PMID- 28341273 OWN - NLM STAT- MEDLINE DCOM- 20180417 LR - 20211204 IS - 1523-1755 (Electronic) IS - 0085-2538 (Linking) VI - 92 IP - 2 DP - 2017 Aug TI - Branched-chain amino acids enhance cyst development in autosomal dominant polycystic kidney disease. PG - 377-387 LID - S0085-2538(17)30072-8 [pii] LID - 10.1016/j.kint.2017.01.021 [doi] AB - Autosomal dominant polycystic kidney disease (ADPKD) is characterized by the progressive development of kidney and liver cysts. The mammalian target of rapamycin (mTOR) cascade is one of the important pathways regulating cyst growth in ADPKD. Branched-chain amino acids (BCAAs), including leucine, play a crucial role to activate mTOR pathway. Therefore, we administered BCAA dissolved in the drinking water to Pkd1(flox/flox):Mx1-Cre (cystic) mice from four to 22 weeks of age after polyinosinic-polycytidylic acid-induced conditional Pkd1 knockout at two weeks of age. The BCAA group showed significantly greater kidney/body weight ratio and higher cystic index in both the kidney and liver compared to the placebo-treated mice. We found that the L-type amino acid transporter 1 that facilitates BCAA entry into cells is strongly expressed in cells lining the cysts. We also found increased cyst-lining cell proliferation and upregulation of mTOR and mitogen-activated protein kinase/extracellular signal-regulated kinase (MAPK/ERK) pathways in the BCAA group. In vitro, we cultured renal epithelial cell lines from Pkd1 null mice with or without leucine. Leucine was found to stimulate cell proliferation, as well as activate mTOR and MAPK/ERK pathways in these cells. Thus, BCAA accelerated disease progression by mTOR and MAPK/ERK pathways. Hence, BCAA may be harmful to patients with ADPKD. CI - Copyright (c) 2017 International Society of Nephrology. Published by Elsevier Inc. All rights reserved. FAU - Yamamoto, Junya AU - Yamamoto J AD - Division of Rheumatology, Endocrinology and Nephrology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. FAU - Nishio, Saori AU - Nishio S AD - Division of Rheumatology, Endocrinology and Nephrology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. Electronic address: saorin@med.hokudai.ac.jp. FAU - Hattanda, Fumihiko AU - Hattanda F AD - Division of Rheumatology, Endocrinology and Nephrology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. FAU - Nakazawa, Daigo AU - Nakazawa D AD - Division of Rheumatology, Endocrinology and Nephrology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. FAU - Kimura, Toru AU - Kimura T AD - Department of Pharmacology and Toxicology, Kyorin University School of Medicine, Tokyo, Japan. FAU - Sata, Michio AU - Sata M AD - Liver Cancer Research Division, Kurume University, Kurume, Japan. FAU - Makita, Minoru AU - Makita M AD - Division of Rheumatology, Endocrinology and Nephrology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. FAU - Ishikawa, Yasunobu AU - Ishikawa Y AD - Division of Rheumatology, Endocrinology and Nephrology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. FAU - Atsumi, Tatsuya AU - Atsumi T AD - Division of Rheumatology, Endocrinology and Nephrology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. LA - eng PT - Journal Article DEP - 20170322 PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 0 (Amino Acids, Branched-Chain) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Amino Acids, Branched-Chain/*toxicity MH - Animals MH - *Disease Models, Animal MH - *MAP Kinase Signaling System MH - Mice MH - Polycystic Kidney, Autosomal Dominant/*chemically induced/genetics/metabolism MH - TOR Serine-Threonine Kinases/*metabolism OTO - NOTNLM OT - ADPKD OT - BCAA OT - LAT-1 OT - mTOR EDAT- 2017/03/28 06:00 MHDA- 2018/04/18 06:00 CRDT- 2017/03/26 06:00 PHST- 2016/04/27 00:00 [received] PHST- 2017/01/03 00:00 [revised] PHST- 2017/01/05 00:00 [accepted] PHST- 2017/03/28 06:00 [pubmed] PHST- 2018/04/18 06:00 [medline] PHST- 2017/03/26 06:00 [entrez] AID - S0085-2538(17)30072-8 [pii] AID - 10.1016/j.kint.2017.01.021 [doi] PST - ppublish SO - Kidney Int. 2017 Aug;92(2):377-387. doi: 10.1016/j.kint.2017.01.021. Epub 2017 Mar 22.