TY - INPR A1 - Birtasu, Alexandra N. A1 - Wieland, Konstantin A1 - Ermel, Utz Heinrich A1 - Rahm, Johanna V. A1 - Scheffer, Margot A1 - Flottmann, Benjamin A1 - Heilemann, Mike A1 - Grahammer, Florian A1 - Frangakis, Achilleas S. T1 - The molecular architecture of the kidney slit diaphragm T2 - bioRxiv N2 - Vertebrate life depends on renal function to filter excess fluid and remove low-molecular-weight waste products. An essential component of the kidney filtration barrier is the slit diaphragm (SD), a specialized cell-cell junction between podocytes. Although the constituents of the SD are largely known, its molecular organization remains elusive. Here, we use super-resolution correlative light and electron microscopy to quantify a linear rate of reduction in albumin concentration across the filtration barrier. Next, we use cryo-electron tomography of vitreous lamellae from high-pressure frozen native glomeruli to analyze the molecular architecture of the SD. The resulting densities resemble a fishnet pattern. Fitting of Nephrin and Neph1, the main constituents of the SD, results in a complex interaction pattern with multiple contact sites between the molecules. Using molecular dynamics flexible fitting, we construct a blueprint of the SD, where we describe all interactions. Our architectural understanding of the SD reconciles previous findings and provides a mechanistic framework for the development of novel therapies to treat kidney dysfunction. Y1 - 2023 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/79471 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-794714 UR - https://www.biorxiv.org/content/10.1101/2023.10.27.564405v3 IS - 2023.10.27.564405, Version 3 ER -