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Published on: June 23, 2015
Triptolide reduces cyst formation in a neonatal to adult transition Pkd1 model of ADPKD
Stephanie J Leuenroth1, Natasha Bencivenga, Halima Chahboune
1Department of Molecular, Cellular, and Developmental Biology, Yale University, New Haven, CT 06511, USA.
Insights
Triptolide treatment significantly reduced kidney cyst development in a Pkd1-floxed inducible mouse model of autosomal dominant polycystic kidney disease (ADPKD). This small molecule improved renal function, showing promise for short-term ADPKD drug studies.
Area of Science:
- Genetics and Molecular Biology
- Nephrology
- Pharmacology
Background:
- Autosomal dominant polycystic kidney disease (ADPKD) is a leading cause of kidney failure, driven by mutations in Pkd1 or Pkd2 genes.
- Rodent models are crucial for understanding ADPKD cystogenesis and developing new therapeutic strategies.
Purpose of the Study:
- To evaluate the therapeutic potential of the small molecule triptolide in an inducible Pkd1-floxed mouse model of ADPKD.
- To assess the efficacy of triptolide in reducing cyst formation and improving renal function in this ADPKD model.
Main Methods:
- Utilized a Pkd1-floxed inducible mouse model (Pkd1(flox/flox);Mx1Cre) for studying ADPKD.
- Administered triptolide or vehicle to mice following Pkd1 deletion to analyze cyst development.
- Assessed kidney cyst burden, microcyst formation, and blood urea nitrogen (BUN) levels.
Main Results:
- Triptolide treatment significantly reduced the number of kidney cysts and microcysts in Pkd1-deficient mice.
- Improved renal function, indicated by lower BUN levels, was observed in triptolide-treated groups.
- A 6-month study revealed minimal kidney cysts but severe liver cysts and fibrosis in Pkd1-deficient mice.
Conclusions:
- The Pkd1(flox/flox);Mx1Cre model is suitable for short-term drug efficacy studies in ADPKD.
- Long-term studies using this model may be complicated by significant liver cystogenesis and fibrosis, potentially affecting drug metabolism.
Background:
Autosomal dominant polycystic kidney disease (ADPKD), a major cause of end-stage renal failure, results from genetic mutation of either polycystin-1 (Pkd1) or polycystin-2 (Pkd2). In order to develop novel therapies to treat the advancement of disease progression, numerous rodent models of different genetic backgrounds are available to study cyst development.
Methods:
Here, a Pkd1-floxed inducible mouse model using the interferon responsive Mx1Cre-recombinase was utilized to test the effect of the small molecule triptolide. Relative to other Pkd1 inactivation models, cyst progression in this neonatal to adult transition model is attenuated. Following the characterization of inducible cyst formation in these mice, the development of kidney cysts from triptolide or vehicle-treated animals was analysed.
Results:
Although Pkd1 deletion on postnatal Days P10 and P12 resulted in numerous cysts by P35, daily injections with triptolide beginning on Day P16 significantly reduced the total number of cysts per kidney, with a pronounced effect on the number of microcysts and the overall cystic burden. Additionally, renal function as assessed by blood urea nitrogen levels was also improved in triptolide-treated mice at both the P22 and P35 time points. As the Pkd1(flox/flox);Mx1Cre model has not been previously used for drug development studies, the feasibility of a 6-month adult Pkd1 inactivation study was also tested. While kidney cyst formation was minimal and focal in nature, livers of these Pkd1-deficient mice were severely cystic, enlarged and pale.
Conclusions:
These results suggest that the Pkd1(flox/flox);Mx1Cre model of ADPKD is amenable to short-term kidney cyst formation drug studies; however, it may be problematic for long-term therapeutic research where widespread liver cysts and fibrosis could compromise drug metabolism.
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