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TOXICOLOGY
Department of Physiology and Pathophysiology, Faculty of Medicine, University of Witten/Herdecke, Witten, Germany (N.A.W., M.A., F.T.); and Institut National de la Santé et de la Recherche Médicale U.538, Centre Hospitalo-Universitaire Saint Antoine, Paris, France (P.J.V.)
Chronic cadmium (Cd2+) exposure results in renal proximal tubular cell damage. Delivery of Cd2+ to the kidney occurs mainly as complexes with metallothionein-1 (molecular mass
7 kDa), freely filtered at the glomerulus. For Cd2+ to gain access to the proximal tubule cells, these complexes are thought to be internalized via receptors for small protein ligands, such as megalin and cubilin, followed by release of Cd2+ from metallothionein-1 in endosomal/lysosomal compartments. To investigate the role of megalin in renal cadmium-metallothionein-1 reabsorption, megalin expression and dependence of cadmium-metallothionein-1 internalization and cytotoxicity on megalin were studied in a renal proximal tubular cell model (WKPT-0293 Cl.2 cells). Expression of megalin was detected by reverse transcriptase-polymerase chain reaction and visualized by immunofluorescence both at the cell surface (live staining) and intracellularly (permeabilized cells). Internalization of Alexa Fluor 488-coupled metallothionein-1 was concentration-dependent, saturating at approximately 15 µM. At 14.3 µM, metallothionein-1 uptake could be significantly attenuated by 30.9 ± 6.6% (n = 4) by 1 µM of the receptor-associated protein (RAP) used as a competitive inhibitor of cadmium-metallothionein-1 binding to megalin and cubilin. Consistently, cytotoxicity of a 24-h treatment with 7.14 µM cadmium-metallothionein-1 was significantly reduced by 41.0 ± 7.6%, 61.6 ± 3.4%, and 26.2 ± 1.8% (n = 4-5 each) by the presence of 1 µM RAP, 400 µg/ml anti-megalin antibody, or 5 µM of the cubilin-specific ligand, apo-transferrin, respectively. Cubilin expression in proximal tubule cells was also confirmed at the mRNA and protein level. The data indicate that renal proximal tubular cadmium-metallothionein-1 uptake and cell death are mediated at least in part by megalin.
Address correspondence to: Dr. Frank Thévenod, Department of Physiology and Pathophysiology, University of Witten/Herdecke, Faculty of Medicine, Stockumer Strasse 12, D-58448 Witten, Germany. E-mail: frank.thevenod{at}uni-wh.de
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