Academic Journal

Preclinical evaluation of tolvaptan and salsalate combination therapy in a Pkd1-mouse model

التفاصيل البيبلوغرافية
العنوان: Preclinical evaluation of tolvaptan and salsalate combination therapy in a Pkd1-mouse model
المؤلفون: Xuewen Song, Wouter N. Leonhard, Anish A. Kanhai, Gregory R. Steinberg, York Pei, Dorien J. M. Peters
المصدر: Frontiers in Molecular Biosciences, Vol 10 (2023)
بيانات النشر: Frontiers Media S.A., 2023.
سنة النشر: 2023
المجموعة: LCC:Biology (General)
مصطلحات موضوعية: salsalate, tolvaptan, combination therapy, preclinical trial, gene expression profiling, ADPKD, Biology (General), QH301-705.5
الوصف: Background: Autosomal dominant polycystic kidney disease (ADPKD) is the most common genetic disorder and an important cause of end stage renal disease (ESRD). Tolvaptan (a V2R antagonist) is the first disease modifier drug for treatment of ADPKD, but also causes severe polyuria. AMPK activators have been shown to attenuate cystic kidney disease.Methods: In this study, we tested the efficacy of the combined administration of salsalate (a direct AMPK activator) and tolvaptan using clinically relevant doses in an adult-onset conditional Pkd1 knock-out (KO) mouse model.Results: Compared to untreated Pkd1 mutant mice, the therapeutic effects of salsalate were similar to that of tolvaptan. The combined treatment tended to be more effective than individual drugs used alone, and was associated with improved kidney survival (p < 0.0001) and reduced kidney weight to body weight ratio (p < 0.0001), cystic index (p < 0.001) and blood urea levels (p < 0.001) compared to untreated animals, although the difference between combination and single treatments was not statistically significant. Gene expression profiling and protein expression and phosphorylation analyses support the mild beneficial effects of co-treatment, and showed that tolvaptan and salsalate cooperatively attenuated kidney injury, cell proliferation, cell cycle progression, inflammation and fibrosis, and improving mitochondrial health, and cellular antioxidant response.Conclusion: These data suggest that salsalate-tolvaptan combination, if confirmed in clinical testing, might represent a promising therapeutic strategy in the treatment of ADPKD.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2296-889X
Relation: https://www.frontiersin.org/articles/10.3389/fmolb.2023.1058825/full; https://doaj.org/toc/2296-889X
DOI: 10.3389/fmolb.2023.1058825
URL الوصول: https://doaj.org/article/48d465f4278047878c9c9eb75b978439
رقم الانضمام: edsdoj.48d465f4278047878c9c9eb75b978439
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:2296889X
DOI:10.3389/fmolb.2023.1058825