Evidence map›Paper›PMID 31171376›Full record

ArticleKidney international2019

Disruption of MAGI2-RapGEF2-Rap1 signaling contributes to podocyte dysfunction in congenital nephrotic syndrome caused by mutations in MAGI2.

Bingbing Zhu, Aili Cao, Jianhua Li, James Young, Jenny Wong, Shazia Ashraf, Agnieszka Bierzynska, Madhav C Menon, Steven Hou, Charles Sawyers and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Kidney international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.2field-weighted citation impact, top 23% of its field
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

18 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. HomozygousRenal failure · 2025
    Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Rap1 Activity Is Essential for Focal Adhesion and Slit Diaphragm Integrity.Frontiers in cell and developmental biology · 2022
    Article
  15. Article
  16. Review
  17. Article
  18. Review
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

17 authors at 9 institutions in 3 countries.

Bingbing ZhuDivision of Nephrology, Icahn School of Medicine at Mount Sinai, New York, New York, USA; Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Aili CaoDivision of Nephrology, Icahn School of Medicine at Mount Sinai, New York, New York, USA; Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Jianhua LiDivision of Nephrology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
James YoungDivision of Nephrology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Jenny WongDivision of Nephrology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Shazia AshrafDivision of Nephrology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Agnieszka BierzynskaUniversity of Bristol, Children's Renal Unit and Bristol Renal, Bristol, United Kingdom.
Madhav C MenonDivision of Nephrology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Steven HouNational Cancer Institute, Frederick National Laboratory for Cancer Research, Frederick, Maryland, USA.
Charles SawyersHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Kirk N CampbellDivision of Nephrology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Moin A SaleemUniversity of Bristol, Children's Renal Unit and Bristol Renal, Bristol, United Kingdom.
John C HeDivision of Nephrology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Friedhelm HildebrandtDivision of Nephrology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Vivette D D'AgatiRenal Pathology Laboratory, Columbia University Medical Center, New York, New York, USA.
Wen PengPutuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China. Electronic address: pengwen_01@vip.sina.com.
Lewis KaufmanDivision of Nephrology, Icahn School of Medicine at Mount Sinai, New York, New York, USA. Electronic address: lewis.kaufman@mssm.edu.
Icahn School of Medicine at Mount Sinai · USUniversity of Bristol · GBBoston Children's Hospital · USColumbia University Irving Medical Center · USFrederick National Laboratory for Cancer Research · USHarvard University · USMemorial Sloan Kettering Cancer Center · USMount Sinai Hospital · USShanghai Traditional Chinese Medicine Hospital · CN

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Molecular Genetic Study of Stem Cells, Cancer Stem Cells, and Stem Cell AgingZIABC010738 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI HOU, STEVEN · 2009 to 2020
$14.4M
Identification and function of new genes causing childhood nephrotic syndromeR01DK076683 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HILDEBRANDT, FRIEDHELM · 2007 to 2021
$5.3M
Podocyte to podocyte propagation of hypertrophic signalsR01DK104712 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KAUFMAN, LEWIS · 2016 to 2019
$1.5M
Medical Research Council G0800571Medical Research Council MR/R013942/1NCI NIH HHS P30 CA008748NIDDK NIH HHS R01 DK076683NIDDK NIH HHS R01 DK104712
6 · The paper itself

Abstract

The essential role of membrane associated guanylate kinase 2 (MAGI2) in podocytes is indicated by the phenotypes of severe glomerulosclerosis of both MAGI2 knockout mice and in patients with congenital nephrotic syndrome (CNS) caused by mutations in MAGI2. Here, we show that MAGI2 forms a complex with the Rap1 guanine nucleotide exchange factor, RapGEF2, and that this complex is lost when expressing MAGI2 CNS variants. Co-expression of RapGEF2 with wild-type MAGI2, but not MAGI2 CNS variants, enhanced activation of the small GTPase Rap1, a central signaling node in podocytes. In mice, podocyte-specific RapGEF2 deletion resulted in spontaneous glomerulosclerosis, with qualitative glomerular features comparable to MAGI2 knockout mice. Knockdown of RapGEF2 or MAGI2 in human podocytes caused similar reductions in levels of Rap1 activation and Rap1-mediated downstream signaling. Furthermore, human podocytes expressing MAGI2 CNS variants show severe abnormalities of cellular morphology and dramatic loss of actin cytoskeletal organization, features completely rescued by pharmacological activation of Rap1 via a non-MAGI2 dependent upstream pathway. Finally, immunostaining of kidney sections from patients with congenital nephrotic syndrome and MAGI2 mutations showed reduced podocyte Rap1-mediated signaling. Thus, MAGI2-RapGEF2-Rap1 signaling is essential for normal podocyte function. Hence, disruption of this pathway is an important cause of the renal phenotype induced by MAGI2 CNS mutations.

Indexed as

Adaptor Proteins, Signal TransducingAnimalsCell LineCyclic AMPGuanine Nucleotide Exchange FactorsGuanylate KinasesHumansMiceMice, KnockoutMutationNephrotic SyndromeNerve Tissue ProteinsPodocytesrap1 GTP-Binding ProteinsShelterin ComplexSignal Transduction8-(4-chloro-phenylthio)-2'-O-methyladenosine-3'-5'-cyclic monophosphateAdaptor Proteins, Signal TransducingCNrasGEF protein, mouseCyclic AMPGuanine Nucleotide Exchange FactorsGuanylate KinasesMAGI2 protein, humanMagi2 protein, mouseNerve Tissue Proteinsrap1 GTP-Binding ProteinsRap1 protein, mouseRAPGEF2 protein, humanShelterin ComplexTelomere-Binding ProteinsTERF2IP protein, humanfocal segmental glomerulosclerosisnephrotic syndromepodocyte

Identifiers

PMID31171376
PMCPMC7259463
OpenAlexW2934809449

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.