The protein kinase C (PKC) superfamily comprises proteins that are activated in response to various pathogenic stimuli in
the diabetic state. Hyperglycaemia is the predominant stimulus that induces the activation of distinct PKC isoforms within
a cell, each mediating specific functions, probably through differential subcellular localisation. The contribution of individual
PKC isoforms can be directly addressed in vivo using innovative PKC-isoform-specific knockout (KO) mouse models, which are
providing key insights into the physiological function of PKC isoform diversity in the development of diabetic nephropathy.
Such studies can be a valuable complementary approach to more commonly used pharmacological analyses using agents such as
ruboxistaurin mesylate (Arxxant, LY333531), which is claimed to specifically inhibit the PKC-β-isoform. As expected given
the multiple and specific properties of the isoforms in vitro, deletion of different PKC isoform signalling pathways leads
to distinct phenotypes in mice. Notably, KOs of the individual PKCs assigned specific non-redundant biological functions to
each isoform, which were not compensated for by the others. Thus, PKC isoform specificity and cellular diversity seem to be
responsible for the divergent outcomes leading to albuminuria and/or renal fibrosis according to studies on the streptozotocin-induced
mouse model of diabetes. This review discusses the role of individual PKC isoforms in diabetic nephropathy and their potential
therapeutic implications. Defining and targeting mediators of increased intracellular activation in the diabetic microvasculature
will have important clinical and therapeutic benefits and help in the design of novel effective therapies in the near future.
Keywords Diabetic - Kidney - Mutant - Mice - Protein kinase C