In vivo, glomerular visceral epithelial cells (GVEC), or podocytes, ar
e morphologically highly differentiated cells which are in close conta
ct with adjacent cells by complex interdigitating foot processes. In v
itro, the dedifferentiated appearance of podocytes hampers investigati
ons on podocyte structure and function. Cultured podocytes resemble si
mple epithelium in several ways with apical tight junctions and absenc
e of foot processes. The morphological resemblances between GVEC early
in embryonic development, in proteinuric diseases and in cultured cel
ls are striking, but the mechanisms involved in these (de)differentiat
ion processes are poorly understood. A common feature of GVEC in these
various states of dedifferentiation is their altered exposure to or e
ven total lack of hydrostatic pressure, suggesting that this may be on
e of the parameters involved in GVEC differentiation. In this study we
investigated whether basolateral hydrostatic pressure could affect GV
EC biology in vitro. We therefore exposed cultured GVEC grown on porou
s supports to basolateral hydrostatic pressure and investigated morpho
logy with scanning and transmission electron microscopy, expression of
specific podocyte markers and their biological responses to a model s
timulus, the cytokine IFN-gamma. Morphologically, monolayers of pressu
rized GVEC contained large regions of whirl like, raised cell formatio
ns. Individual cells in these formations had a rounded morphology and
pore-like indentations between adjacent cells were observed. Cell-cell
contacts were often found more basally and intercellular spaces were
widened. Moreover, protein expression of pressurized monolayers was al
tered, as demonstrated by regions of cells with decreased keratin expr
ession. Finally, upon exposure to the model stimulus IFN-gamma, the pr
essurized as compared to the control GVEC demonstrated a 3-fold increa
sed expression of MHC class II and a strongly decreased sensitivity to
the toxic effects of IFN-gamma. In conclusion, we found several indic
ations that hydrostatic pressure can affect podocyte biology in vitro
and similar mechanisms may account for podocyte biology in vivo. The s
trikingly altered morphology and biology of pressurized GVEC suggest t
hat this culture system can be quite relevant for future studies with
cultured GVEC.