PMID- 36002021 OWN - NLM STAT- MEDLINE DCOM- 20230103 LR - 20230113 IS - 1759-4685 (Electronic) IS - 1674-2788 (Print) IS - 1759-4685 (Linking) VI - 14 IP - 7 DP - 2022 Sep 27 TI - CaMK4 overexpression in polycystic kidney disease promotes mTOR-mediated cell proliferation. LID - 10.1093/jmcb/mjac050 [doi] LID - mjac050 AB - Autosomal dominant polycystic kidney disease (ADPKD) is characterized by progressive enlargement of fluid-filled cysts, causing nephron loss and a decline in renal function. Mammalian target of rapamycin (mTOR) is overactive in cyst-lining cells and contributes to abnormal cell proliferation and cyst enlargement; however, the mechanism for mTOR stimulation remains unclear. We discovered that calcium/calmodulin (CaM) dependent kinase IV (CaMK4), a multifunctional kinase, is overexpressed in the kidneys of ADPKD patients and PKD mouse models. In human ADPKD cells, CaMK4 knockdown reduced mTOR abundance and the phosphorylation of ribosomal protein S6 kinase (S6K), a downstream target of mTOR. Pharmacologic inhibition of CaMK4 with KN-93 reduced phosphorylated S6K and S6 levels and inhibited cell proliferation and in vitro cyst formation of ADPKD cells. Moreover, inhibition of calcium/CaM-dependent protein kinase kinase-beta and CaM, two key upstream regulators of CaMK4, also decreased mTOR signaling. The effects of KN-93 were independent of the liver kinase B1-adenosine monophosphate-activated protein kinase (AMPK) pathway, and the combination of KN-93 and metformin, an AMPK activator, had additive inhibitory effects on mTOR signaling and in vitro cyst growth. Our data suggest that increased CaMK4 expression and activity contribute to mTOR signaling and the proliferation of cystic cells of ADPKD kidneys. CI - (c) The Author(s) (2022). Published by Oxford University Press on behalf of Journal of Molecular Cell Biology, CEMCS, CAS. FAU - Zhang, Yan AU - Zhang Y AD - Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. AD - Jared Grantham Kidney Institute, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. FAU - Daniel, Emily A AU - Daniel EA AD - Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. AD - Jared Grantham Kidney Institute, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. FAU - Metcalf, July AU - Metcalf J AD - Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. AD - Jared Grantham Kidney Institute, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. FAU - Dai, Yuqiao AU - Dai Y AD - Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. AD - Jared Grantham Kidney Institute, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. FAU - Reif, Gail A AU - Reif GA AD - Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. AD - Jared Grantham Kidney Institute, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. FAU - Wallace, Darren P AU - Wallace DP AUID- ORCID: 0000-0003-4616-7669 AD - Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. AD - Jared Grantham Kidney Institute, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. AD - Department of Molecular and Integrative Physiology, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA. LA - eng GR - P20 GM103418/GM/NIGMS NIH HHS/United States GR - R01 DK081579/DK/NIDDK NIH HHS/United States GR - R01DK081579/DK/NIDDK NIH HHS/United States GR - U54 DK126126/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - J Mol Cell Biol JT - Journal of molecular cell biology JID - 101503669 RN - 139298-40-1 (KN 93) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - SY7Q814VUP (Calcium) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.17 (CAMK4 protein, human) RN - EC 2.7.11.17 (Calcium-Calmodulin-Dependent Protein Kinase Type 4) RN - EC 2.7.11.17 (Camk4 protein, mouse) SB - IM MH - Mice MH - Animals MH - Humans MH - *Polycystic Kidney, Autosomal Dominant/metabolism MH - AMP-Activated Protein Kinases/metabolism MH - Calcium MH - *Polycystic Kidney Diseases/metabolism MH - TOR Serine-Threonine Kinases/metabolism MH - Kidney/metabolism MH - Cell Proliferation MH - *Cysts MH - Mammals MH - Calcium-Calmodulin-Dependent Protein Kinase Type 4 PMC - PMC9802383 OTO - NOTNLM OT - ADPKD OT - AMPK OT - CaMK4 OT - CaMKKbeta OT - LKB1 OT - calmodulin EDAT- 2022/08/25 06:00 MHDA- 2023/01/04 06:00 PMCR- 2022/08/24 CRDT- 2022/08/24 18:53 PHST- 2021/11/04 00:00 [received] PHST- 2022/06/01 00:00 [revised] PHST- 2022/08/18 00:00 [accepted] PHST- 2022/08/25 06:00 [pubmed] PHST- 2023/01/04 06:00 [medline] PHST- 2022/08/24 18:53 [entrez] PHST- 2022/08/24 00:00 [pmc-release] AID - 6674767 [pii] AID - mjac050 [pii] AID - 10.1093/jmcb/mjac050 [doi] PST - ppublish SO - J Mol Cell Biol. 2022 Sep 27;14(7):mjac050. doi: 10.1093/jmcb/mjac050.