PMID- 31042058 OWN - NLM STAT- MEDLINE DCOM- 20200316 LR - 20211204 IS - 1522-1466 (Electronic) IS - 1931-857X (Print) IS - 1522-1466 (Linking) VI - 317 IP - 1 DP - 2019 Jul 1 TI - A study of sirolimus and mTOR kinase inhibitor in a hypomorphic Pkd1 mouse model of autosomal dominant polycystic kidney disease. PG - F187-F196 LID - 10.1152/ajprenal.00051.2019 [doi] AB - Autosomal dominant polycystic kidney disease (PKD) is characterized by cyst formation and growth, which are partially driven by abnormal proliferation of tubular cells. Proproliferative mechanistic target of rapamycin (mTOR) complexes 1 and 2 (mTORC1 and mTORC2) are activated in the kidneys of mice with PKD. Sirolimus indirectly inhibits mTORC1. Novel mTOR kinase inhibitors directly inhibit mTOR kinase, resulting in the inhibition of mTORC1 and mTORC2. The aim of the present study was to determine the effects of sirolimus versus the mTOR kinase inhibitor torin2 on cyst growth and kidney function in the Pkd1 p.R3277C (Pkd1(RC/RC)) mouse model, a hypomorphic Pkd1 model orthologous to the human condition, and to determine the effects of sirolimus versus torin2 on mTORC1 and mTORC2 signaling in PKD1(-/-) cells and in the kidneys of Pkd1(RC/RC) mice. In vitro, both inhibitors reduced mTORC1 and mTORC2 phosphorylated substrates and negatively impacted cellular metabolic activity, as measured by MTT assay. Pkd1(RC/RC) mice were treated with sirolimus or torin2 from 50 to 120 days of age. Torin2 was as effective as sirolimus in decreasing cyst growth and improving loss of kidney function. Both sirolimus and torin2 decreased phosphorylated S6 protein, phosphorylated eukaryotic translation initiation factor 4E-binding protein 1, phosphorylated Akt, and proliferation in Pkd1(RC/RC) kidneys. In conclusion, torin2 and sirolimus were equally effective in decreasing cyst burden and improving kidney function and mediated comparable effects on mTORC1 and mTORC2 signaling and proliferation in the Pkd1(RC/RC) kidney. FAU - Holditch, Sara J AU - Holditch SJ AD - Division of Renal Diseases and Hypertension, University of Colorado at Denver , Aurora, Colorado. FAU - Brown, Carolyn N AU - Brown CN AD - Division of Renal Diseases and Hypertension, University of Colorado at Denver , Aurora, Colorado. FAU - Atwood, Daniel J AU - Atwood DJ AD - Division of Renal Diseases and Hypertension, University of Colorado at Denver , Aurora, Colorado. FAU - Lombardi, Andrew M AU - Lombardi AM AD - Division of Renal Diseases and Hypertension, University of Colorado at Denver , Aurora, Colorado. FAU - Nguyen, Khoa N AU - Nguyen KN AD - Division of Renal Diseases and Hypertension, University of Colorado at Denver , Aurora, Colorado. FAU - Toll, Harrison W AU - Toll HW AD - Division of Renal Diseases and Hypertension, University of Colorado at Denver , Aurora, Colorado. FAU - Hopp, Katharina AU - Hopp K AD - Division of Renal Diseases and Hypertension, University of Colorado at Denver , Aurora, Colorado. FAU - Edelstein, Charles L AU - Edelstein CL AD - Division of Renal Diseases and Hypertension, University of Colorado at Denver , Aurora, Colorado. LA - eng GR - I01 BX003803/BX/BLRD VA/United States GR - T32 GM007635/GM/NIGMS NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20190501 PL - United States TA - Am J Physiol Renal Physiol JT - American journal of physiology. Renal physiology JID - 100901990 RN - 0 (9-(6-aminopyridin-3-yl)-1-(3-(trifluoromethyl)phenyl)benzo(h)(1,6)naphthyridin-2(1H)-one) RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Cell Cycle Proteins) RN - 0 (EIF4EBP1 protein, human) RN - 0 (Naphthyridines) RN - 0 (Protein Kinase Inhibitors) RN - 0 (TRPP Cation Channels) RN - 0 (polycystic kidney disease 1 protein) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (Ribosomal Protein S6 Kinases) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adaptor Proteins, Signal Transducing/metabolism MH - Animals MH - Apoptosis/drug effects MH - Cell Cycle Proteins/metabolism MH - Cell Proliferation/drug effects MH - Disease Models, Animal MH - Dose-Response Relationship, Drug MH - Female MH - Humans MH - Kidney Tubules/*drug effects/enzymology/physiopathology MH - Male MH - Mice, Inbred C57BL MH - Mice, Mutant Strains MH - *Mutation MH - Naphthyridines/*pharmacology MH - Phosphorylation MH - Polycystic Kidney, Autosomal Dominant/*drug therapy/enzymology/genetics/physiopathology MH - Protein Kinase Inhibitors/*pharmacology MH - Proto-Oncogene Proteins c-akt/metabolism MH - Ribosomal Protein S6 Kinases/metabolism MH - Signal Transduction MH - Sirolimus/*pharmacology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/metabolism MH - TRPP Cation Channels/*genetics PMC - PMC7717114 OTO - NOTNLM OT - apoptosis OT - autosomal dominant polycystic kidney disease OT - polycystic OT - proliferation OT - sirolimus OT - torin2 COIS- C. L. Edelstein is on the Data Safety Monitoring Board for Conatus Pharmaceuticals. EDAT- 2019/05/02 06:00 MHDA- 2020/03/17 06:00 PMCR- 2020/07/01 CRDT- 2019/05/02 06:00 PHST- 2019/05/02 06:00 [pubmed] PHST- 2020/03/17 06:00 [medline] PHST- 2019/05/02 06:00 [entrez] PHST- 2020/07/01 00:00 [pmc-release] AID - F-00051-2019 [pii] AID - 10.1152/ajprenal.00051.2019 [doi] PST - ppublish SO - Am J Physiol Renal Physiol. 2019 Jul 1;317(1):F187-F196. doi: 10.1152/ajprenal.00051.2019. Epub 2019 May 1.