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Published on: September 1, 2015
Inhibition of the P2X7 receptor reduces cystogenesis in PKD
Ming-Yang Chang1, Jenn-Kan Lu, Ya-Chung Tian
1Kidney Research Center, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Abstract:
The P2X7 receptor participates in purinergic signaling, which may promote the progression of ADPKD. We examined the effects of a P2X7 receptor antagonist and a P2X7 receptor agonist on cyst development in a zebrafish model of polycystic kidney disease in which we knocked down pkd2 by morpholinos. We used live wt-1b pronephric-specific GFP-expressing zebrafish embryos to directly observe changes in the pronephros. Exposure of pkd2-morphant zebrafish to a P2X7 receptor antagonist (oxidized ATP [OxATP]) significantly reduced the frequency of the cystic phenotype compared with either exposure to a P2X7 receptor agonist (BzATP) or with no treatment (P < 0.01). Histology confirmed improvement of glomerular cysts in OxATP-treated pkd2 morphants. OxATP also reduced p-ERK activity and cell proliferation in pronephric kidneys in pkd2 morphants. Inhibition of P2X7 with an additional specific antagonist (A-438079), and through morpholino-mediated knockdown of p2rx7, confirmed these effects. In conclusion, blockade of the P2X7 receptor reduces cyst formation via ERK-dependent pathways in a zebrafish model of polycystic kidney disease, suggesting that P2X7 antagonists may have therapeutic potential in ADPKD.
Insights
Blocking the P2X7 receptor significantly reduced cyst formation in a polycystic kidney disease zebrafish model. This suggests P2X7 antagonists may offer a potential therapy for autosomal dominant polycystic kidney disease (ADPKD).
Area of Science:
- Nephrology
- Cell Biology
- Pharmacology
Background:
- Autosomal dominant polycystic kidney disease (ADPKD) is a common genetic disorder.
- Purinergic signaling, involving the P2X7 receptor, is implicated in ADPKD progression.
- Targeting P2X7 receptors may offer a novel therapeutic strategy for ADPKD.
Purpose of the Study:
- To investigate the therapeutic potential of P2X7 receptor antagonists in a zebrafish model of ADPKD.
- To determine the effects of P2X7 receptor modulation on cyst development and related cellular pathways.
Main Methods:
- Utilized a zebrafish model with pkd2 knockdown to mimic polycystic kidney disease.
- Administered P2X7 receptor antagonist (oxidized ATP [OxATP]) and agonist (BzATP) to zebrafish embryos.
- Observed cyst development in pronephric kidneys using GFP-expressing zebrafish.
- Assessed p-ERK activity and cell proliferation via histology and molecular analysis.
Main Results:
- OxATP treatment significantly reduced the frequency and severity of kidney cysts in pkd2 morphants.
- P2X7 receptor blockade decreased p-ERK activity and cell proliferation in affected kidneys.
- Confirmation of P2X7 receptor's role through additional antagonists and gene knockdown.
Conclusions:
- P2X7 receptor blockade effectively reduces cyst formation in a preclinical model of polycystic kidney disease.
- The therapeutic effect is mediated through ERK-dependent pathways.
- P2X7 receptor antagonists represent a promising therapeutic avenue for ADPKD treatment.
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