PMID- 21345977 OWN - NLM STAT- MEDLINE DCOM- 20110701 LR - 20211203 IS - 1522-1466 (Electronic) IS - 1522-1466 (Linking) VI - 300 IP - 5 DP - 2011 May TI - Curcumin inhibits cystogenesis by simultaneous interference of multiple signaling pathways: in vivo evidence from a Pkd1-deletion model. PG - F1193-202 LID - 10.1152/ajprenal.00419.2010 [doi] AB - Autosomal dominant polycystic kidney disease (ADPKD) caused by mutations in either the PKD1 or PKD2 gene is a major cause of end-stage renal failure. A number of compounds targeting specific signaling pathways were able to inhibit cystogenesis in rodent models and are currently being tested in clinical trials. However, given the complex signaling in ADPKD, an ideal therapy would likely have to comprise several pathways at once. Therefore, multitarget compounds may provide promising therapeutic interventions for the treatment of ADPKD. To test this hypothesis, we treated Pkd1-deletion mice with diferuloylmethane (curcumin), a compound without appreciable side effects and known to modulate several pathways that are also altered in ADPKD, e.g., mammalian target of rapamycin (mTOR) and Wnt signaling. After conditional inactivation of Pkd1, mTOR signaling was indeed elevated in cystic kidneys. Interestingly, also activation of signal transducers and activator of transcription 3 (STAT3) strongly correlated with cyst progression. Both pathways were effectively inhibited in vitro by curcumin. Importantly, Pkd1-deletion mice that were treated with curcumin and killed at an early stage of PKD displayed improved renal histology and reduced STAT3 activation, proliferation index, cystic index, and kidney weight/body weight ratios. In addition, renal failure was significantly postponed in mice with severe PKD. These data suggest that multitarget compounds hold promising potential for safe and effective treatment of ADPKD. FAU - Leonhard, Wouter N AU - Leonhard WN AD - Department of Human Genetics, Leiden Univ. Medical Center, The Netherlands. FAU - van der Wal, Annemieke AU - van der Wal A FAU - Novalic, Zlata AU - Novalic Z FAU - Kunnen, Steven J AU - Kunnen SJ FAU - Gansevoort, Ron T AU - Gansevoort RT FAU - Breuning, Martijn H AU - Breuning MH FAU - de Heer, Emile AU - de Heer E FAU - Peters, Dorien J M AU - Peters DJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110223 PL - United States TA - Am J Physiol Renal Physiol JT - American journal of physiology. Renal physiology JID - 100901990 RN - 0 (Ribosomal Protein S6) RN - 0 (STAT3 Transcription Factor) RN - 0 (Stat3 protein, mouse) RN - 0 (TRPP Cation Channels) RN - 0 (polycystic kidney disease 1 protein) RN - 0 (ribosomal protein S6, mouse) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - IT942ZTH98 (Curcumin) SB - IM MH - Animals MH - Cell Proliferation/drug effects MH - Cells, Cultured MH - Curcumin/*pharmacology MH - Cytoprotection MH - Disease Models, Animal MH - Dose-Response Relationship, Drug MH - Kidney/*drug effects/enzymology/pathology MH - Mice MH - Mice, Knockout MH - Organ Size/drug effects MH - Phosphorylation MH - Polycystic Kidney, Autosomal Dominant/enzymology/genetics/pathology/*prevention & control MH - Renal Insufficiency/enzymology/genetics/pathology/*prevention & control MH - Ribosomal Protein S6/metabolism MH - STAT3 Transcription Factor/metabolism MH - Signal Transduction/*drug effects MH - TOR Serine-Threonine Kinases/metabolism MH - TRPP Cation Channels/*deficiency/genetics EDAT- 2011/02/25 06:00 MHDA- 2011/07/02 06:00 CRDT- 2011/02/25 06:00 PHST- 2011/02/25 06:00 [entrez] PHST- 2011/02/25 06:00 [pubmed] PHST- 2011/07/02 06:00 [medline] AID - ajprenal.00419.2010 [pii] AID - 10.1152/ajprenal.00419.2010 [doi] PST - ppublish SO - Am J Physiol Renal Physiol. 2011 May;300(5):F1193-202. doi: 10.1152/ajprenal.00419.2010. Epub 2011 Feb 23.