PMID- 24360935 OWN - NLM STAT- MEDLINE DCOM- 20141014 LR - 20181202 IS - 1879-0712 (Electronic) IS - 0014-2999 (Linking) VI - 724 DP - 2014 Feb 5 TI - Pranlukast inhibits renal epithelial cyst progression via activation of AMP-activated protein kinase. PG - 67-76 LID - S0014-2999(13)00940-0 [pii] LID - 10.1016/j.ejphar.2013.12.013 [doi] AB - Cysteinyl leukotriene receptor 1 (CysLT1 receptor) antagonists were found to inhibit chloride secretion in human airway epithelial cells. Since chloride secretion in renal epithelial cells, which shares common mechanisms with airway epithelial cells, plays important roles in renal cyst progression in polycystic kidney disease (PKD), this study was aimed to investigate effects of drugs acting as CysLT1 receptor antagonists on renal cyst progression and its underlying mechanisms. Effects of CysLT1 receptor antagonists on renal cyst growth and formation were determined using Madine Darby canine kidney (MDCK) cyst models. Mechanisms of actions of CysLT1 receptor antagonists were determined using short-circuit current measurement, assays of cell viability and cell proliferation, and immunoblot analysis of signaling proteins. Of the three drugs acting as CysLT1 receptor antagonists (montelukast, pranlukast and zafirlukast) tested, pranlukast was the most promising drug that inhibited MDCK cyst growth and formation without affecting cell viability. Its effect was independent of the inhibition of CysLT1 receptors. Instead, it reduced cAMP-activated chloride secretion and proliferation of MDCK cells in an AMP-activated protein kinase (AMPK)-dependent manner and had no effect on CFTR protein expression. Interestingly, pranlukast enhanced AMPK activation via calcium/calmodulin-dependent protein kinase kinase beta (CaMKKbeta) with consequent activation of acetyl-CoA carboxylase (ACC) and suppression of mammalian target of rapamycin (mTOR) pathway. These results indicate that pranlukast retards renal epithelial cyst progression by inhibiting cAMP-activated chloride secretion and cell proliferation via CaMKKbeta-AMPK-mTOR pathway. Therefore, pranlukast represents a class of known drugs that may have potential utility in PKD treatment. CI - Copyright (c) 2013 Elsevier B.V. All rights reserved. FAU - Pathomthongtaweechai, Nutthapoom AU - Pathomthongtaweechai N AD - Department of Physiology and Research Center of Transport Protein for Medical Innovation, Faculty of Science, Mahidol University, Rama 6 Rd., Rajathevi, Bangkok 10400, Thailand. FAU - Soodvilai, Sunhapas AU - Soodvilai S AD - Department of Physiology and Research Center of Transport Protein for Medical Innovation, Faculty of Science, Mahidol University, Rama 6 Rd., Rajathevi, Bangkok 10400, Thailand. FAU - Chatsudthipong, Varanuj AU - Chatsudthipong V AD - Department of Physiology and Research Center of Transport Protein for Medical Innovation, Faculty of Science, Mahidol University, Rama 6 Rd., Rajathevi, Bangkok 10400, Thailand. FAU - Muanprasat, Chatchai AU - Muanprasat C AD - Department of Physiology and Research Center of Transport Protein for Medical Innovation, Faculty of Science, Mahidol University, Rama 6 Rd., Rajathevi, Bangkok 10400, Thailand. Electronic address: chatchai.mua@mahidol.ac.th. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131217 PL - Netherlands TA - Eur J Pharmacol JT - European journal of pharmacology JID - 1254354 RN - 0 (Chlorides) RN - 0 (Chromones) RN - 0 (Leukotriene Antagonists) RN - 0 (Receptors, Leukotriene) RN - 126880-72-6 (Cystic Fibrosis Transmembrane Conductance Regulator) RN - 1F7A44V6OU (Colforsin) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - LRF7RW46ID (leukotriene D4 receptor) RN - TB8Z891092 (pranlukast) SB - IM MH - AMP-Activated Protein Kinases/*metabolism MH - Animals MH - Cell Proliferation/drug effects MH - Cell Survival/drug effects MH - Chlorides/metabolism MH - Chromones/*pharmacology MH - Colforsin/pharmacology MH - Cystic Fibrosis Transmembrane Conductance Regulator/metabolism MH - Cysts/drug therapy/*metabolism MH - Dogs MH - Epithelial Cells/*drug effects/metabolism/pathology MH - Kidney/pathology MH - Leukotriene Antagonists/*pharmacology MH - Madin Darby Canine Kidney Cells MH - Polycystic Kidney Diseases MH - Receptors, Leukotriene/metabolism OTO - NOTNLM OT - AMPK OT - CFTR OT - Polycystic kidney disease OT - Pranlukast OT - mTOR EDAT- 2013/12/24 06:00 MHDA- 2014/10/15 06:00 CRDT- 2013/12/24 06:00 PHST- 2013/10/22 00:00 [received] PHST- 2013/12/01 00:00 [revised] PHST- 2013/12/04 00:00 [accepted] PHST- 2013/12/24 06:00 [entrez] PHST- 2013/12/24 06:00 [pubmed] PHST- 2014/10/15 06:00 [medline] AID - S0014-2999(13)00940-0 [pii] AID - 10.1016/j.ejphar.2013.12.013 [doi] PST - ppublish SO - Eur J Pharmacol. 2014 Feb 5;724:67-76. doi: 10.1016/j.ejphar.2013.12.013. Epub 2013 Dec 17.