Objective:To investigate the effect of palmitic acid(PA) on actin cytoskeleton and slit diaphragm injury in podocytes. Methods:Conditioned immortalized mouse glomerular podocyte strains stimulated with PA in vitro were divided into control group (1% BSA) and PA(150 ?滋mol/L) group. Alexa 549-phalloidin staining was used to observe the change of the actin cytoskeleton of the podocyte. Immunofluorescence staining was used to detect the expression of Nephrin and Podocin. The oil red “O”,transmission electron microscope and BODIPY staining were used to detect intracellular lipid accumulation with PA stimulation. The podocytes were stimulated with different concentrations of PA and divided into control group(1% BSA),50 ?滋mol/L PA group,150 ?滋mol/L PA group,and 300 ?滋mol/L PA group. The expression of Nephrin and Podocin was measured by Western blot. The podocytes were further treated with oxygen free radical scavenger N-acetylcysteine(NAC) and divided into control group(1% BSA),PA(150 ?滋mol/L) group,NAC group,PA(150 ?滋mol/L) + NAC group. DCFH-DA staining was used to detect the generation of reactive oxygen species(ROS) in the cells. Alexa 549-phalloidin staining was used to observe the changes of the actin cytoskeleton of the podocyte. Western blot was used to detect the expression of Nephrin and Podocin. Results:Western blot results showed that the expression of Nephrin and Podocin in the podocyte of the 300 ?滋mol/L PA group(0.360±0.030,0.900±0.040),was significantly decreased(P=0.000,P=0.000;P=0.000,P=0.003) compared with those of control group(1.000±0.030,1.000±0.030) and the 50 ?滋mol/L PA group(0.912±0.020,0.900±0.040). Immunofluores-cence revealed a decrease in the expression of Nephrin(t=6.014,P=0.010) and Podocin(t=6.171,P=0.010) protein in the podocyte of the PA group compared with those of control group. With the pretreatment of podocytes with NAC to clear ROS,expression of Nephrin(2.87±0.05) and Podocin(2.69±0.06) decreased in PA+NAC group(P=0.000,P=0.000),when compared with that of PA group(1.21±0.04,1.30±0.03). Conclusion:ROS mediated palmitic acid induces cytoskeletal structure injury in podocytes.