Pyrimethamine inhibits adult polycystic kidney disease by modulating STAT signaling pathways

Hum Mol Genet. 2011 Nov 1;20(21):4143-54. doi: 10.1093/hmg/ddr338. Epub 2011 Aug 5.

Abstract

Autosomal dominant polycystic kidney disease (ADPKD) is a commonly inherited disorder mostly caused by mutations in PKD1, encoding polycystin-1 (PC1). The disease is characterized by development and growth of epithelium-lined cyst in both kidneys, often leading to renal failure. There is no specific treatment for this disease. Here, we report a sustained activation of the transcription factor signal transducer and activator of transcription 3 (STAT3) in ischemic injured and uninjured Pkd1 knockout polycystic kidneys and in human ADPKD kidneys. Through a chemical library screen, we identified the anti-parasitic compound pyrimethamine as an inhibitor of STAT3 function. Treatment with pyrimethamine decreases cell proliferation in human ADPKD cells and blocks renal cyst formation in an adult and a neonatal PKD mouse model. Moreover, we demonstrated that a specific STAT3 inhibitor, S3I-201, reduces cyst formation and growth in a neonatal PKD mouse model. Our results suggest that PC1 acts as a negative regulator of STAT3 and that blocking STAT3 signaling with pyrimethamine or similar drugs may be an attractive therapy for human ADPKD.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aminosalicylic Acids / pharmacology
  • Animals
  • Animals, Newborn
  • Benzenesulfonates / pharmacology
  • Cell Line
  • Cysts / metabolism
  • Cysts / pathology
  • Cysts / prevention & control
  • Disease Models, Animal
  • Gene Expression / drug effects
  • Genes, Reporter / genetics
  • Humans
  • Kidney / drug effects
  • Kidney / metabolism
  • Kidney / pathology
  • Mice
  • Mice, Knockout
  • Phosphorylation / drug effects
  • Phosphotyrosine / metabolism
  • Polycystic Kidney, Autosomal Dominant / metabolism
  • Polycystic Kidney, Autosomal Dominant / pathology
  • Polycystic Kidney, Autosomal Dominant / prevention & control*
  • Pyrimethamine / pharmacology*
  • STAT3 Transcription Factor / antagonists & inhibitors
  • STAT3 Transcription Factor / metabolism*
  • Signal Transduction / drug effects*

Substances

  • Aminosalicylic Acids
  • Benzenesulfonates
  • NSC 74859
  • STAT3 Transcription Factor
  • Phosphotyrosine
  • Pyrimethamine