Acute and reversible modulation of kidney proximal tubule endocytic capacity by fluid shear stress

The proximal tubule (PT) of the kidney is comprised of cells that are uniquely specialized for efficient apical uptake of albumin and other proteins that escape the glomerular filtration barrier. These proteins bind to the multiligand receptors megalin and cubilin and are internalized via clathrin-dependent endocytosis into apical early endosomes that rapidly mature into larger apical vacuoles (AVs). Dissociated ligands are delivered from AVs to lysosomes for degradation, while receptors are collected into dense apical tubules for recycling to the cell surface. When cells are grown under continuous fluid shear stress (FSS), the endocytic uptake is approximately 9-fold greater than static cells. Additionally, cells cultured in this manner rapidly and reversibly adjust their endocytic capacity in response to changes in FSS. We hypothesize flow-dependent modulation of endocytic capacity enables PT cells in vivo to preserve uptake efficiency in response to changes in glomerular filtration. We are combining biochemical, imaging, and mathematical modeling approaches to determine the mechanism(s) by which cells chronically and acutely modulate endocytic uptake. Increased levels of megalin transcripts (~2x) and protein (~4x) is insufficient to account for the large increase in endocytic uptake observed in cells cultured under FSS vs static conditions. We used cell surface biotinylation experiments to compare the fraction of megalin at the surface, the fraction endocytosed, and the half-life of surface-tagged megalin under FSS and static conditions. These data were used to adapt a kinetic model that describes kinetics of megalin biosynthesis, trafficking, and degradation in cells. Overall, the cells grown under FSS have a greater endocytic rate and recycling rate compared with static grown cells. By contrast, megalin degradation is faster than recycling in static-grown cells. Colocalization of megalin with known markers of apical compartments will enable us to extend our model to determine whether changes in endosomal maturation rates contribute to these differences. Additionally, cells cultured under continuous FSS rapidly and reversibly adjust their endocytic capacity in response to changes in shear stress. We hypothesize flow-dependent modulation of endocytic capacity enables PT cells in vivo to preserve uptake efficiency in response to changes in glomerular filtration. We are currently adapting our model to determine how acute changes in shear stress trigger alterations in endocytic uptake. National Institute of Health: 5T32GM133353-03, R01 DK118726, R01 DK125049 This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.