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Table 2 Signalling pathways activated by MAC (adapted from Takano et al. (2013). Seminars in Nephrology. Reference [52]

From: New insights into the immune functions of podocytes: the role of complement

Pathway

Effects of terminal pathway activation

Intracellular calcium

Calcium influx through MAC and calcium release from intracellular storage sites

Protein kinases

Activation of protein kinase C (PKC), receptor tyrosine kinase (RTK), Ras-ERK, JNK, p38, and ASK1 (HN)

Phospholipases

Activation of phospholipase C (PLC)-γ1, cPLA2, and iPLA2-γ (phosphorylation), and AA release

Prostanoids

Upregulation of cyclooxygenase (COX)-2 (cultured podocytes and HN glomeruli) and COX-1 (HN glomeruli), production of prostanoids

ROS

Superoxide production via NADPH oxidase and lipid peroxidation (HN)

ROS production via xanthine oxidase pathway (HN)

Generation of hydrogen peroxide by cytochrome P450 family of hemeprotein monooxygenases (cultured podocytes)

Growth factors

Upregulation of platelet-derived growth factor B-chain, HB-EGF (HN), and Ret (HN and cultured mouse podocytes)

Increase of p21 and p27 CDK inhibitors and decrease of CDK2 activity

Decrease of p57 and increase of Cdc2, cyclins B1, B2, and D1 and phosphorylated histone-3

Transcription factors

DNA damage

Activation of NF-κB (cultured podocytes and in vivo)

Production of interleukin-8 and monocyte chemoattractant protein-1

Increase of p21, p53, GADD45, and checkpoint kinase-1 and kinase-2 (cultured podocytes and HN)

Endocytosis

Ectocytosis

Endocytosis (podocyte)

Ectocytosis in membrane vesicles (urinary space)

ER stress

Damage of ER membrane and unfolded protein response induction

Upregulation of ER chaperones, PERK stimulation, eukaryotic translation initiation factor-2α subunit phosphorylation, and reduction of protein synthesis

Ubiquitin–proteasome system

Polyubiquitination of glomerular proteins (HN)

Upregulation of ubiquitin proteasome system (cultured podocytes)

Podocyte cytoskeleton

Disassembly of F-actin filaments and focal adhesion complexes

Increase of RhoA and decrease of Rac1 and Cdc42 activities (cultured podocytes)

Foot process effacement by induction of active RhoA in podocytes (in mice)

TRPC6 upregulation (cultured podocytes)

Slit diaphragm

Decrease of nephrin mRNA and protein (HN)

Dissociation of nephrin from actin cytoskeleton and loss of slit diaphragm integrity

Alteration of podocin location and nephrin dissociation from podocin

Cell cycle

Increased DNA synthesis without cell proliferation (podocyte)

Anti-apoptosis

PI3K/Akt activation, Bad phosphorylation, and dissociation of the Bad/Bcl-XL complex

Upregulation of caspase-8 inhibitor and cFLIPL and downregulation of FasL

Pro-apoptosis

DNA damage via apoptosis regulating proteins (podocytes)

  1. Abbreviations: MAC membrane attack complex, PKC protein kinase C, RTK receptor tyrosine kinase, Ras-ERK Ras-extracellular signal regulated kinase, JNK c-Jun N-terminal kinase, ASK1 apoptosis signal-regulating kinase-1, HN Heymann nephritis, cPLA2 cytosolic phospholipase A2, iPLA2-γ independent PLA2-γ, AA arachidonic acid, NADPH nicotinamide-adenine dinucleotide phosphate, ROS reactive oxygen species, HB-EGF heparin-binding epidermal growth factor-like factor, Ret glial cell-derived neurotrophic factor receptor tyrosine kinase, CDK cyclin-dependent kinase, NF-κB nuclear factor-κB, GADD45 growth-arrest DNA damage-45, ER endoplasmic reticulum, PERK protein kinase R-like ER kinase, TRPC6 transient receptor potential channel 6, PI3K phosphatidylinositol 3-kinase, Akt protein kinase B, Bad BCL2-associated agonist of cell death, Bcl-XL B-cell lymphoma-extra large, cFLIPL cellular FLICE-inhibitory protein long form, FasL Fas ligand