1. β3 adrenergic receptor as potential therapeutic target in ADPKD.
- Author
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Schena G, Carmosino M, Chiurlia S, Onuchic L, Mastropasqua M, Maiorano E, Schena FP, and Caplan MJ
- Subjects
- Adrenergic beta-3 Receptor Antagonists pharmacology, Animals, Case-Control Studies, Cell Proliferation, Cells, Cultured, Epithelial Cells metabolism, Epithelial Cells pathology, Humans, Kidney metabolism, Kidney pathology, Male, Mice, Mice, Knockout, Polycystic Kidney, Autosomal Dominant etiology, Polycystic Kidney, Autosomal Dominant metabolism, Polycystic Kidney, Autosomal Dominant pathology, Cyclic AMP metabolism, Epithelial Cells drug effects, Kidney drug effects, Polycystic Kidney, Autosomal Dominant drug therapy, Propanolamines pharmacology, Receptors, Adrenergic, beta-3 chemistry
- Abstract
Autosomal dominant polycystic kidney disease (ADPKD) disrupts renal parenchyma through progressive expansion of fluid-filled cysts. The only approved pharmacotherapy for ADKPD involves the blockade of the vasopressin type 2 receptor (V2R). V2R is a GPCR expressed by a subset of renal tubular cells and whose activation stimulates cyclic AMP (cAMP) accumulation, which is a major driver of cyst growth. The β3-adrenergic receptor (β3-AR) is a GPCR expressed in most segments of the murine nephron, where it modulates cAMP production. Since sympathetic nerve activity, which leads to activation of the β3-AR, is elevated in patients affected by ADPKD, we hypothesize that β3-AR might constitute a novel therapeutic target. We find that administration of the selective β3-AR antagonist SR59230A to an ADPKD mouse model (Pkd1
fl/fl ;Pax8rtTA ;TetO-Cre) decreases cAMP levels, producing a significant reduction in kidney/body weight ratio and a partial improvement in kidney function. Furthermore, cystic mice show significantly higher β3-AR levels than healthy controls, suggesting a correlation between receptor expression and disease development. Finally, β3-AR is expressed in human renal tissue and localizes to cyst-lining epithelial cells in patients. Thus, β3-AR is a potentially interesting target for the development of new treatments for ADPKD., (© 2021 The Authors. Physiological Reports published by Wiley Periodicals LLC on behalf of The Physiological Society and the American Physiological Society.)- Published
- 2021
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