Glomerular podocytes are unique in form and function. With a highly organized cytoskeleton to counteract transmural distending forces, they serve as part of a molecular sieve that establishes the permselective properties of the glomerular filter. Podocytes consist of a voluminous cell body, which bulges into the urinary space, and highly branched foot processes. 1 The complex cell architecture and polarity of podocytes partly mirrors the structure of neurons. 1,2 Both cell types are postmitotic and develop long microtubule-based protrusions cobbled with short actin-based foot processes or dendritic spines, respectively. 3 The foot processes of neighboring podocytes regularly interdigitate, leaving meandering filtration slits between them that are bridged by the slit-diaphragm. 3 In addition to the common structural organization of podocytes and neurons, both cells share several highly tissuespecific proteins such as nephrin-neph proteins, which drive the formation of slit-diaphragms in the kidney and synapse formation in Caenorhabditis elegans motorneurons, 4 amino acid transporters such as CAT3 or EAAT2, 5 ion channels such as BKCa, 6 catecholamine receptors, 7 and axonal guidance factors. 8 The slit-diaphragm is linked to and tightly regulates the actin dynamics of foot processes. 9 Strikingly, among these actin-linking proteins, an increasing number of "neuronal" proteins have been identified as crucial determinants of actinbased cell processes, such as synaptopodin, dendrin, or its interacting partner KIBRA-a protein recently associated with learning and memory. 10 These findings emphasize the hypothesis that foot process dynamics and neuronal synaptic plasticity are regulated by an analogous set of molecules. [11][12][13][14] Recent studies have changed our conception of the glomerulus from a relatively static structure to a dynamic one, whose integrity depends on signaling mechanisms at the filtration barrier. 15 Typical epithelial cell layers often use gap junctions to rapidly and efficiently exchange chemical and physical signals. However, epithelial podocytes, being kept apart by slit-diaphragms, are probably not able to form gap junctions under physiologic conditions, implying a role for alternative communication pathways between cells. Thus far, very little is known of the intercellular signaling that might dynamically fine tune the complex three-dimensional foot-process network.In this issue of JASN, Giardino and colleagues demonstrate an exciting form of intercellular signaling by podocytes using neuronal glutamatergic transmission systems to regulate the maintenance of the foot process network. 16 Previously, these authors found podocyte-specific expression of the small GTPase, rab3A, and its effector, rabphillin 3a; both proteins play an important role in Ca 2ϩ -dependent exocytosis of synaptic vesicles, 17,18 and interestingly, synapses of neurons form a cleft of 20 to 50 nm, which is quite similar to the ϳ40 nm width between foot processes. Earlier electron microscopy studies also showed the pre...