mTORC1/2 and rapamycin in female Han:SPRD rats with polycystic kidney disease

Franck Belibi1, Kameswaran Ravichandran, Iram Zafar

  • 1Division of Renal Diseases and Hypertension, University of Colorado at Denver and Health Sciences Center, Box C281, 12700 East 19th Ave., Aurora, CO 80262, USA.

Insights

Rapamycin did not slow polycystic kidney disease (PKD) in female rats, despite affecting mTORC1 and mTORC2 signaling pathways. This contrasts with effects seen in male rats, indicating sex-specific responses to rapamycin in PKD.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Pharmacology

Background:

  • Polycystic kidney disease (PKD) is a genetic disorder characterized by cyst formation in the kidneys.
  • Rapamycin has shown efficacy in slowing PKD progression in male Han:SPRD (Cy/+) rats.
  • The roles of mammalian target of rapamycin complexes 1 and 2 (mTORC1 and mTORC2) in PKD pathogenesis and rapamycin response are not fully understood, particularly in females.

Purpose of the Study:

  • To investigate the effect of rapamycin on PKD in female Cy/+ rats.
  • To determine the involvement of mTORC1 and mTORC2 signaling pathways in female rats with PKD treated with rapamycin.
  • To compare the effects of rapamycin on PKD and related signaling pathways between female and male Cy/+ rats.

Main Methods:

  • Female Cy/+ rats were treated with rapamycin from 4 to 12 weeks of age.
  • Kidney volume, cyst volume density (CVD), and cell proliferation (PCNA) and apoptosis (caspase-3, TUNEL) markers were assessed.
  • Activity of mTORC1 (p-S6) and mTORC2 (p-Akt Ser473, p-PKCα Ser657) signaling pathways were analyzed via immunoblotting.

Main Results:

  • Rapamycin treatment did not alter kidney size, CVD, or cellular proliferation/apoptosis in female Cy/+ rats.
  • mTORC1 activity marker (p-S6) was reduced by rapamycin, but mTORC2 activity marker (p-Akt Ser473) was increased in female Cy/+ rats.
  • In contrast, rapamycin decreased p-Akt (Ser473) in male Cy/+ rats, where it effectively slowed PKD progression.

Conclusions:

  • Rapamycin is ineffective in reducing PKD progression in female Cy/+ rats.
  • The lack of efficacy may be linked to rapamycin-induced activation of mTORC2 signaling (p-Akt Ser473) in females.
  • Sex-specific differential regulation of mTORC2 signaling pathways influences rapamycin's therapeutic effect in polycystic kidney disease.