The insulin/IGF axis is critically important for controlling gene transcription in the podocyte

  1. Jenny A Hurcombe
  2. Lusyan Dayalan
  3. Fern Barrington
  4. Frederic Burdet
  5. Lan Ni
  6. Joseph Talih Coward
  7. Mark Ibberson
  8. Paul T Brinkkoetter
  9. Martin Holzenberger
  10. Aaron R Jeffries
  11. Sebastian Oltean
  12. Gavin I Welsh
  13. Richard JM Coward  Is a corresponding author
  1. Bristol Renal, University of Bristol, United Kingdom
  2. Vital-IT Systems Biology Division, SIB Swiss Institute of Bioinformatics, Switzerland
  3. Cluster of Excellence on Cellular Stress Responses in Aging-associated Diseases (CECAD), University of Cologne, Germany
  4. Center of Excellence in Nephrology, University Hospitals Aachen, Cologne, Dusseldorf, University of Cologne, Germany
  5. Department II of Internal Medicine and Center for Molecular Medicine Cologne, Faculty of Medicine and University Hospital Cologne, University Hospital Cologne, Germany
  6. INEM, Paris Cité University, France
  7. Biosciences, Faculty of Health and Life Sciences, University of Exeter, United Kingdom
  8. Department of Clinical and Biomedical Sciences, Medical School, University of Exeter, United Kingdom
8 figures, 2 tables and 6 additional files

Figures

Figure 1 with 1 supplement
podDKD mice develop a renal phenotype by 24 weeks.

(A, B) Body weight (A) and blood glucose (B) are not significantly different in podDKD mice at 24 weeks compared with littermate controls (n=7–8 each group). (C) Urinary albumin-to-creatinine ratio (uACR) is significantly increased in podDKD mice at 24 weeks. Unpaired t-test, **p<0.01 (n=7–8 mice per group). (D) Images and quantification of periodic acid-Schiff (PAS) staining show tubular protein casts (indicated by arrows) and glomerulosclerosis in podDKD mice (lower two panels) compared to littermate controls (upper panels). Scale bar = 25 μm. Unpaired t-test *p<0.05. (E) Masson’s trichrome staining shows increased fibrosis (blue staining) in podDKD mice at 24 weeks. Scale bar = 25 μm. (F) Transmission electron microscopy (TEM) images of glomerular filtration barrier (GFB) (scale bar: left panels = 5 μm, right panels = 500 nm) show ultrastructural damage to the GFB in podDKD mice with significantly increased foot process width. Unpaired t-test **p<0.01. (G) Immunofluorescent staining and quantification of WT1 in podDKD and control mice at 24 weeks of age shows significant reduction in % podocytes per glomerulus in podDKD mice. Nuclei counterstained with DAPI. Scale bar = 100 μm. Unpaired t-test ****p<0.0001, ≥8 glomeruli analysed per mouse, 3 mice per group. Scale bar = 100 μm.

Figure 1—figure supplement 1
Generation of podDKO mice.

(A) Breeding scheme used to generate podDKD mice. (B) Progression of albuminuria in podDKD mice, showing that urinary albumin-to-creatinine ratio (uACR) becomes significantly increased by 24 weeks. Unpaired t-test, **p<0.005. (C) Western blot of primary podocytes derived from podDKD and Cre negative littermate control mice showing approximately 50% loss of both receptors. (D) Top panels – constitutive podocin Cre mouse (heterozygous) crossed with mTR/mGFP reporter. Cre expression causes green fluorescent protein (GFP) to be switched on (>80% excision). Bottom panels – inducible podocin RtTA-tet-o-Cre after 14 days doxycycline (approximately 50% excision). Scale bar either 250 µm (high magnification) or 50 µm (low magnification). (E) No difference in uACR between Cre negative podDKD littermate controls, Cre negative and pod2.Cre expressing mice at 6 months. uACR is significantly increased in podDKD mice. t-test, **p<0.01, n=5–8 mice per group. (F) Graph showing serum creatinine levels in subset of control and podDKD mice age (n=5 each group).

Figure 1—figure supplement 1—source data 1

Uncropped western blots for Figure 1—figure supplement 1C – ACTIN, insulin-like growth factor receptor 1 (IGF1R), and insulin receptor (IR).

https://cdn.elifesciences.org/articles/107791/elife-107791-fig1-figsupp1-data1-v1.zip
Figure 1—figure supplement 1—source data 2

Uncropped western blots for Figure 1—figure supplement 1C – ACTIN, insulin-like growth factor receptor 1 (IGF1R), and insulin receptor (IR), showing relevant bands.

https://cdn.elifesciences.org/articles/107791/elife-107791-fig1-figsupp1-data2-v1.zip
Figure 2 with 1 supplement
Simultaneous knockout of podocyte insulin receptor (IR) and insulin-like growth factor receptor 1 (IGF1R) in vitro is highly detrimental.

(A) Western blot shows >80% reduction of IR and IGF1R protein in ciDKD cells. t-test, ****p<0.00001, n=18. (B) Phosphorylation of AKT and p44/42MAPK in response to acute insulin stimulation at 10 nM and 100 nM for 10 min was significantly reduced in ciDKD podocytes. One-way ANOVA, **p<0.01, *p<0.05, n=3. (C) Phosphorylation of AKT and p44/42MAPK in response to acute IGF1 stimulation at 10 and 100 ng/ml for 10 min was reduced in ciDKD podocytes. One-way ANOVA, *p<0.05, n=3. (D) Fewer than 50% of ciDKD cells survive 7 days after gene excision. t-test, ****p<0.0001, n=3–4 independent experiments.

Figure 2—figure supplement 1
Generation of receptor knockout conditionally immortalised podocytes and survival analysis of DKO cells.

(A) Development of ciDKD, ciIRKD, and ciIGF1RKD podocytes. Primary culture podocytes (homozygous floxed) isolated from transgenic mouse. Conditional immortalisation with temperature-sensitive SV40 construct and then excision of insulin receptor (IR) and/or insulin-like growth factor receptor 1 (IGF1R) using lentiviral delivered Cre recombinase. (B) Survival rate of wild-type and IR/IGF1R floxed podocytes 3 days and 7 days after lentiviral Cre recombinase-induced gene knockdown. t-test, ***p<0.001, ****p<0.0001 (n=3 each group).

Figure 3 with 1 supplement
Proteomic analysis of ciDKD podocytes reveals downregulation of spliceosomal proteins.

(A) Schematic outlining workflow for proteomic analysis. (B) Heat map showing hierarchical clustering of ciDKD vs wild-type podocyte proteomes (decreased protein expression in green, increased expression in red) and the Gene Ontology (GO) and Kyoto Encyclopaedia of Genes and Genomes (KEGG) terms enriched in four major clusters. (C, D) KEGG enriched terms in Search Tool for the Retrieval of Interacting Genes/Proteins (STRING). Downregulated pathways (green) are associated with higher enrichment scores in comparison to upregulated pathways (red). Enrichment scores are computed by STRING using the Kolmogorov-Smirnoff test. KEGG term ‘Spliceosome’ (in black) is associated with a high enrichment score and the highest false discovery rate across all terms. (E) Western blots show significantly reduced levels of EIF4A, SF3B4, and PTBP2 in ciDKD podocytes compared with wild-type cells. Unpaired t-test, ***p<0.001, **p<0.01, *p<0.05, n=3 independent experiments. (F) Representative immunohistochemistry and quantification using an antibody to SF3B4 shows reduced expression in the glomeruli of podDKD mice compared to littermate controls. t-test ****p<0.0001. Scale bar = 25 µm.

Figure 3—source data 1

Uncropped western blots for Figure 3E – ACTIN, EI4A3, PTBP2, SF3B4.

https://cdn.elifesciences.org/articles/107791/elife-107791-fig3-data1-v1.zip
Figure 3—source data 2

Uncropped western blots for Figure 3E – ACTIN, EI4A3, PTBP2, SF3B4, showing relevant bands.

https://cdn.elifesciences.org/articles/107791/elife-107791-fig3-data2-v1.zip
Figure 3—figure supplement 1
Proteomic analysis of ciDKD podocytes.

(A) Heat map of sample clustering. (B) Plot of principal component analysis. (C) Volcano plot showing changes in the proteome of ciDKD podocytes relative to wild-type control cells; log2 fold change (FC) vs –log10 p-value of the scaled abundances. Shaded areas indicate proteins with FC < and > 2.

Exposure of cultured podocytes, but not glomerular endothelial cells, to the spliceosome inhibitor pladienolide B results in dose-dependent cell death.

(A) Schematic overview of the spliceosome pathway showing multiple spliceosome proteins are significantly downregulated (green) in ciDKD podocytes. (B–D) Pladienolide B exposure for 48 hr in HeLa cells (B), glomerular endothelial cells (GenC) (C), and podocytes (D). One-way ANOVA, ****p<0.0001, **p<0.01, *p<0.05, n=3 independent experiments. (E) Bright-field images of wild-type podocytes exposed to the indicated concentrations of pladienolide B. Scale bar = 100 μm.

Figure 5 with 1 supplement
Loss of podocyte insulin receptor (IR) and insulin-like growth factor receptor 1 (IGF1R) is associated with increases in intron retention and unproductive transcript expression.

(A) Schematic outlining long-read RNA sequencing workflow. (B) An overview of the alternative splicing events quantified by full-length alternative isoform analysis of RNA (FLAIR). Boxes represent exons (blue = constitutive exons; yellow = alternative exons), lines represent introns. (C) Boxplot showing the fraction of transcripts with intron retention events in ciDKD and wild-type podocytes. t-test, **p<0.01, n=4 for each experimental condition. (D) Box plot of the fraction of productivity events in the ciDKD and wild-type transcriptomes shows a higher proportion of unproductive transcripts in ciDKD podocytes. Includes no start codon; start codon but no stop codon; productive transcripts; premature termination codon, i.e., unproductive transcript. t-test, ***p<0.001, **p<0.01, *p<0.05, n=4 for each experimental condition. (E) Proportional stacked bar graph of productivity events in the ciDKD and wild-type transcriptomes.

Figure 5—figure supplement 1
Long-read RNA sequencing analysis of ciDKD podocytes.

(A) Plot indicating the number of reads sequenced. (B) Plot of variance transformed data to normalise for library size. (C) Plot of principal component analysis shows clustering of experimental groups. (D–F) Kyoto Encyclopaedia of Genes and Genomes (KEGG) enriched terms in ciDKD podocytes genes with intron retention (D), cassette exon splicing (E), and alternative 5’ splicing (F).

Compound knockdown of the insulin receptor (IR) and insulin-like growth factor receptor 1 (IGF1R) alters the podocyte transcriptome.

(A) UCSC genome browser tracks of transcripts annotated to Fn1. Red lines indicate the number of reads in each sample containing the EDA and EDB exons (n=4 each group). (B) Boxplot showing differential expression of an Fn1 transcript containing EDA/EDB exons in ciDKD podocytes. (C) Exon/intron structure of Fn1 transcript differentially expressed in ciDKD vs wild-type podocytes. Expression of an EDA and EDB exon-containing transcript (not normally expressed in mature podocytes and associated with fibrosis) is increased in ciDKD podocytes. (D) Quantitative PCR (qPCR) shows decreased expression of Hcfc1r1 mRNA in ciDKD podocytes. t-test, ****p<0.00001, n=4 independent experiments. (E) qPCR using primers specific to the Fn1 EDB exon shows an increase in the expression of fibrosis-associated EDB exon-containing transcripts in ciDKD podocytes. t-test, **p<0.001, n=4 independent experiments.

Figure 7 with 1 supplement
Multiple spliceosomal protein post-translational modifications (PTMs) occur in response to insulin and IGF1 stimulation.

(A) Heat map showing differential phosphorylation at the indicated phosphosites of spliceosome-related proteins in ciDKD podocytes and control cells stimulated with 10 nM insulin or 10 ng/ml IGF1 for 10 min (decreased phosphorylation in green, increased phosphorylation in red). Those phosphorylation events that also occurred in Turewicz et al., 2025, study highlighted in yellow boxes. (B) Differentially phosphorylated proteins identified in (A) occur throughout the spliceosome cycle (red boxes). (C) Heat map showing differential phosphorylation at the indicated phosphosites of serine/arginine repetitive matrix 2 (SRRM2) in ciDKD podocytes and control cells stimulated with 10 nM insulin or 10 ng/ml IGF1 for 10 min (decreased phosphorylation in green, increased phosphorylation in red).

Figure 7—figure supplement 1
Spliceosomal protein-related kinase post-translational modifications (PTMs) occurring in response to insulin and IGF1 stimulation.

Graphs showing the relative expression of CDK11B s578 (A), SRPK1 s311 (B), and PACSIN3 s383 (C) in wild-type and ciDKD podocytes stimulated with 10 nM insulin or 10 ng/ml IGF1. Unpaired t-test *p<0.05. **p<0.005, n=3.

Figure 8 with 1 supplement
Relative contributions of the insulin receptor (IR) and insulin-like growth factor receptor 1 (IGF1R) to spliceosomal modulation.

(A) Heat map of hierarchical clustering of ciDKD vs ciIGF1RKD vs ciIRKD vs wild-type podocytes (n=9) proteomes (high relative expression in red, low relative expression in green, equal expression in black). Top of the heat map contains most significantly enriched groups, with enrichment intensity decreasing further down. The spliceosomal targets SF3B4, EIF4A3, and PTBP2 were mapped onto the proteomic heat map comparing wild-type podocytes to cells with knockdown of the IR and/or the IGF1R. SF3B4 expression is reduced in all three knockdown cell lines. (B) Schematic showing signalling pathways uniquely enriched in ciDKD podocytes, including the downregulation of spliceosomal tri-snRNP complex assembly. (C) Heat map showing differential phosphorylation events in ciIGF1RKD, ciDKD, ciIRKD, and wild-type podocytes (decreased phosphorylation in green, increased phosphorylation in red).

Figure 8—figure supplement 1
Proteomic analysis of ciIRKD, ciIGF1RKD, and ciDKD podocytes.

(A) Western blot shows >95% reduction of insulin receptor (IR) expression in ciIRKO podocytes, t-test. ****p<0.0001. (B) Western blot shows >95% reduction of insulin-like growth factor receptor 1 (IGF1R) expression in ciIGF1RKD podocytes, t-test. ****p<0.0001. (C–E) Principal component analysis (PCA). ciDKD and ciIGF1RKD groups are significantly different to each other and the ciIRKD and wild-type (WT) groups (C). IRKD and WT groups show a moderate degree of overlap but do have a clear degree of difference. (D). 2D PCA using third most significant component (Component 3), which demonstrates that along Components 2 and 3, all four groups distinctly cluster separate to one another (E).

Tables

Table 1
Top 10 most significantly expressed genes detected by transcript in ciDKD v WT podocytes.
Gene nameTranscript IDLog FCValueadj.P.Va1Transcript type
D130062J10RikENSMUST00000223763.2–3.81963610.00000000.0000085IncRNA
Fn1ENSMUST00000186879.2–6.96257490.00000000.0000010Retained intron
Fn1ENSMUST00000055226.131.10977110.00603830.0509845Protein coding
Fn1ENSMUST00000189821.7–0.87373980.03599240.1538286Protein coding
Fn1ENSMUST00000185408.72.62149480.16209500.3828405Retained intron
Fn1ENSMUST00000190780.7–0.47417400.20932010.4430398Protein coding
Fn1ENSMUST00000187938.70.36811710.36337590.6025781Protein coding
Fn1ENSMUST00000186129.7–0.15912730.52480950.7369268Protein coding
Fn1ENSMUST00000189160.20.11490730.75234220.8668309Retained intron
Fn1ENSMUST00000188894.70.05456390.86974790.9320835Protein coding
Gm13196ENSMUST00000118297.27.06826610.00000000.0000043Processed pseudogene
Gm43461ENSMUST00000202351.2–2.55329910.00000000.0000127TEC
Gsta4ENSMUST00000034903.72.84740400.00000000.0000079Protein coding
Gsta4ENSMUST00000213215.20.28102440.62157510.7841542Protein coding
Hcfc1r1ENSMUST00000179928.2–7.53177030.00000000.0000079Protein coding
Hcfc1r1ENSMUST00000180140.81.77278650.00984950.0692495Protein coding
Hcfc1r1ENSMUST00000024697.50.41340730.01718690.0973040Protein coding
Id3ENSMUST00000008016.32.68388640.00000000.0000079Protein coding
Lamtor3-psENSMUST00000164408.86.70703880.00000000.0000098Protein coding
MarcksENSMUST000000092584.65.87638650.00000000.0000001Protein coding
Rpl15-ps2ENSMUST000000184247.213.81358210.00000000.0000001Processed pseudogene
Appendix 1—key resources table
Reagent type (species) or resourceDesignationSource or referenceIdentifiersAdditional information
Gene (Mus musculus)InsrGenBankID: 16337
Gene (M. musculus)Igf1rGenBankID: 16001
Cell line (M. musculus)Wild-type podocyteKeir et al., 2015
Cell line (M. musculus)Insrfl/fl/Igf1rfl/flThis paperGeneration of this cell line is described in the Methods section of this paper.
Cell line (M. musculus)Insrfl/flThis paperGeneration of this cell line is described in the Methods section of this paper.
Cell line (M. musculus)Igf1rfl/flThis paperGeneration of this cell line is described in the Methods section of this paper.
AntibodyAnti WT1 (rabbit monoclonal)AbcamCat# ab89901;
RRID:AB_2043201
IF(1:100)
AntibodyAnti SF3B4 (mouse monoclonal)Novus BiologicalsCat# NBP-9269255WB (1:1000)
IHC (1:100)
AntibodyAnti IR β (rabbit monoclonal)Cell SignalingCat# 3025;
RRID:AB_2280448
WB (1:1000)
AntibodyAnti IGF1R β (rabbit monoclonal)Cell SignallingCat# 9750;
RRID:AB_10950969
WB (1:1000)
AntibodyAnti phospho AKT (Ser 473) (rabbit monoclonal)Cell SignalingCat# 4060;
RRID:AB_2315049
WB (1:1000)
AntibodyAnti AKT (rabbit monoclonal)Cell SignalingCat# 2920;
RRID:AB_1147620
WB (1:1000)
AntibodyAnti phospho P44/42 MAPK (rabbit monoclonal)Cell SignalingCat# 4370;
RRID:AB_2315112
WB (1:1000)
AntibodyAnti P44/42 MAPK (rabbit monoclonal)Cell SignalingCat# 9102;
RRID:AB_330744
WB (1:1000)
AntibodyAnti PTBP2 (rabbit polyclonal)ProteintechCat# 55186-1-AP;
RRID:AB_10837230
WB (1:1000)
AntibodyAnti beta actin (mouse monoclonal)Sigma-AldrichClone AC-74
Cat# A5316;
RRID:AB_476743
WB (1:10,000)
AntibodyAnti GAPDH (mouse monoclonal)Sigma-AldrichCat# G8795;
RRID:AB_1078991
WB (1:10,000)
AntibodyGoat anti-Rabbit IgG (H+L)
Cross-Adsorbed Secondary
Antibody Alexa Fluor 488
Thermo Fisher ScientificCat# A11008;
RRID:AB_143165
IF (1:200)
AntibodyGoat anti-Guinea-pig IgG (H+L)
Cross-Adsorbed Secondary
Antibody Alexa Fluor 568
Thermo Fisher ScientificCat# A11075;
RRID:AB_2534119
IF (1:200)
AntibodyAnti-rabbit IgG peroxidase
secondary antibody
Sigma-AldrichCat# A6667;
RRID:AB_258307
WB (1:10,000)
AntibodyAnti-mouse IgG peroxidase
secondary antibody
Sigma-AldrichCat# A9044;
RRID:AB_258431
WB (1:10,000)
Sequence-based reagentFibronectin forward primerThermo Fisher ScientificPCR primersCCCAGCTCACTGACCTAAGC
Sequence-based reagentFibronectin reverse primerThermo Fisher ScientificPCR primersGGAAGAGTTTAGCGGGGTCC
Sequence-based reagentHcfc1r1 forward primerThermo Fisher ScientificPCR primersGCCACCACTGGGGT
AACTC
Sequence-based reagentHcfc1r1 reverse primerThermo Fisher ScientificPCR primersCTTCGGGAAAAGTCACAGGG
Sequence-based reagentBeta actin forward primerThermo Fisher ScientificPCR primersGACAGGATGCAGAAGGAGATTACT
Sequence-based reagentBeta actin reverse primerThermo Fisher ScientificPCR primersTGATCCACATCTGCTGGAAGGT
Peptide, recombinant proteinInsulinBiotechneCat# 3435
Peptide, recombinant proteinRecombinant mouse IGF1NovusCat# NBP2-35081
Commercial assay or kitBethyl mouse albumin ELISA quantitationUniversal BiologicalsCat# E90-134
Commercial assay or kitThe Creatinine CompanionExocellCat# 1012
Commercial assay or kitPeriodic Acid Schiff staining kitSigmaCat# 395B
Commercial assay or kitTrichrome Staining KitSigmaCat# HT15
Chemical compound, drugHexadimethrine bromide
MerckCat# H9268
Software, algorithmImageJNIHRRID:SCR_003070
Software, algorithmLeica Application Suite X softwareLeica MicrosystemsRRID:SCR_013673
Software, algorithmGraphPad PrismGraphPad Software, San Diego, CA, USAVersion 9.4.0
RRID:SCR_002798
Software, algorithmIN Cell InvestigatorGE Healthcare
Software, algorithmProteome Discoverer 2.1Thermo Fisher ScientificRRID:SCR_014477
Software, algorithmMicrosoft Office ExcelRRID:SCR_016137
Software, algorithmPerseus softwareMaxQuantRRID:SCR_015753
Software, algorithmSTRINGhttp://string.embl.de/RRID:SCR_005223
Software, algorithmKEGGhttp://www.kegg.jp/RRID:SCR_012773
Software, algorithmUniProthttp://www.uniprot.org/RRID:SCR_002380
Software, algorithmedgeRhttp://bioconductor.org/packages/edgeR/RRID:SCR_012802
Software, algorithmdiffSplicehttp://www.netlab.uky.edu/p/bioinfo/DiffSpliceRRID:SCR_013215
Software, algorithmProteomeXchangehttp://www.proteomexchange.orgRRID:SCR_004055
OtherHoechst 33342Thermo Fisher
Scientific
Cat# H3570Fluorescent DNA dye.
OtherProtease inhibitor cocktailMerckCat# P8340Supplement for cell lysis buffer.
OtherPhosphatase inhibitor cocktail 2MerckCat# P5726Supplement for cell lysis buffer.
OtherPhosphatase inhibitor cocktail 3MerckCat# P0044Supplement for cell lysis buffer.
OtherHematoxylin Solution, Gill No. 1SigmaCat# GHS132Histological stain.
OtherRIPA bufferFisherCat# 10017003Cell lysis buffer, described in the Methods section.
OtherClarity Western ECL substrateBio-RadCat# 1705061Reagent for visualisation of western blot bands.
OtherSignalStain Boost IHC detection reagent (HRP rabbit)Cell SignalingCat# 8114Secondary antibody used for IHC.
OtherSignalStain DAB substrate kitCell SignalingCat# 8059Reagent for visualisation of IHC staining.
OtherVectaMountVector LaboratoriesCat# H-5000Histological mounting medium.
OtherDPX mount for histologySigmaCat# 06522Histological mounting medium.

Additional files

Supplementary file 1

List of genes with significantly increased intron retention splicing in ciDKD podocytes.

https://cdn.elifesciences.org/articles/107791/elife-107791-supp1-v1.xlsx
Supplementary file 2

List of genes with significantly increased alternative 5’ splicing in ciDKD podocytes.

https://cdn.elifesciences.org/articles/107791/elife-107791-supp2-v1.xlsx
Supplementary file 3

List of genes with significantly increased alternative 3’ splicing in ciDKD podocytes.

https://cdn.elifesciences.org/articles/107791/elife-107791-supp3-v1.xlsx
Supplementary file 4

List of genes with significantly increased cassette exon splicing in ciDKD podocytes.

https://cdn.elifesciences.org/articles/107791/elife-107791-supp4-v1.xlsx
Supplementary file 5

List of mouse splicing proteins identified from R-MMU-72203 reactome pathway database (mouse processing of capped intron-containing pre-mRNA).

https://cdn.elifesciences.org/articles/107791/elife-107791-supp5-v1.xlsx
MDAR checklist
https://cdn.elifesciences.org/articles/107791/elife-107791-mdarchecklist1-v1.pdf

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  1. Jenny A Hurcombe
  2. Lusyan Dayalan
  3. Fern Barrington
  4. Frederic Burdet
  5. Lan Ni
  6. Joseph Talih Coward
  7. Mark Ibberson
  8. Paul T Brinkkoetter
  9. Martin Holzenberger
  10. Aaron R Jeffries
  11. Sebastian Oltean
  12. Gavin I Welsh
  13. Richard JM Coward
(2026)
The insulin/IGF axis is critically important for controlling gene transcription in the podocyte
eLife 14:RP107791.
https://doi.org/10.7554/eLife.107791.5