CaMK4 overexpression in polycystic kidney disease promotes mTOR-mediated cell proliferation

Yan Zhang1,2, Emily A Daniel1,2, July Metcalf1,2

  • 1Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS 66160-3018, USA.

Insights

Calcium/calmodulin-dependent kinase IV (CaMK4) overactivity drives mammalian target of rapamycin (mTOR) signaling, promoting cyst growth in autosomal dominant polycystic kidney disease (ADPKD). Inhibiting CaMK4 reduces proliferation in ADPKD kidney cells.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Biochemistry

Background:

  • Autosomal dominant polycystic kidney disease (ADPKD) involves progressive kidney cyst enlargement and nephron loss.
  • Overactive mammalian target of rapamycin (mTOR) signaling contributes to ADPKD cyst growth, but its upstream activators are not fully understood.

Purpose of the Study:

  • To investigate the role of calcium/calmodulin-dependent kinase IV (CaMK4) in ADPKD pathogenesis.
  • To determine if CaMK4 contributes to mTOR activation and cyst cell proliferation in ADPKD.

Main Methods:

  • Assessed CaMK4 expression in human ADPKD kidneys and mouse models.
  • Utilized CaMK4 knockdown and pharmacologic inhibition (KN-93) in human ADPKD cells.
  • Examined the impact on mTOR signaling, cell proliferation, and in vitro cyst formation.
  • Investigated upstream regulators of CaMK4 and its interaction with the AMPK pathway.

Main Results:

  • CaMK4 is overexpressed in ADPKD kidneys.
  • CaMK4 inhibition reduced mTOR signaling, S6K phosphorylation, and ADPKD cell proliferation and cyst formation.
  • Inhibition of CaMK4 upstream regulators also decreased mTOR signaling.
  • Combined CaMK4 inhibition and metformin (AMPK activator) showed additive effects on inhibiting mTOR signaling and cyst growth.

Conclusions:

  • Increased CaMK4 expression and activity are key drivers of mTOR signaling in ADPKD.
  • CaMK4 inhibition represents a potential therapeutic strategy for ADPKD by targeting cyst cell proliferation.

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