism must be responsible for podocyte survival during the early, reversible stages of podocyte injury. Up to now, the signaling pathways that compensate for the nephrindependent survival pathway have remained unknown. It has recently become evident that vascular endothelial growth factor receptor (VEGFR) 2 is the main receptor responsible for PI3K/Akt regulation and podocyte survival in response to autocrine vascular endothelial growth factor (VEGF)-A in cultured human and mouse podocytes.20 Akt functions as a critical regulator of growth factor–dependent survival and ameliorates cell apoptosis induced by toxic stimuli of a wide variety of cell types. There is growing evidence that VEGF signaling protects glomeruli from injury in numerous glomerular diseases, including MCD, FSGS, and diabetic nephropathy.21–24 In MCD, VEGF levels are upregulated in podocytes and correlate with decreased nephrin levels,25,26 and transgenic mice overexpressing VEGF-A in podocytes show proteinuria, loss of slit diaphragms, increased VEGFR2 phosphorylation, and downregulation of nephrin in glomeruli, but podocytes survive.27 The mechanism by which VEGFVEGFR2 prosurvival signaling is maintained in spite of reduced nephrin levels after podocyte injury remains to be elucidated. We recently identified Ga–interacting, vesicle-associated protein (GIV) as a multidomain signal transducer that enhances PI3 kinase/Akt signaling downstream of growth factor receptors.28 It does so by directly binding activated growth factor receptor tyrosine kinases (RTKs), G proteins, Akt, and actin.28–30 GIV enhances PI3K-Akt signaling via two independent mechanisms that synergistically mount the maximal response: (1) activation of Gai via GIV’s guanine nucleotide exchange factor (GEF) motif releases “free” Gbg subunits, which bind and activate class 1B PI3Ks31; (2) GIV is phosphorylated by RTKs at tyrosines 1764 and 1798, which directly bind and activate class 1A PI3Ks.30 Here we show that GIV similarly potentiates podocyte survival signaling early after podocyte injury in PAN rats. During early stages of MCD, 2

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GIV binds VEGFR2 and mediates podocyte survival via activation of Gai3 and enhancement of downstream PI3K/Akt/ mammalian target of rapamycin (mTOR) signaling. Thus, as nephrin is downregulated, GIV takes over, prevents apoptosis, and maintains cell survival early after podocyte injury.

RESULTS GIV Is Induced in Podocytes of PAN Rats

PAN is a well established animal model to study reversible podocyte injury.32 Because GIV is known to enhance Akt survival signaling in other cells,28 we first assessed the expression of GIV in glomeruli isolated from normal and 7-day PAN rats. We found by quantitative immunoblotting that expression of GIV protein is increased approximately 4-fold (Figure 1, A and B) and by RT-PCR that GIV mRNA is increased 10-fold (Figure 1C) in 7-day PAN rats compared with normal controls, whereas Gai3, a GIV effector, and Gb showed little change (Figure 1, A and B). By contrast, nephrin was decreased (42%) (Figure 1, A and B) as previously reported.16 These results indicate that both GIV transcript and GIV protein levels are significantly upregulated in PAN. Glomeruli contain several cell types, including podocytes, endothelial cells, and mesangial cells. To determine which cell types express GIV, we carried out immunofluorescence for GIV and the podocyte markers podocalyxin33,34 and vimentin35 on semithin cryosections obtained from kidneys of normal and PAN rats. In glomeruli from both normal and PAN rats, GIV is expressed at the highest levels in podocytes (Figure 1D). It also codistributes with the intermediate filament protein vimentin, which is a specific marker for the primary processes of podocytes.35 Akt/mTOR Survival Signaling Is Maintained in PAN Rats

In normal podocytes, survival signaling is mediated through the well defined nephrin/CD2AP-dependent, PI3K/Akt pathway,9 but how cell survival is maintained after podocyte injury when nephrin expression decreases7,18,19 has remained unknown. Because we found GIV to be upregulated in PAN and GIV is known to enhance Akt signaling in other cell types,28 we anticipated that Akt signaling might be maintained or increased in nephrotic glomeruli. At 7 days after puromycin aminonucleoside (PA) injury, activation of Akt as determined by its phosphorylation at S473 was increased (2.2-fold) (Figure 2, A and B), and no apoptosis was detected (based on caspase 3 cleavage) (Figure 2A) even though nephrin was decreased (Figure 1, A and B). Similarly, when in vitro differentiated mouse podocytes were treated with PA (30 mg/ml), there was very little caspase 3 cleavage (5%) in podocytes at early time points (24 hours) (Figure 2, C and D), indicating that very little apoptosis occurs. However, when treatment was extended to 48 or 72 hours, which mimics prolonged injury in PAN rats, cleavage of caspase 3 increased (28% and 43%, respectively) (Figure 2, C and D). J Am Soc Nephrol 26: ccc–ccc, 2014

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Akt2 might be activated by mTORC2 in PAN. To find out whether this is the case, we examined activation of serum- and glucocorticoid-induced protein kinase 1 (SGK1), a specific substrate of mTORC2 kinase,40 and found that pSGK1 was enhanced 2.6-fold in PAN glomeruli (Figure 2, G and H). mTOR complex 1 (mTORC1) is also activated by growth factors downstream of PI3K/Akt39 so we checked two substrates of mTORC1, S6 kinase (S6K) and S6 ribosomal protein (S6RP), and found that their activation is increased 2-fold in glomeruli from PAN rats (Supplemental Figure 1). These results indicate that in the absence of nephrin, downstream mTORC2-Akt2 survival signaling and mTORC1 cell growth signaling41 are maintained in podocytes via nephrinindependent pathways. Interaction of GIV with Activated VEGFR2 Is Increased in PAN Rats

Figure 1. GIV protein and mRNA are induced in glomeruli from PA-treated rats. (A) Expression of GIV protein is greatly increased (4-fold) and nephrin is decreased (to 40% of normal) in glomeruli from PAN rats. Gai3 and Gb remain unchanged. Equal aliquots (50 mg) of glomerular lysate from normal or PAN (7-day) rats are immunoblotted for GIV, nephrin, Gai3, Gb, and b-actin, and analyzed by Li-Cor Odyssey Infrared Imaging. (B) Quantification of data in A (normalized to b-actin). Data are expressed as the fold change in PAN compared with normal controls (**P,0.001; mean6SD n=6). (C) GIV mRNA is increased 10-fold in glomeruli after PA injury. RT-PCR is carried out on mRNA isolated from glomeruli prepared from normal and PAN rats using specific primers for rat GIV and GAPDH as a control. (D) GIV is highly expressed in podocytes in glomeruli from both normal and PAN rats. GIV is concentrated in primary processes (arrowheads) and cell bodies (asterisks) of podocytes in both normal (Da) and PAN (Dc) rats. Podocytes are identified by location and podocalyxin staining. We are unable to detect differences in the level of GIV staining between podocytes in glomeruli from normal and PAN rats. The boxed regions in A and C are enlarged (32) to the right. Within podocytes, GIV is concentrated in primary processes (arrows) that stain for vimentin, a marker for podocytes in both normal (Db) and PAN (Dd) glomeruli. Semithin cryosections of kidney from normal and PAN-treated rats are stained for PC (red) or vimentin (red), and GIV-CT (green) and DAPI (blue), and examined by immunofluorescence. IB, immunoblot; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; PC, podocalyxin; DAPI, 4,6-diamidino-2-phenylindole. Bar, 10 mm.

It was recently reported that Akt2 is the main Akt isoform expressed in mouse and human podocytes and that Akt2 activation protects podocytes during CKD.36 We confirmed37 that Akt2 is the major Akt isoform expressed in rat glomeruli and differentiated mouse podocytes (Figure 2E) and found that phosphorylation of Akt2 at S473 is greatly increased in PAN glomeruli (Figure 2F). Because mTOR complex 2 (mTORC2) is known to phosphorylate Akt at S473 upon growth factor stimulation,38,39 this finding suggested that J Am Soc Nephrol 26: ccc–ccc, 2014

Because GIV is known to bind to activated RTKs, including VEGFR,28–30 and expression of GIV as well as VEGF-A and its receptors is increased in PAN,24 we reasoned that GIV binding to VEGFR2 might be increased in PAN. Interestingly, we found that expression of VEGF-A and total VEGFR2 was increased approximately 2.5-fold in glomeruli from 7day PAN rats (Figure 3A), and activation of VEGFR2 (p-VEGFR2) (determined by autophosphorylation of Tyr996 on VEGFR2) increased 5.2-fold in both PAN glomeruli (Figure 3A) and PA-treated podocytes (Figure 3B). Moreover, the amount of GIV that coimmunoprecipitated with VEGFR2 from glomerular lysates of PAN rats was increased 3.5-fold (Figure 3C). Thus, VEGF signaling and binding of GIV to VEGFR2 are enhanced in podocytes after PA injury. GIV Is Phosphorylated at Ser1416 and Tyr1764 in PAN

It was recently shown that, upon binding to an RTK, GIV is phosphorylated at Tyr1764 and Tyr1798, and that tyrosine phosphorylated GIV directly binds and activates class 1 PI3Ks, thereby enhancing Akt phosphorylation and actin remodeling during cell migration.30 In addition to enhancing Akt signaling, GIV is also a substrate for Akt, and phosphorylation of GIV at Ser1416 by Akt promotes binding of GIV to actin and actin remodeling.42 Together these phosphorylation events indicate that GIVdependent signaling is “on.” To check whether PAN injury turns on GIV-dependent signaling, we immunoblotted GIV, VEGFR2, and Akt/mTOR survival signaling

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Figure 2. Akt/mTORC2 signaling is enhanced and podocyte survival is maintained after PA injury. (A) Phosphorylation of Akt is enhanced (2.2-fold) in glomeruli from PAN rats. Equal aliquots (50 mg) of glomerular lysate from normal or PAN (7-day) rats are immunoblotted for p-Akt (S473), t-Akt, and b-actin. (B) Quantification of data in A (normalized to b-actin). Data are expressed as the fold change in PAN compared with normal controls (**P,0.001; mean6SD n=6). (C) Podocytes survive at early stages of PA injury. At time 0, most of the caspase 3 is in the inactive (procaspase 3) form. At 24 hours, a small amount of caspase 3 cleavage (active caspase) is seen; after longer PA treatment (48 or 72 hours), the amount of cleaved (active) caspase 3 is greatly increased. In vitro differentiated mouse podocytes are treated with 30 mg/ml PA for the indicated times. Equal amounts of whole cell lysate are immunoblotted for caspase 3 and b-actin. (D) Quantification of data in C (normalized to b-actin). Data are expressed as the percentage of total caspase 3 (procaspase 3+active caspase 3) that is active (**P,0.001; mean6SD n=4). (E) Akt2 is the major Akt isoform expressed in glomeruli from rats and differentiated mouse podocytes. Equal amounts of lysate (50 mg) from C2C12 cells (positive control, lane 1), glomeruli from normal (lane 2), or PAN rats (lane 3), and differentiated mouse podocytes (lane 4) are immunoblotted for Akt1, Akt2, Akt3, and b-actin. (F) Akt2 is specifically activated in PAN. Akt2 is immunoprecipitated from glomerular lysate (1 mg) from normal or PAN rats using anti-Akt2 IgG followed by protein A magnetic beads. Bound proteins and lysates (100 mg) are immunoblotted for p-Akt (S473) and b-actin. Control IgG is incubated with a mixture of glomerular lysates from normal and PAN rats. (G) Phosphorylation of SGK1, a substrate of mTORC2 kinase, is enhanced (2.8-fold) in glomeruli from PAN rats. Equal aliquots (50 mg) of glomerular lysate from normal or PAN (7-day) rats are immunoblotted for p-SGK1(S422), t-SGK1, and b-actin. (H) Quantification of data in C (normalized to b-actin). Data are expressed as the fold change in PAN compared with normal controls (**P,0.001; mean6SD n=4). IB, immunoblot; IP, immunoprecipitate.

glomerular lysates with antibodies that specifically recognize pTyr1764 or pSer1416 of GIV. Phosphorylation of GIV at both of these sites was significantly increased in PAN glomeruli (Figure 3D), indicating that GIV is activated and that GIV-dependent signaling is specifically induced upon PAN injury. 4

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GIV Binding to Gai3 and Activation of Gai3 Are Increased in PAN

We established earlier that after growth factor stimulation of HeLa cells, GIV binds inactive Gai3 and serves as a GEF that activates Gai3, thereby releasing Gbg43 subunits that directly bind PI3K and activate PI3K/Akt signaling. 3 1 To J Am Soc Nephrol 26: ccc–ccc, 2014

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the amount of glomerular lysate so that the level of GIV was equal in both normal and PAN glomeruli, phosphorylation of GIV at S1689 was .2-fold higher in normal glomeruli (Figure 4, E and F). These results suggest that binding and activation of GIV by Gai3 is inhibited by phosphorylation at S1689 in normal glomeruli which prevents its interaction with Gai3,46 whereas phosphorylation of GIV at S1689 is reduced after PA injury which allows it to bind and activate Gai3. GIV Mediates Assembly of a VEGFR2/ GIV/Gai3 Molecular Complex

Our findings that VEGFR2 and Akt are strongly activated and that GIV binds Figure 3. Activated VEGFR2 interacts with GIV in PAN. (A) VEGF-A is increased and activated VEGFR2 as well as Gai3 in glophosphorylation of VEGFR2 (p-VEGFR2) is enhanced in glomeruli from PAN rats. Equal meruli from nephrotic rats suggest that aliquots (50 mg) of glomerular lysate from normal or PAN rats are immunoblotted for GIV provides an important link between p-VEGFR2 (Y996), t-VEGFR2, VEGF-A, and b-actin. (B) Activation of VEGFR2 is enhanced VEGF-A stimulation and Akt survival sigin podocytes after PA treatment. In vitro differentiated mouse podocytes are treated with naling in podocytes. Next we asked 30 mg/ml PA for the indicated times. Equal amounts of whole cell lysate are immuno- whether GIV enhances Akt signaling blotted for p-VEGFR2 (Y996), t-VEGFR2, and b-actin. (C) Coimmunoprecipitation of GIV through formation of a VEGFR2/GIV/ with VEGFR2 is greatly increased (3.53) in PAN glomeruli. For immunoprecipitation, Gai3 complex in podocytes in response to glomerular lysate (1 mg) from normal or PAN rats is incubated with anti-VEGFR2 IgG VEGF-A. To determine whether this is the followed by protein A magnetic beads. Bound proteins and lysates (100 mg) are imcase, cultured podocytes were treated with munoblotted for GIV, VEGFR2, and b-actin as described in the Concise Methods. Control IgG is incubated with a mixture of glomerular lysates from normal and PAN rats. (D) VEGF-A for 30 minutes, followed by immuPhosphorylation of GIV at Y1764 and S1416 is increased in glomeruli from PAN rats. Equal noprecipitation with anti-VEGFR2 IgG and aliquots (50 mg) of glomerular lysate from normal or PAN rats are immunoblotted for immunoblotting for Gai3, VEGFR2, and GIV. We found that little, if any, Gai3 coprep-GIV (Y1764), p-GIV (S1416), GIV, and b-actin. IB, immunoblot; IP, immunoprecipitate. cipitated with VEGFR2 from lysates of starved cells, but both GIV and Gai3 coprecipitated with VEGFR2 after VEGF stimulation (Figure 5A). investigate whether Gai3 and GIV interact in glomeruli, we Similar experiments on lysates from control versus PA-treated immunoprecipitated endogenous Gai3 and immunoblotted podocytes showed that the interaction of VEGFR2 with GIVand for GIV. The amount of GIV that coimmunoprecipitated with Gai3 is also greatly increased after PA treatment (Figure 5B). Gai3 was greatly increased (4.2-fold) in PAN glomeruli, inThus, both VEGF activation and PA treatment trigger the asdicating that interaction between Gai3 and GIV is enhanced (Figure 4A). To determine whether binding is state dependent, sembly of VEGFR2/GIV/Gai3 protein complexes in podocytes. we carried out in vitro binding assays with recombinant glutathione S-transferase (GST)-Gai3 in the presence of GDP GIV Is Required for Actin Remodeling, Cell Migration, alone (inactive state) or in the presence of GDP and AlF42 Akt2/mTOR activation, and Cell Survival in Cultured (active state).44 We found that GIV from PAN glomeruli Podocytes bound inactive but not active Gai3, whereas GIV from normal GIV has been shown to act upstream of Akt and to be essential for glomeruli did not bind either active or inactive Gai3 (Figure Akt activation, cell survival, actin remodeling, and cell migration 4B). Similarly, interaction between inactive GST-Gai3 and in several cell types (i.e., epithelial cells,29 macrophages,47 and GIV was increased in PA-treated podocytes (data not shown). endothelial cells42). Our results in PAN rats suggest that the same Next we checked whether PA injury leads to activation of Gai3 is true for podocytes. To directly test whether this is the case, we using an antibody that recognizes only active Gai (Gaidepleted GIV from differentiated cultured mouse podocytes by GTP)45 and found that the ratio of active/total Gai3 was inthe peptide transducing domain-double stranded RNA binding domain (PTD-DRBD) method,48 which is an effective way to creased (1.7-fold) in PAN glomeruli (Figure 4, C and D). We recently found that the ability of GIV to activate Gai3 is introduce small interfering RNAs (siRNAs) into these cells (Figregulated by phosphorylation at S1689, as GIV-pS1689 fails to ure 6A). In GIV-depleted podocytes, Akt phosphorylation was bind and activate Gai3.46 Because interaction between GIV and attenuated (Figure 6, A and B), the actin cytoskeleton reorganGai3 is increased in PAN, we reasoned that the level of phosized (Figure 6C), and cell migration was impaired (Figure 6, D phorylation of GIVat S1689 might be altered. When we adjusted and E). Moreover, GIV-depleted cells showed increased Bax J Am Soc Nephrol 26: ccc–ccc, 2014

GIV, VEGFR2, and Akt/mTOR survival signaling

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Figure 4. GIV binds and activates Gai3 upon PA injury. (A) The amount of GIV that coimmunoprecipitates with Gai3 is greatly increased in PAN rats. Immunoprecipitation is carried out on glomerular lysates with anti-Gai3 IgG, and bound proteins are immunoblotted for GIV, Gai3, and b-actin as in Figure 3B. (B) GIV in glomeruli form PAN rats binds inactive (2AlF42) but not active (+AlF42) Gai3, whereas GIV from normal glomeruli does not bind either one. Gb (positive control) binds inactive Gai3 from both normal and PAN glomeruli. The upper panel shows GST-Gai3 incubated with glomerular lysate (1 mg) from normal or PAN rats in the presence of GDP and AlF42 (to activate Gai3) or GDP alone followed by immunoblotting of bound proteins for GIV and Gb subunits. The lower panel shows Ponceau S staining. (C) Active Gai3 (Gai3-GTP) is increased 1.7-fold in glomeruli from PAN rats. Immunoprecipitation is carried out with an antibody that specifically recognizes only active Gai3-GTP, and bound proteins are immunoblotted for total Gai3 and b-actin. (D) Quantification of data in C. Data are expressed as the fold change in Gai3-GTP level in PAN glomeruli versus normal controls. (E) Phosphorylation of GIV at S1689 is reduced in glomeruli from normal rats. Because the expression of GIV is increased 4-fold in PAN compared with normal glomeruli (Figure 1, A and B), 70 mg of normal glomerular lysate and 20 mg of PAN lysate are loaded (to equalize the total GIV) and immunoblotted for GIV, p-GIV (S1689), and b-actin. (F) Quantification of data in E (normalized to b-actin). Data are expressed as the fold change in PAN compared with normal controls (**P,0.001; mean6SD n=4). IB, immunoblot; IP, immunoprecipitate.

(1.83), a proapoptotic marker, and decreased antiapoptotic markers Bcl-2 and Bcl-XL (75% and 54%, respectively) (Figure 6F). GIV depletion also abolished phosphorylation of Akt and SGK1 in response to VEGF-A stimulation (Figure 6, G and H). Thus, GIV plays a key role in enhancing prosurvival Akt signaling and actin remodeling after growth factor stimulation in cultured podocytes. The GEF Function of GIV Is Required for Podocyte Survival

Next we asked whether activation of Gai3 by GIV is required for podocyte survival. siRNA resistant GIV wild-type (GIVWT) or a specific mutant, GIV F1685A (GIV-FA), which fails to bind and activate Gai3, were expressed in podocytes using 6

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adenoviral vectors. In cells expressing GIV-WT, Akt phosphorylation (S473) in response to VEGF-A stimulation (Figure 7, A and B) and expression of antiapoptotic markers (Figure 7C) were higher than in those expressing GIV-FA. Notably, expression of Bcl-2 and Bcl-XL in cells expressing GIV-FA was approximately 30% of that in cells expressing GIV-WT, indicating that GIV-WT but not GIV-FA can maintain cell viability. To find out whether GIV affects cell survival after PA injury, we checked caspase 3 cleavage in GIV-depleted podocytes after PA treatment (36 hours) and found that caspase 3 cleavage was increased (1.7-fold) in PA-treated cells (Figure 7, D and E). In addition, expression of GIV-WT rescued cell viability in GIV-depleted cells as shown by decreased caspase 3 cleavage, whereas expression of GIV-FA did not because caspase cleavage J Am Soc Nephrol 26: ccc–ccc, 2014

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Figure 5. GIV binds VEGFR2 and mediates assembly of a VEGFR2/GIV/Gai3 molecular complex in both VEGF-treated and PA-treated podocytes. (A) GIV and Gai3 coimmunoprecipitate with VEGFR2 in VEGF-stimulated but not in serum-starved podocytes. Differentiated podocytes are serum starved or stimulated with VEGF (40 ng/ml) for 30 minutes, and cell lysates (500 mg) are incubated with anti-VEGFR2 IgG. Control IgG is incubated with a mixture of lysates from starved and VEGF-stimulated podocytes. Immunoprecipitates and cell lysates (50 mg) are immunoblotted for GIV, VEGFR2, p-Akt (S473), t-Akt, Gai3, and b-actin. (B) Coimmunoprecipitation of both Gai3 and GIV with VEGFR2 is greatly enhanced after PA treatment (24 hours) of differentiated podocytes, indicating that their interaction is greatly increased. Differentiated podocytes are incubated (24 hours) with or without PA (30 mg/ml), and cell lysates (500 mg) are incubated with anti-VEGFR2 or control IgG. Immunoprecipitates, and cell lysates (50 mg) are analyzed by immunoblotting with antibodies against GIV, VEGFR2, Gai3, and b-actin. Control IgG is incubated with a mixture of podocyte lysates from untreated and PA-treated (24-hour) podocytes. IB, immunoblot; IP, immunoprecipitate.

was increased 3-fold compared with GIV-WTrescued podocytes (Figure 7D). These results indicate that the GEF function of GIV, and by implication activation of Gai3, is required for maintaining cell survival and antiapoptotic signaling in podocytes. Taken together, our results support that at early stages of podocyte injury induced by PA treatment, GIV turns on Gai3 through its GEF function and provides a critical link between upstream VEGFR2 signaling and downstream Akt2/mTOR survival signaling (Figure 8).

DISCUSSION

It has recently become evident that both VEGF signaling21–24 and Akt activation36 function in maintaining cell viability after J Am Soc Nephrol 26: ccc–ccc, 2014

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podocyte injury. The molecular pathways that connect growth factor signaling and downstream Akt survival signaling after podocyte injury have remained unknown. Our data clearly point to GIV as the critical linker between upstream VEGFR and downstream PI3K/Akt survival signaling in PAN, a model of MCD. We found that during the early phases of PA injury, VEGFR2 is activated and GIV is upregulated. GIV assembles a VEGFR/GIV/Gai3 signaling complex that promotes podocyte survival through activation of Gai3 and enhancement of PI3K/Akt downstream signaling (see Figure 8B). In keeping with previous findings on EGFR,29 our results suggest that tyrosine phosphorylation of GIV by VEGFR2 is the trigger for assembly of the VEGFR2/GIV/Gai3 complex and subsequent activation of Gai3. The essential role of GIV in this scenario is illustrated by our findings that in the absence of GIV, Akt signaling is reduced and podocytes undergo apoptosis. The crucial role of GIV’s GEF function is illustrated by the fact that these effects can be reversed by introducing human GIV wild-type protein but not a GIV mutant (GIV-FA) that is incapable of binding and activating Gai3. Thus, after acute injury as nephrin levels decrease GIV takes over the task of enhancing Akt survival signaling in response to VEGF, and activation of Gai3 is required for this effect. We show here that Akt2 is the isoform that is highly expressed in rat glomeruli and is activated in PAN, and that GIV acts upstream of Akt2, mTORC1, and mTORC2. Both mTORC1 and mTORC2 are activated early after PAN injury as indicated by increased phosphorylation of their respective substrates, S6K and SGK1. These results are in keeping with previous studies on podocyte-specific, mTOR-deficient mice, which established that both mTORC1 and mTORC2 are essential for the integrity and proper functioning of the glomerular filtration barrier.41,49 GIV Coordinates Multiple Signaling Pathways

We show here that GIV coordinates growth factor, G protein, and PI3K/Akt/mTOR signaling to promote cell survival and prevent apoptosis in podocytes after PAN injury. GIV is uniquely organized to directly receive incoming receptor signals and to modulate them via G proteins and was previously shown to regulate such diverse cell processes as cell migration, 29,47 cancer metastasis,29 and autophagy.50 The C terminus serves as a common platform for binding RTKs, G proteins, and Akt. Interactions of GIV with its binding partners and resultant downstream signaling are controlled by specific phosphorylation events: Phosphorylation of GIV at Tyr1764 and Tyr179830 by RTKs regulates GIV’s ability to activate PI3Ks and activate Akt, and phosphorylation of GIV at S1689 prevents binding of GIV to Gai.46 We show here that in PAN rats in response to stress, activation of VEGFR2 is increased, phosphorylation of GIV at Tyr1764 is enhanced, and phosphorylation at S1689 is suppressed thus promoting assembly of VEGFR2/GIV/Gai complexes, facilitating activation of Gai3, and enhancing downstream PI3K/Akt/mTOR survival signaling.31 The PAN model we used is reversible; GIV, VEGFR2, and Akt/mTOR survival signaling

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Figure 6. GIV enhances Akt phosphorylation, actin remodeling, cell migration, and survival in podocytes. (A) p-Akt is decreased in GIVdepleted podocytes. Differentiated podocytes are transfected with control or GIV siRNA. Forty-eight hours later, cell lysates are immunoblotted for GIV, p-Akt (S473), t-Akt, and b-actin. (B) Quantification of data from 10 experiments expressed as the fold change in GIV siRNA versus Ctrl siRNA-treated podocytes (normalized to b-actin) (**P,0.001; mean6SD). (C) Podocytes treated with control siRNA show stress fibers (arrows), whereas GIV-depleted podocytes show prominent cortical actin (arrowheads). Control or GIV siRNAtreated podocytes are fixed and stained with Phalloidin Alexa Fluor 594 and DAPI. (D) Cell migration assay. Twenty-four hours after wounding, podocytes treated with control siRNA cover most of the wound area, whereas closure is impaired in GIV-depleted cells (GIV siRNA). Podocyte monolayers are scratch-wounded and examined by phase-contrast microscopy after 0 or 24 hours. (E) Quantification of data from eight experiments as in D (**P,0.001; mean6SEM). (F) After siRNA depletion of GIV (75%), proapoptotic Bax is increased (1.8-fold) and antiapoptotic Bcl-2 and Bcl-XL are decreased (to 25% and 46%, respectively) compared with controls (Ctrl siRNA). mRNA levels are determined by quantitative real-time PCR of total RNA (normalized to b-actin mRNA) (*P,0.05; **P,0.001; mean6SEM n=5). (G) VEGF-mediated phosphorylation of Akt and SGK1 is abolished in GIV-depleted podocytes. Podocytes are transfected with control or GIV siRNA by the PTD-DRBD method. Forty-eight hours after transfection, cells are serum starved or stimulated with VEGF (40 ng/ml) for 30 minutes, and cell lysates are immunoblotted for p-Akt (S473), p-SGK1 (S422), and b-actin. (H) Quantification of data from three representative experiments as in G expressed as the fold change in VEGF-mediated stimulation of p-Akt and p-SGK1 (normalized to b-actin) compared with starved controls (**P,0.001; mean6SD). DAPI, 4,6-diamidino-2-phenylindole; IB, immunoblot; Ctrl, control. Bar, 10 mm.

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Figure 7. The GEF function of GIV is required for podocyte survival. (A) VEGF-mediated prosurvival Akt signaling is enhanced in podocytes overexpressing GIV-WT (WT) and is inhibited in podocytes overexpressing GIV-FA (FA). Podocytes are transduced with AdGIV-WT (WT) or Ad-GIV-FA (FA), or control adenovirus (AdC). Forty-eight hours later, they are switched to 0.4% serum for 24 hours and then stimulated with VEGF (40 ng/ml) for 30 minutes. Equal amounts of cell lysate are immunoblotted for GIV, p-Akt (S473), and b-actin. (B) Quantification of data in A (normalized to b-actin). Data are expressed as the fold change in AdC–, Ad-GIV-WT–, or Ad-GIV-FA– treated podocytes. (C) Depletion of endogenous GIV in cells transduced with control virus (AdC) decreases expression of the antiapoptotic markers Bcl-2 (30%) and Bcl-XL (25%). Overexpression of GIV-WT prevents this reduction in expression of Bcl-2 and Bcl-XL, whereas overexpression of GIV-FA does not. Podocytes are transduced with control (AdC), Ad-GIV-WT, or Ad-GIV-FA, followed (24 hours later) by control or GIV siRNA. After 48 hours, equal amounts of cell lysates are immunoblotted for GIV or b-actin. RNA is isolated and relative mRNA levels of Bcl-2 and Bcl-XL are determined by quantitative real-time PCR. (D) Addition of PA (36 hours) to GIV siRNA-treated podocytes transduced with control virus (lane 6) leads to increased caspase 3 cleavage (1.7-fold) compared with control siRNA-treated cells (lane 5). Overexpression GIV-WT (lane 7) inhibits the PA-mediated increase in caspase 3 cleavage but overexpression of GIV-FA (lane 8) does not. No caspase cleavage is seen in untreated cells (lanes 1–4). Podocytes are transduced with control virus (AdC), Ad-GIV-WT, or Ad-GIV-FA, followed (24 hours later) by control or GIV siRNA. After 48 hours, they are treated with 30 mg/ml PA for 36 hours. Equal amounts of cell lysates are immunoblotted for GIV, caspase 3, and b-actin. (E) Quantification of data in D (normalized to b-actin). Data are expressed as the percentage of active caspase 3/total caspase 3 (procaspase 3+active caspase 3) (**P,0.001; mean6SD n=3). IB, immunoblotting.

thus, the enhanced VEGF stimulation, GIVactivation, and Akt signaling stimulated by PA treatment must eventually subside. Because GIV activation is controlled by tyrosine phosphorylation at two specific sites, we anticipate that the GIV/PI3K/ Akt signaling pathway might be terminated by specific phosphatases such as Src homology domain 2-containing proteintyrosine phosphatase-1, which binds and dephosphorylates GIV,51 and by phosphorylation of GIV at S1689 by PKCu, which inhibits Gai3-GIV coupling.46 GIV Mediates Actin Remodeling in Podocytes

The normal podocyte has an elaborate actin cytoskeleton with a prominent actin network in the cell body and foot processes J Am Soc Nephrol 26: ccc–ccc, 2014

that maintains the characteristic foot process and filtration slit organization.1,2,5 It is assumed that in the normal glomerulus, the nephrin/VEGFR2 signaling complex regulates the actin cytoskeleton and maintains foot process architecture.52 The actin network undergoes dramatic reorganization in diseases that are associated with foot process effacement and proteinuria (e.g., PAN).3–5,32,53 Previous work established that GIV binds Akt and actin and is phosphorylated at S1416 by Akt, which mediates actin remodeling during cell migration in other cell types.42 GIV has also been shown to be involved in VEGF-dependent actin reorganization and cell migration during VEGF-mediated angiogenesis in endothelial cells.54 Our finding that GIV is phosphorylated at S1416 by activated Akt GIV, VEGFR2, and Akt/mTOR survival signaling

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downstream of multiple growth factor receptors (EGFR, IGF1R, InsR) as well as some G protein–coupled receptors.28 On the basis of our findings and the properties of GIV, we predict that GIV might similarly act as a linker between other RTKs (e.g., insulinR60) and downstream Akt/mTOR signaling to promote podocyte survival early in the course of other podocytopathies.

CONCISE METHODS Reagents and Antibodies All reagents were of analytical grade and were obtained from Sigma-Aldrich or Fisher Biotech; cell culture media were purchased from InviFigure 8. Working model of GIV’s role in early podocyte injury in PAN nephrosis. (A) In trogen. PA, type I collagen, and isopropyl b-D-1normal podocytes, Akt survival signaling is mediated through the well defined thiogalactopyranoside were from Sigma-Aldrich, nephrin-dependent PI3K/Akt pathway. (B) At early time points (7 days) after PAN in- recombinant mouse VEGF was from R&D Sysjury, increased GIV expression coincides with decreased nephrin expression and tems, and mouse g-IFN was from BD Pharmingen. activation of VEGFR2 and Akt. GIV binds to activated VEGFR2 and is tyrosine phos- A rabbit polyclonal antibody (pAb), GIV phorylated by VEGFR2. Activated GIV binds and activates Gai3 (Gai3-GTP). A (CT3347), against the C terminus of human VEGFR2/GIV/Gai3 signaling complex is assembled and prolongs podocyte survival in GIV (amino acids 1574–1843) was raised and PAN via activation of PI3K, Akt, mTORC1, and mTORC2. Thus, after PA injury when affinity-purified purified as previously denephrin levels decrease, GIV takes over the task of enhancing Akt/mTOR survival scribed61 and used for staining full-length GIV signaling in response to VEGF. in kidney sections by immunofluorescence. Rabbit IgG against the extracellular domain of rat nephrin was raised and purified as previously described.62 A mouse mAb that recognizes the ectodomain of rat in PAN rats, which promotes its binding to and remodeling of actin in response to VEGF/VEGFR2 activation,42 suggests that podocalyxin (5A) was previously described.63 Rabbit pAbs for GIV/ Girdin (T-13), pan-Gb (M-14), Gai3 (C-10), phospho-VEGFR2/ GIV plays a role in enhancing actin remodeling in podocytes phospho-Flk-1(Y996), p-SGK1 (S422), a mouse mAb for VEGFR2/Flk-1 during foot process effacement in PAN. (A-3), control rabbit IgG, and control mouse IgG were purchased from Santa Cruz Biotechnology. Rabbit pAbs against phospho-Akt Relevance of GIV Findings in the PAN Rat Model to (S473), Akt1, Akt2, p-S6K (T389), p-S6RP (S235/236), and caspase Human Glomerular Diseases 3, and mouse mAbs against Akt3 and total Akt were purchased from Our results demonstrate that VEGF-A and VEGFR2 are upregulated and autophosphorylation of VEGFR2 is increased in Cell Signaling Technology. pAbs were also from Cell Signaling Technology. A mouse mAb for VEGF was from BD Pharmingen and those glomeruli from PAN rats. This is in keeping with previous studies against vimentin, SGK1, and b-actin were from Sigma-Aldrich. demonstrating that VEGF-VEGFR2 coupling is prominent in Affinity-purified rabbit pAbs for phospho-GIV (Y1764) and phosphopodocytes of biopsies from patients with MCD,55 crescentic neGIV (S1689) were from Roche and those for phospho-GIV (S1416) were phritis,23 lupus nephritis,23 IgA and membranous nephropathy,23 from Immuno-Biologic Laboratories. A mouse mAb specific for activated diabetic nephropathy,22 and HIV-associated nephropahy.56 Gai subunits was kindly provided by Dr. Graeme Milligan45; IRDye VEGF-A is abundantly expressed and secreted by podocytes 800CW goat anti-mouse IgG (H+L) and IRDye 680LT goat anti-rabbit and has been suggested to protect renal glomeruli from inIgG (H+L) used for immunoblotting were from Li-Cor Biosciences. For jury21,22 and to activate the PI3K/Akt survival pathway and proimmunofluorescence, 4,6-diamidino-2-phenylindole, Alexa Fluor 594 tect glomerular endothelial cells,57 and tubular epithelial cells58 as well as podocytes20 from apoptosis. It seems likely that all of these phalloidin, highly cross-adsorbed Alexa Fluor 594 goat anti-mouse IgG F(ab’)2, and Alexa Fluor 488 goat anti-rabbit IgG F(ab’)2 were events are mediated through GIV. Moreover, activation of Akt has purchased from Invitrogen. been shown to be essential for maintaining podocyte viability in

stress induced by nephron reduction36 and oxidized LDL-mediated injury.59 GIV’s ability to amplify Akt signaling is not restricted to a single receptor or class of receptor: It has been shown to serve as a common platform that coordinates signaling 10

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Induction of PAN Nephrosis Male rats (approximately 150 g; Charles River Laboratories) were injected once intraperitoneally with PA (15 mg/100 g body wt) as J Am Soc Nephrol 26: ccc–ccc, 2014

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previously described.34 Animals were euthanized on day 7 after injection. All animal experiments were done according to the National Institutes of Health (NIH) Guide for the Care and Use of Laboratory Animals, and the experimental protocol was approved by the Ethics Review Committee for Animal Experimentation of the University of California, San Diego.

Culture and Transfection of Mouse Podocytes Conditionally immortalized mouse podocytes (a gift from Dr. Peter Mundel)64 were cultured at 33°C in RPMI 1640 (Invitrogen) containing 10% FBS (Hyclone), 100 U/ml of penicillin–streptomycin, and 10 U/ml of mouse g-IFN. To induce differentiation, podocytes were replated and cultured at 37°C in plates coated with 10 mg/ml type I collagen in the absence of g-IFN. After 14-day differentiation, siRNA depletion was performed by using the PTD-DRBD mediated delivery method.48 PTD-DRBD was purified from Escherichia coli and mixed with siRNA. Silencer negative control siRNA was purchased from Ambion. siRNA for targeting mouse GIV (sense: 59-GCAACAAGCUUACCUCAAUTT-39 and anti-sense: 59-AUUGAGGUAAGCUUGUUGCTT-39) was designed and synthesized by Allele Biotechnology & Pharmaceuticals Inc. Cells were harvested 48 hours after transfection and used for immunoblotting, immunoprecipitation, or immunofluorescence.

Preparation of Lysates and Immunoblotting Rat glomeruli were isolated from kidney cortices of male SpragueDawley rats by graded sieving as previously described.63 Isolated glomeruli or cultured podocytes were lysed in RIPA buffer (100 mM sodium phosphate, 150 mM NaCl, 2 mM EDTA, 2 mM dithiothreitol [DTT], 1% NP-40, 1% sodium deoxycholate, 0.1% SDS, phosphatase inhibitor cocktail III [Sigma-Aldrich], and protease inhibitor cocktail [Roche Diagnostics], 0.5 mM sodium orthovanadate, 10 mM NaF, 10 mM sodium polyphosphate). The protein concentration of glomerular or podocyte lysates was measured with a BCA Protein Assay Kit (Pierce Biotechnology Inc.) according to the manufacturer’s instructions. Glomeruli or cultured podocyte lysates were mixed with an equal volume of 53 Laemmli SDS sample buffer and boiled for 10 minutes. Proteins were separated on 8% or 12% SDS-PAGE and transferred to polyvinylidene fluoride membranes (EMD Millipore) as described.34 Membranes were blocked in blocking buffer (5% BSA, 0.1% Tween-20 in PBS) and incubated with primary antibodies (4°C overnight) and then with secondary antibodies (1 hour at room temperature). Bands were scanned and quantified by two-color detection with the Odyssey Infrared Imaging system (Li-Cor Biosciences). Primary antibody dilutions were as follows: 1:500 for GIV, VEGFR2, p-VEGFR2 (Y996), nephrin, p-Akt (S473), p-SGK (S422), SGK, p-S6K (T389), p-S6RP (s235/236), Gai3, Gb, caspase 3, VEGF-A, and p-GIV (S1689); 1:250 for p-GIV (S1416) and p-GIV (Y1764); and 1:1000 for t-Akt and b-actin. Secondary antibody dilutions were 1:15,000 for IRDye 680 goat anti-rabbit and 1:15,000 for IRDye 800 goat antimouse IgG.

Immunofluorescence Microscopy For imaging of semithin sections of glomeruli, rat kidney samples were immersion fixed in 4% paraformaldehyde for 4 hours at 4°C, J Am Soc Nephrol 26: ccc–ccc, 2014

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cryoprotected, and frozen in liquid nitrogen.65 Semithin cryosections (0.5 mm) were cut with a Leica Ultracut UCT microtome equipped with an FCS cryoattachment at 2100°C. Sections were blocked for 1 hour in PBS containing 5% normal goat serum, 2% fish skin gelatin, and 0.1% acetylated BSA, incubated with primary antibodies 2 hours at room temperature (GIV-CT3347 pAb, 1:100; vimentin mAb, 1:1000; and podocalyxin mAb 5A, 1:1000),66 followed by detection with Alexa 594 goat anti-mouse and Alexa 488 goat anti-rabbit IgG in blocking buffer for 1 hour. Cultured mouse podocytes were fixed at room temperature with 3% paraformaldehyde for 30 minutes, permeabilized (0.1% Triton X-100) for 10 minutes, and incubated for 1 hour each with primary and secondary antibodies as previously described.29 Primary antibody dilutions were as follows: 1:10 for GIVCT antibody and 1:100 for Podocalyxin (5A). Secondary antibody dilutions were 1:1000 for Alexa 594 goat anti-mouse and Alexa 488 goat anti-rabbit IgG, 1:1000 for Alexa Fluor 594 phalloidin, and 1:3000 for 4,6-diamidino-2-phenylindole (Invitrogen). Samples were examined with a Zeiss Axiophot microscope (Carl Zeiss Inc., Thornwood, NY), and images were acquired using Volocity software (Improvision) and processed using ImageJ (NIH) and Photoshop software (Adobe Systems).

Protein Purification

GST or GST-Gai3 fusion constructs were expressed in E. coli strain BL21 (DE3) (Invitrogen) as previously described67 and induced overnight at 25°C with 1 mM isopropyl b-D-1-thiogalactopyranoside (Sigma-Aldrich). Pelleted bacteria from 1 liter of culture media were resuspended in 10 ml of GST lysis buffer (25 mM Tris-HCl, pH 7.5, 20 mM NaCl, 1 mM EDTA, 20% glycerol, 1% Triton X-100, 23 protease inhibitor cocktail [Roche Diagnostics]). After sonication, lysates were centrifuged at 4°C (12,0003g for 20 minutes). Solubilized proteins were affinity-purified on glutathione-Sepharose 4B beads (GE Healthcare). Proteins were eluted, dialyzed overnight against PBS, and stored at 280°C.

Immunoprecipitation and In Vitro Binding Assays

Lysates for immunoprecipitation or in vitro binding assays were prepared by resuspension of glomeruli or podocytes in Triton X-100 lysis buffer (25 mM HEPES, 125 mM K-acetate, 5 mM Mg-acetate, 0.4% Triton X-100, phosphatase inhibitor cocktail III [Sigma-Aldrich], and protease inhibitor cocktail [Roche Diagnostics], 400 mM Na orthovanadate, pH 7.2) and passed through a 28-gauge needle at 4°C and cleared (14,0003g for 10 minutes) before use in subsequent experiments. For immunoprecipitation, rat glomerular lysates (1 mg total protein) or mouse podocyte lysates (500 mg total protein) were incubated 3 hours or overnight at 4°C with 2 ml anti-VEGFR2 or antiGai3 or rabbit IgG (Santa Cruz Biotechnology) in Triton X-100 lysis buffer. Protein A magnetic beads (EMD Millipore) were added and incubated at 4°C for an additional 1 hour. Beads were washed (34) with 1 ml of PBS-T (4.3 mM Na2HPO4, 1.4 mM KH2PO4, pH 7.4, 137 mM NaCl, 2.7 mM KCl, 0.1% Tween 20, 10 mM MgCl2, 5 mM EDTA, and 2 mM DTT), and the bound immune complexes were eluted by boiling in 23 Laemmli SDS sample buffer. For in vitro protein binding assays, purified GST-Gai3 fusion proteins or GST alone (10 mg) were immobilized on glutathione-Sepharose beads and incubated in GIV, VEGFR2, and Akt/mTOR survival signaling

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binding buffer (50 mM Tris-HCl, pH 7.4, 100 mM NaCl, 0.4% NP40, 10 mM MgCl2, 5 mM EDTA, 2 mM DTT, protease inhibitor cocktail [Roche Diagnostics]) containing either 30 mM GDP or 30 mM GDP, 30 mM AlCl3, and 10 mM NaF for 90 minutes at room temperature. We added 500 mg of glomerular or mouse podocyte lysate in Triton X-100 lysis buffer to each tube and binding reactions were carried out overnight at 4°C with constant rotation. Beads were washed four times with 1 ml PBS-T wash buffer supplemented with GDP or GDP, AlCl3, and NaF, and boiled in 23 Laemmli SDS sample buffer.34

Cell Migration Assays Differentiated wild-type and GIV-depleted podocytes were plated on type I collagen–coated coverslips in six-well plates until 100% confluent. Each coverslip was then scratched with a sterile 200-ml pipette tip, washed with PBS, and placed into fresh medium. Images were captured by phase-contrast microscopy under a 310 objective at 0 and 24 hours after wounding and analyzed using ImageJ software to quantify cell migration (expressed as the percentage of wound area covered) as previously described.47,67

Semiquantitative RT-PCR Total RNA was extracted with the RNeasy Protect Mini Kit (Qiagen) from rat glomeruli according to the manufacturer’s instructions. cDNA was prepared using a SuperScript III RT kit (Invitrogen). The sequence-specific primers for GIV with a size of 204 bp were forward primer 59-TAT GCC ACT TTA CCT CGT GCA A-39 and reverse primer 59-CCT AGA CCT GCT TTT TGA ATT TCT-39. The sequence-specific primers for glyceraldehyde-3phosphate dehydrogenase with a size of 555 bp were forward primer 59-AAT GCA TCC TGC ACC ACC AAC TGC-39 and reverse primer 59-GGA GGC CAT GTA GGC CAT GAG GTC-39. The PCR conditions were as follows: 5 minutes at 94°C for the initial denaturation, followed by 1 minute at 94°C, 1 minute at 50°C, and 1 minute at 72°C for amplification, and a final extension at 72°C for 5 minutes. The PCR products were separated on a 1.5% agarose gel, and an image of the gel stained with ethidium bromide was captured using the Quantity One (Bio-Rad).

Adenoviral Vectors Hemagglutinin-tagged full-length human GIV (wild-type or F1685A) resistant to siRNA against murine GIV was cloned into pShuttlecytomegalovirus vector.68 The resultant plasmid was linearized with PacI restriction endonuclease and transformed into electrocompetent AdEasier E. coli (Agilent Technologies) using a Gene Pulser Electroporator (Bio-Rad). Correctly recombined clones were chosen based on sequencing and restriction endonuclease analyses, linearized with PacI and transfected into Cre8 cells (a derivative of HEK293T cells, a gift from Dr. Ora Weisz, University of Pittsburgh). Serial amplification of the adenovirus and subsequent purification of the adenoviral particles on cesium chloride gradients was carried out as previously described.68 Purified viral particles were dialyzed against PBS, aliquoted, and stored at 280°C. For expression of WT-GIV and GIV-F1685A, cultured cells were incubated with the respective viruses at 50 multiplicity of infection for 5 hours. The 12

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medium was replaced and cultures were maintained for an additional 3–5 days before being used for protein or functional assays.

Quantitative Real-Time PCR Quantitative real-time PCR was carried out on an ABI Prism 7300 Sequence Detection System (Applied Biosystems) using SYBR GreenER qPCR SuperMix for ABI PRISM (Invitrogen) according to the manufacturer’s instructions. The previously verified primers for mouse genes were as follows: Bcl-2 forward primer 59-AGGAGCAGGTGCCTACAAGA-39 and reverse primer 59-GCATTTTCCCACCACTGTCT39,69 Bcl-xL forward primer 59-GCTGGGACACTTTTGTGGAT-39 and reverse primer 59-TGTCTGGTCACTTCCGACTG-39,70 b-actin forward primer 59-AGATGTGGATCAGCAAGCAG-3970 and reverse primer 59-GCGCAAGTTAGGTTTTGTCA-39,70 and Bax forward primer 59-TGCAGAGGATGATTGCTGAC-39 and reverse primer 59GATCAGCTCGGGCACTTTAG-39.69 Specific primers for mouse GIV were designed by online software as follows: forward primer 59GTGATCTCTACTGCTGAAGG-39 and reverse primer 59TGTTGCTCCCTAGACCTGCT-39. PCR reactions were carried out at 94°C for 5 minutes, followed by 35 cycles of 94°C for 30 seconds, 60°C for 30 seconds, and 72°C for 30 seconds, with a final extension at 72°C for 5 minutes. All reactions were run in triplicate. After data collection, the relative mRNA expression level of a specific gene in the total RNA was calculated and normalized using mouse b-actin as an internal control.

Statistical Analyses Data were expressed as the mean6SD or mean6SEM. Statistical significance was evaluated using the t test. P,0.05 and P,0.001 were considered statistically significant.

ACKNOWLEDGMENTS The authors thank Dr. Mehul Shah for his valuable assistance with construction and purification of the adenoviruses. This research was supported by a postdoctoral fellowship from the American Heart Association (to H.W.) and a grant from the National Institute of Diabetes and Digestive and Kidney Diseases (R37DK17724 to M.G.F.). P.G. was supported by the Burroughs Wellcome Fund.

DISCLOSURES None.

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J Am Soc Nephrol 26: ccc–ccc, 2014