NS398 as a potential drug for autosomal-dominant polycystic kidney disease: Analysis using bioinformatics, and

Sixiu Chen1, Linxi Huang1,2, Shoulian Zhou1,2

  • 1Division of Nephrology, Kidney Institute of People's Liberation Army (PLA), Changzheng Hospital, Second Military Medical University, Shanghai, China.

Insights

Autosomal-dominant polycystic kidney disease (ADPKD) shows promise with repurposed cancer drugs. The compound NS398 effectively inhibited cyst formation in preclinical models, suggesting a new therapeutic avenue for ADPKD.

Area of Science:

  • Biochemistry
  • Genetics
  • Pharmacology

Background:

  • Autosomal-dominant polycystic kidney disease (ADPKD) is a genetic disorder causing kidney cysts with limited treatment options.
  • Clear-cell renal cell carcinoma (ccRCC) shares biological similarities with ADPKD, yet the underlying mechanisms are not fully understood.
  • Investigating shared pathways could reveal novel therapeutic strategies for ADPKD.

Purpose of the Study:

  • To identify common and distinct molecular pathways between ADPKD and ccRCC using bioinformatics.
  • To explore the repurposing of existing cancer drugs for ADPKD treatment.
  • To evaluate the therapeutic potential of identified compounds in ADPKD models.

Main Methods:

  • Analysis of gene expression datasets for ADPKD and ccRCC to find differentially expressed genes (DEGs).
  • Utilizing the Connectivity Map database to identify potential therapeutic small molecules targeting DEGs.
  • In vitro cell proliferation assays and in vivo studies using zebrafish and mouse models of ADPKD.

Main Results:

  • Identified 117 significant DEGs common to ADPKD and ccRCC, enriched in arachidonic acid metabolism and p53 signaling pathways.
  • Discovered 127 ccRCC-specific upregulated genes associated with patient survival.
  • The compound NS398 inhibited proliferation in Pkd1-/- and 786-0 cells and reduced cystogenesis in Pkd2 zebrafish and Pkd1-deficient mice.

Conclusions:

  • NS398 demonstrates therapeutic potential for ADPKD by targeting shared molecular pathways.
  • Drug repurposing from cancer research offers a viable strategy for ADPKD treatment.
  • Further investigation into NS398 could lead to a novel therapy for ADPKD.