Morphine induces albuminuria by compromising podocyte integrity.

Morphine has been reported to accelerate the progression of chronic kidney disease. However, whether morphine affects slit diaphragm (SD), the major constituent of glomerular filtration barrier, is still unclear. In the present study, we examined the effect of morphine on glomerular filtration barri...

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Main Authors: Xiqian Lan, Partab Rai, Nirupama Chandel, Kang Cheng, Rivka Lederman, Moin A Saleem, Peter W Mathieson, Mohammad Husain, John T Crosson, Kalpna Gupta, Ashwani Malhotra, Pravin C Singhal
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0055748&type=printable
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author Xiqian Lan
Partab Rai
Nirupama Chandel
Kang Cheng
Rivka Lederman
Moin A Saleem
Peter W Mathieson
Mohammad Husain
John T Crosson
Kalpna Gupta
Ashwani Malhotra
Pravin C Singhal
author_facet Xiqian Lan
Partab Rai
Nirupama Chandel
Kang Cheng
Rivka Lederman
Moin A Saleem
Peter W Mathieson
Mohammad Husain
John T Crosson
Kalpna Gupta
Ashwani Malhotra
Pravin C Singhal
author_sort Xiqian Lan
collection DOAJ
description Morphine has been reported to accelerate the progression of chronic kidney disease. However, whether morphine affects slit diaphragm (SD), the major constituent of glomerular filtration barrier, is still unclear. In the present study, we examined the effect of morphine on glomerular filtration barrier in general and podocyte integrity in particular. Mice were administered either normal saline or morphine for 72 h, then urine samples were collected and kidneys were subsequently isolated for immunohistochemical studies and Western blot. For in vitro studies, human podocytes were treated with morphine and then probed for the molecular markers of slit diaphragm. Morphine-receiving mice displayed a significant increase in albuminuria and showed effacement of podocyte foot processes. In both in vivo and in vitro studies, the expression of synaptopodin, a molecular marker for podocyte integrity, and the slit diaphragm constituting molecules (SDCM), such as nephrin, podocin, and CD2-associated protein (CD2AP), were decreased in morphine-treated podocytes. In vitro studies indicated that morphine modulated podocyte expression of SDCM through opiate mu (MOR) and kappa (KOR) receptors. Since morphine also enhanced podocyte oxidative stress, the latter seems to contribute to decreased SDCM expression. In addition, AKT, p38, and JNK pathways were involved in morphine-induced down regulation of SDCM in human podocytes. These findings demonstrate that morphine has the potential to alter the glomerular filtration barrier by compromising the integrity of podocytes.
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spelling doaj-art-58f10f5c3ef1429cb4a2635bcdbe0a2d2025-08-20T02:05:31ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0183e5574810.1371/journal.pone.0055748Morphine induces albuminuria by compromising podocyte integrity.Xiqian LanPartab RaiNirupama ChandelKang ChengRivka LedermanMoin A SaleemPeter W MathiesonMohammad HusainJohn T CrossonKalpna GuptaAshwani MalhotraPravin C SinghalMorphine has been reported to accelerate the progression of chronic kidney disease. However, whether morphine affects slit diaphragm (SD), the major constituent of glomerular filtration barrier, is still unclear. In the present study, we examined the effect of morphine on glomerular filtration barrier in general and podocyte integrity in particular. Mice were administered either normal saline or morphine for 72 h, then urine samples were collected and kidneys were subsequently isolated for immunohistochemical studies and Western blot. For in vitro studies, human podocytes were treated with morphine and then probed for the molecular markers of slit diaphragm. Morphine-receiving mice displayed a significant increase in albuminuria and showed effacement of podocyte foot processes. In both in vivo and in vitro studies, the expression of synaptopodin, a molecular marker for podocyte integrity, and the slit diaphragm constituting molecules (SDCM), such as nephrin, podocin, and CD2-associated protein (CD2AP), were decreased in morphine-treated podocytes. In vitro studies indicated that morphine modulated podocyte expression of SDCM through opiate mu (MOR) and kappa (KOR) receptors. Since morphine also enhanced podocyte oxidative stress, the latter seems to contribute to decreased SDCM expression. In addition, AKT, p38, and JNK pathways were involved in morphine-induced down regulation of SDCM in human podocytes. These findings demonstrate that morphine has the potential to alter the glomerular filtration barrier by compromising the integrity of podocytes.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0055748&type=printable
spellingShingle Xiqian Lan
Partab Rai
Nirupama Chandel
Kang Cheng
Rivka Lederman
Moin A Saleem
Peter W Mathieson
Mohammad Husain
John T Crosson
Kalpna Gupta
Ashwani Malhotra
Pravin C Singhal
Morphine induces albuminuria by compromising podocyte integrity.
PLoS ONE
title Morphine induces albuminuria by compromising podocyte integrity.
title_full Morphine induces albuminuria by compromising podocyte integrity.
title_fullStr Morphine induces albuminuria by compromising podocyte integrity.
title_full_unstemmed Morphine induces albuminuria by compromising podocyte integrity.
title_short Morphine induces albuminuria by compromising podocyte integrity.
title_sort morphine induces albuminuria by compromising podocyte integrity
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0055748&type=printable
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