Diabetic nephropathy (DN) is the most common cause of end-stage renal disease worldwide, and the therapy option is far from a solution. The earliest morphological change is glomerular basement membrane thickening, followed by mesangial expansion, predominantly because of an increase in mesangial matrix. The clinical manifestations of DN, such as microalbuminuria or proteinuria, are strongly related to these structural changes (1). However, the onset of albuminuria is also associated with podocytopathies in which several important podocyte slit diaphragm–associated proteins are involved (2). Podocyte slit diaphragm plays a pivotal role in maintaining the size-selective barrier demonstrated by the analysis of congenital nephrotic syndrome (3,4). Slit diaphragm–associated proteins, such as nephrin, CD2-associated protein (CD2AP), and podocin, have been investigated to clarify the phenotypical modification of podocytes in genetic disease (5). However, the complex regulation of dynamic functional interaction of these molecules, especially in DN, has been poorly understood. CIN85 was independently identified as a Cbl-interacting protein of 85 kDa (6), Ruk (regulator of ubiquitous kinase) (7), SETA (SH3 domain-containing gene expressed in tumorigenic astrocytes) (8), and SH3KBP1 (SH3 domain-containing kinase binding protein 1) (9). Since its identification as a Cbl-interacting protein, CIN85 has been found to interact with many molecular partners through its SH3 domains, a proline-rich region, and a coiled-coil domain (Fig. 1). The identification of the particular ‘‘PxxPR’’ proline motif recognized by CIN85’s SH3 domains has led to the discovery of numerous CIN85-interacting proteins, many of …
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