Pyrimethamine inhibits adult polycystic kidney disease by modulating STAT signaling pathways

Ayumi Takakura1, Erik A Nelson, Nadeem Haque

  • 1Renal Division, Department of Medicine, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA 02115, USA. atakakura@rics.bwh.harvard.edu

Insights

Autosomal dominant polycystic kidney disease (ADPKD) treatment may involve blocking signal transducer and activator of transcription 3 (STAT3). Pyrimethamine, an anti-parasitic drug, inhibited STAT3 and reduced cyst growth in ADPKD models, suggesting a potential therapy.

Area of Science:

  • Nephrology
  • Genetics
  • Pharmacology

Background:

  • Autosomal dominant polycystic kidney disease (ADPKD) is a common inherited kidney disorder caused by mutations in PKD1.
  • ADPKD leads to kidney cysts and eventual renal failure, with no current specific treatments.
  • Sustained activation of signal transducer and activator of transcription 3 (STAT3) is observed in polycystic kidneys.

Purpose of the Study:

  • To investigate the role of STAT3 in ADPKD pathogenesis.
  • To identify potential therapeutic agents targeting STAT3 for ADPKD treatment.

Main Methods:

  • Chemical library screening to identify STAT3 inhibitors.
  • In vitro studies using human ADPKD cells.
  • In vivo studies using neonatal and adult polycystic kidney disease (PKD) mouse models.

Main Results:

  • Pyrimethamine, an anti-parasitic compound, was identified as a STAT3 inhibitor.
  • Pyrimethamine treatment reduced cell proliferation in human ADPKD cells.
  • Pyrimethamine and a specific STAT3 inhibitor (S3I-201) blocked and reduced renal cyst formation and growth in PKD mouse models.

Conclusions:

  • Polycystin-1 (PC1) negatively regulates STAT3 signaling.
  • Blocking STAT3 signaling with drugs like pyrimethamine shows promise as a novel therapeutic strategy for ADPKD.

Related Concept Videos

The JAK-STAT Signaling Pathway01:20

The JAK-STAT Signaling Pathway

Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as  SH2...
Inhibition of Cdk Activity02:34

Inhibition of Cdk Activity

The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
Inhibition of CDK Activity02:34

Inhibition of CDK Activity

The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
Pharmacogenomics: Identification of New Drug Targets01:29

Pharmacogenomics: Identification of New Drug Targets

Advances in genomics have profoundly influenced drug discovery by increasing both the speed and accuracy of pharmaceutical development. Pharmacogenomics, which examines how genetic variation influences drug response, facilitates the identification of novel therapeutic targets and enables patient stratification for personalized treatment. These strategies contribute to improved drug efficacy, minimized adverse effects, and more efficient clinical trial design.Mapping genetic differences...
Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...