Metformin Inhibits Cyst Formation in a Zebrafish Model of Polycystin-2 Deficiency

Ming-Yang Chang1, Tsu-Lin Ma1, Cheng-Chieh Hung1

  • 1Kidney Research Center and Department of Nephrology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.

Scientific Reports
|August 4, 2017
PubMed

Insights

Metformin effectively reduced cyst growth in a zebrafish model of polycystic kidney disease (PKD) linked to polycystin-2 deficiency. This suggests metformin may be a potential treatment for autosomal dominant polycystic kidney disease (ADPKD).

Area of Science:

  • Nephrology
  • Genetics
  • Pharmacology

Background:

  • Autosomal dominant polycystic kidney disease (ADPKD) is a common genetic kidney disorder.
  • Mutations in PKD1 or PKD2 cause ADPKD, leading to cyst formation.
  • Metformin shows promise in PKD1 mouse models, but its effect on PKD2 deficiency is unknown.

Purpose of the Study:

  • To investigate the therapeutic potential of metformin in a zebrafish model of polycystin-2 deficiency.
  • To elucidate the cellular mechanisms by which metformin affects cystogenesis in PKD.

Main Methods:

  • A zebrafish model (Tg(wt1b:GFP) pkd2 morphants) was used to study polycystin-2 deficiency.
  • Metformin was administered to embryos from 4 to 48 hours post-fertilization.
  • Pronephric cyst formation, cell proliferation, body curvature, leukocyte infiltration, AMPK phosphorylation, and autophagy were assessed.

Main Results:

  • Metformin significantly inhibited pronephric cyst formation (42-61%) in pkd2 morphants.
  • Treatment reduced cell proliferation, dorsal body curvature, and leukocyte infiltration.
  • Metformin increased AMPK phosphorylation and enhanced autophagy in the pronephros.

Conclusions:

  • Metformin reduces cyst formation in a zebrafish model of polycystin-2 deficiency.
  • The drug acts by activating the AMPK pathway and modulating proliferation and autophagy.
  • These findings suggest metformin as a potential therapeutic agent for ADPKD.

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