Evidence map›Paper›PMID 39862971›Full record

ArticleKidney international2025

Melanocortin 5 receptor signaling protects against podocyte injury in proteinuric glomerulopathies.

Bohan Chen, Mengxuan Chen, Mingyang Chang, Yan Ge, William Gunning, Ragheb Assaly, Lance D Dworkin, Ying Jin Qiao, Rujun Gong

Abstract read
In one paragraph

Article in Kidney international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. The Synthetic Melanocortin Agonist NDP-MSH Ameliorates THSD7A-Associated Membranous Nephropathy in an Active Immunization Mouse Model.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  2. Review
  3. Review
  4. Intercepting the complement amplification loop through podocyte MC5R signaling ameliorates membranous nephropathy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  5. Melanocortins: A new paradigm in immunotherapy for membranous nephropathy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Bohan ChenDivision of Nephrology, Department of Medicine, University of Toledo College of Medicine, Toledo, Ohio, USA. Electronic address: Bohan-Chen@Outlook.com.
Mengxuan ChenDivision of Nephrology, Department of Medicine, University of Toledo College of Medicine, Toledo, Ohio, USA.
Mingyang ChangDivision of Nephrology, Department of Medicine, University of Toledo College of Medicine, Toledo, Ohio, USA.
Yan GeDivision of Nephrology, Department of Medicine, University of Toledo College of Medicine, Toledo, Ohio, USA.
William GunningDepartment of Pathology, University of Toledo Medical Center, Toledo, Ohio, USA.
Ragheb AssalyDepartment of Medicine, University of Toledo Medical Center, Toledo, Ohio, USA.
Lance D DworkinDivision of Nephrology, Department of Medicine, University of Toledo College of Medicine, Toledo, Ohio, USA; Division of Kidney Disease and Hypertension, Rhode Island Hospital, the Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Ying Jin QiaoDivision of Nephrology, Department of Medicine, University of Toledo College of Medicine, Toledo, Ohio, USA. Electronic address: Yingjin_Qiao@hotmail.com.
Rujun GongDivision of Nephrology, Department of Medicine, University of Toledo College of Medicine, Toledo, Ohio, USA; Division of Kidney Disease and Hypertension, Rhode Island Hospital, the Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA. Electronic address: Rujun.Gong@UToledo.edu.

Funding

Age remodels kidney-adrenal-heart interorgan communicationU01AG086161 · NIA · BROWN UNIVERSITY · PI Rujun Gong, MARC TATAR · 2024 to 2026
$1.9M
The Melanocortinergic pathway inglomerular diseaseR01DK114006 · NIDDK · UNIVERSITY OF TOLEDO HEALTH SCI CAMPUS · PI GONG, RUJUN · 2017 to 2021
$1.8M
Role of GSK3beta in diabetic kidney diseaseR01DK133203 · NIDDK · UNIVERSITY OF TOLEDO HEALTH SCI CAMPUS · PI Rujun Gong · 2022 to 2026
$1.7M
NIA NIH HHS U01 AG086161NIDDK NIH HHS R01 DK114006NIDDK NIH HHS R01 DK133203
6 · The paper itself

Abstract

Melanocortin therapeutics, exemplified by adrenocorticotropic hormone, have a proven steroidogenic-independent anti-proteinuric and glomerular protective effect. The biological functions of melanocortins are mediated by melanocortin receptors (MCR), including MC1R, which recent studies have shown to protect against glomerular disease. However, the role of other MCRs like MC5R is unknown. Here, Mc5r knockout exacerbated glomerulopathy in mice injured by adriamycin (ADR) or nephrotoxic serum (NTS), as demonstrated by increased albuminuria and podocyte injury. Conversely, selective MC5R agonism using a peptidomimetic agonist improved outcomes of glomerulopathies. Mechanistically, MC5R is expressed in glomerular podocytes. Reconstitution of MC5R in podocytes attenuated glomerular injury and proteinuria in Mc5r knockout mouse models of glomerulopathies, indicating a direct podocyte protective effect. In vitro, MC5R agonism in primary wild-type podocytes attenuated ADR-elicited cytoskeleton disruption, hypermotility and apoptosis, associated with restored inhibitory phosphorylation of glycogen synthases kinase 3β (GSK3β), a signaling transducer downstream of MC5R and at the nexus of multiple podocytopathic pathways. In parallel, ADR-induced phosphorylation and activation of GSK3β substrates, such as paxillin and NF-κB Rela/p65, were abrogated, leading to improved actin cytoskeleton integrity and diminished expression of mediators of podocyte injury, like MCP-1, B7-1 and Cathepsin L. This protective effect of MC5R agonism was blunted in wild-type podocytes expressing constitutively active GSK3β and was mimicked in Mc5r knockout podocytes by ectopic expression of dominant negative GSK3β. Consistently in ADR-injured Mc5r knockout mice, worsened podocytopathy was associated with enhanced GSK3β hyperactivity. These findings suggest that MC5R signaling protects against podocyte injury and may serve as a novel therapeutic target for glomerular diseases.

Indexed as

PodocytesProteinuriaSignal TransductionAlbuminuriaAnimalsApoptosisCells, CulturedChemokine CCL2CytoskeletonDisease Models, AnimalDoxorubicinGlycogen Synthase Kinase 3Glycogen Synthase Kinase 3 betaMaleMiceMice, Inbred C57BLCcl2 protein, mouseChemokine CCL2DoxorubicinGlycogen Synthase Kinase 3Glycogen Synthase Kinase 3 betaGsk3b protein, mouseRela protein, mouseTranscription Factor RelAcell signalingglomerular diseaseGSK3kidneymelanocortinpodocytopathy

Identifiers

PMID39862971
PMCPMC12888844

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.