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Published on: September 1, 2015
The mTOR pathway is activated in human autosomal-recessive polycystic kidney disease
Jan Ulrich Becker1, Anabelle Opazo Saez, Klaus Zerres
1Institute of Pathology and Neuropathology, University Hospital of Essen, University Duisburg-Essen, Essen, Germany.
Insights
The mechanistic target of rapamycin (mTOR) pathway may be activated in autosomal-recessive polycystic kidney disease (AR PKD). This suggests mTOR molecules could be a target for slowing cyst development in AR PKD.
Area of Science:
- Nephrology
- Molecular Biology
- Cell Signaling
Background:
- Autosomal dominant (AD) polycystic kidney disease (PKD) shows inappropriate mTOR pathway activation.
- The role of the mTOR pathway in autosomal recessive (AR) PKD, a pediatric cystic disease, remains unclear.
Purpose of the Study:
- To investigate the activation status of the mTOR pathway in autosomal recessive (AR) PKD.
Main Methods:
- Evaluation of mTOR pathway molecule expression in kidney and liver samples from AR PKD patients and controls.
- Utilized monoclonal antibodies for phosphorylated proteins: pmTOR, pS6K, p4E-BP1, peIF4G, and phospho-tuberin/TSC2.
Main Results:
- Strong mTOR expression observed in renal cyst-lining cells and bile ducts in AR PKD.
- Differential S6K and 4E-BP1 expression patterns noted in AR PKD tissues compared to controls.
- eIF4G immunostaining was present in AR PKD bile ducts but absent in controls; Tuberin/TSC2 was negative in all samples.
Conclusions:
- Findings suggest potential mTOR pathway activation in AR PKD.
- mTOR pathway molecules may serve as therapeutic targets to mitigate cystogenesis in AR PKD.
Background:
An inappropriate activation of the mTOR pathway was demonstrated in the autosomal dominant (AD) form of polycystic kidney disease (PKD). To date it is unclear whether the mTOR pathway is activated in autosomal-recessive (AR) PKD, a cystic disease which occurs in childhood. The purpose of the present study was to evaluate the mTOR pathway in AR PKD.
Methods:
We evaluated the expression of mTOR pathway molecules in paraffin-embedded liver and kidney samples from patients with AR PKD and control specimens from animals as well as humans. Monoclonal antibodies, the phosphorylated proteins pmTOR, pS6-ribosomal-protein (pS6K), p4E-BP1, peIF4G, and phospho-tuberin/TSC2 were used.
Results:
mTOR was strongly expressed in renal cyst-lining cells and bile ducts from AR PKD specimen. S6K immunostaining was strong in smaller tubules and weak both in larger renal cysts and in the bile duct epithelium. In controls, mTOR and S6K were expressed in distal tubule segments. 4E-BP1-immunostaining was restricted to noncystic tubules in AR PKD. eIFG4-immunostaining was observed in bile duct epithelium in AR PKD, but not in control tissue. Tuberin/TSC2 immunostaining was negative in all specimens.
Conclusion:
Our data suggest that the mTOR pathway may be activated in AR PKD, and mTOR molecules may represent a potential target to slow down cyst development in this disease.
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