PMID- 38167222 OWN - NLM STAT- MEDLINE DCOM- 20240207 LR - 20240424 IS - 1423-0143 (Electronic) IS - 1420-4096 (Linking) VI - 49 IP - 1 DP - 2024 TI - Inflammation Is More Sensitive than Cell Proliferation in Response to Rapamycin Treatment in Polycystic Kidney Disease. PG - 60-68 LID - 10.1159/000535750 [doi] AB - INTRODUCTION: It has been reported that rapamycin inhibited inflammation in renal interstitial diseases. We therefore hypothesized that rapamycin could attenuate inflammation in polycystic kidney disease (PKD). METHODS: Han:SPRD rats were treated with rapamycin by daily gavage from 4 weeks to 12 weeks of age at the dosage of 0.5 mg/kg/day (low dose) or 1 mg/kg/day (high dose). WT9-12 human PKD cells were treated with various concentrations of rapamycin. RESULTS: Two-kidney/total body weight ratio and cystic index in Cy/+ kidneys were significantly reduced with the treatment of low-dose rapamycin and further reduced by the treatment with high-dose rapamycin. However, the renal function of Cy/+ rats was equally improved by the treatment with either low-dose or high-dose rapamycin. The renal cell proliferation was significantly decreased in Cy/+ kidneys with the treatment of low-dose rapamycin and was further decreased with the treatment of high-dose rapamycin as examined by Ki67 staining. The phosphorylation of S6K in cystic kidneys was decreased by low-dose rapamycin and further decreased by high-dose rapamycin. Both low-dose and high-dose rapamycin treatment decreased macrophage infiltration and the expression of complement factor B (CFB), monocyte chemoattractant protein-1 (MCP-1), and tumor necrosis factor-alpha (TNF-alpha) to a similar level. The expression of CFB, MCP-1, and TNF-alpha and phosphorylation of S6K were inhibited in WT9-12 cells treated with 10 nm rapamycin at 24 h and 48 h, respectively. Moreover, the phosphorylation of Akt was not increased by 1 nm and 10 nm of rapamycin and enhanced by 1 mum rapamycin treatment. Interestingly, WT9-12 cell proliferation could be inhibited by 1 mum rapamycin. CONCLUSION: Low dose of rapamycin could inhibit inflammation and protect renal function in PKD. Inflammation is more sensitive than cell proliferation in response to rapamycin treatment in PKD. CI - (c) 2024 The Author(s). Published by S. Karger AG, Basel. FAU - Yang, Ming AU - Yang M AD - Department of Nephrology, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China. FAU - Lv, Jiayi AU - Lv J AD - Department of Nephrology, Shanghai Changzheng Hospital, Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai, China. FAU - Gong, Chanjuan AU - Gong C AD - Department of Nephrology, Shanghai Changzheng Hospital, Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai, China. FAU - Xue, Cheng AU - Xue C AD - Department of Nephrology, Shanghai Changzheng Hospital, Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai, China, chengxia1568@126.com. FAU - Fu, Lili AU - Fu L AD - Department of Nephrology, Shanghai Changzheng Hospital, Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai, China. FAU - Chen, Shunjie AU - Chen S AD - Department of Nephrology, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China. FAU - Mei, Changlin AU - Mei C AD - Department of Nephrology, Shanghai Changzheng Hospital, Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai, China. LA - eng PT - Journal Article DEP - 20240102 PL - Switzerland TA - Kidney Blood Press Res JT - Kidney & blood pressure research JID - 9610505 RN - W36ZG6FT64 (Sirolimus) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Rats MH - Humans MH - Animals MH - Sirolimus/pharmacology/therapeutic use MH - *Polycystic Kidney, Autosomal Dominant/drug therapy/metabolism MH - Tumor Necrosis Factor-alpha MH - *Polycystic Kidney Diseases/pathology MH - Kidney/pathology MH - Inflammation/pathology MH - Cell Proliferation MH - Disease Models, Animal OTO - NOTNLM OT - Cell proliferation OT - Inflammation OT - Polycystic kidney disease OT - Rapamycin EDAT- 2024/01/04 01:18 MHDA- 2024/02/07 06:43 CRDT- 2024/01/03 09:38 PHST- 2023/07/04 00:00 [received] PHST- 2023/12/02 00:00 [accepted] PHST- 2024/02/07 06:43 [medline] PHST- 2024/01/04 01:18 [pubmed] PHST- 2024/01/03 09:38 [entrez] AID - 000535750 [pii] AID - 10.1159/000535750 [doi] PST - ppublish SO - Kidney Blood Press Res. 2024;49(1):60-68. doi: 10.1159/000535750. Epub 2024 Jan 2.