Related Experiment Video
Updated: May 30, 2026

Use of Ultra-high Field MRI in Small Rodent Models of Polycystic Kidney Disease for In Vivo Phenotyping and Drug Monitoring
Published on: June 23, 2015
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.
Abstract:
Autosomal dominant polycystic kidney disease (ADPKD) is a commonly inherited disorder mostly caused by mutations in PKD1, encoding polycystin-1 (PC1). The disease is characterized by development and growth of epithelium-lined cyst in both kidneys, often leading to renal failure. There is no specific treatment for this disease. Here, we report a sustained activation of the transcription factor signal transducer and activator of transcription 3 (STAT3) in ischemic injured and uninjured Pkd1 knockout polycystic kidneys and in human ADPKD kidneys. Through a chemical library screen, we identified the anti-parasitic compound pyrimethamine as an inhibitor of STAT3 function. Treatment with pyrimethamine decreases cell proliferation in human ADPKD cells and blocks renal cyst formation in an adult and a neonatal PKD mouse model. Moreover, we demonstrated that a specific STAT3 inhibitor, S3I-201, reduces cyst formation and growth in a neonatal PKD mouse model. Our results suggest that PC1 acts as a negative regulator of STAT3 and that blocking STAT3 signaling with pyrimethamine or similar drugs may be an attractive therapy for human ADPKD.
Related Concept Videos
The JAK-STAT Signaling Pathway
Inhibition of Cdk Activity
Inhibition of CDK Activity
Pharmacogenomics: Identification of New Drug Targets
Abnormal Proliferation
Chronic Kidney Disease III: Interprofessional Care
