Related Experiment Video
Updated: Aug 31, 2025

Implementing Patch Clamp and Live Fluorescence Microscopy to Monitor Functional Properties of Freshly Isolated PKD Epithelium
Published on: September 1, 2015
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.
Abstract:
Autosomal dominant polycystic kidney disease (ADPKD) is characterized by progressive enlargement of fluid-filled cysts, causing nephron loss and a decline in renal function. Mammalian target of rapamycin (mTOR) is overactive in cyst-lining cells and contributes to abnormal cell proliferation and cyst enlargement; however, the mechanism for mTOR stimulation remains unclear. We discovered that calcium/calmodulin (CaM) dependent kinase IV (CaMK4), a multifunctional kinase, is overexpressed in the kidneys of ADPKD patients and PKD mouse models. In human ADPKD cells, CaMK4 knockdown reduced mTOR abundance and the phosphorylation of ribosomal protein S6 kinase (S6K), a downstream target of mTOR. Pharmacologic inhibition of CaMK4 with KN-93 reduced phosphorylated S6K and S6 levels and inhibited cell proliferation and in vitro cyst formation of ADPKD cells. Moreover, inhibition of calcium/CaM-dependent protein kinase kinase-β and CaM, two key upstream regulators of CaMK4, also decreased mTOR signaling. The effects of KN-93 were independent of the liver kinase B1-adenosine monophosphate-activated protein kinase (AMPK) pathway, and the combination of KN-93 and metformin, an AMPK activator, had additive inhibitory effects on mTOR signaling and in vitro cyst growth. Our data suggest that increased CaMK4 expression and activity contribute to mTOR signaling and the proliferation of cystic cells of ADPKD kidneys.
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.
More Related Videos
15:43Assessment of Mitochondrial Functions and Cell Viability in Renal Cells Overexpressing Protein Kinase C Isozymes
Published on: January 7, 2013
07:35Use 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
Related Concept Videos
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
PI3K/mTOR/AKT Signaling Pathway
MAPK Signaling Cascades
M-Cdk Drives Transition Into Mitosis
Cyclin-dependent kinases, or Cdks, work in concert with cyclins to control cell cycle transitions. M-Cdk, a complex of Cdk1 bound to M cyclin, is a well-known example of this coordinated control that drives the transition from the G2 to the M phase.
M cyclin...
Inhibition of Cdk Activity
cAMP-dependent Protein Kinase Pathways