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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Physiol+Renal+Physiol
2014 ; 307
(11
): F1179-86
Nephropedia Template TP
gab.com Text
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English Wikipedia
Novel inhibitors of nuclear transport cause cell cycle arrest and decrease cyst
growth in ADPKD associated with decreased CDK4 levels
#MMPMID25234309
Tan M
; Wettersten HI
; Chu K
; Huso DL
; Watnick T
; Friedlander S
; Landesman Y
; Weiss RH
Am J Physiol Renal Physiol
2014[Dec]; 307
(11
): F1179-86
PMID25234309
show ga
Autosomal-dominant polycystic kidney disease (ADPKD) is a progressive,
proliferative renal disease. Kidneys from ADPKD patients are characterized by the
presence of cysts that are marked by enhanced proliferation and apoptosis of
renal tubular epithelial cells. Current treatment of this disease is supportive,
as there are few if any clinically validated targeted therapeutics. Given the
parallels between cystic disease and cancer, and in light of our findings of the
efficacy of the nuclear transport inhibitors in kidney cancer, which has
similarities to ADPKD, we asked whether such inhibitors show utility in ADPKD. In
this study, we tested selective inhibitors of nuclear export (SINE) in two human
ADPKD cell lines and in an in vivo mouse model of ADPKD. After effective
downregulation of a nuclear exporter, exportin 1 (XPO1), with KPT-330, both cell
lines showed dose-dependent inhibition of cell proliferation through G?/G? arrest
associated with downregulation of CDK4, with minimal apoptosis. To analyze
mechanisms of CDK4 decrease by XPO1 inhibition, localization of various XPO1
target proteins was examined, and C/EBP? was found to be localized in the nucleus
by XPO1 inhibition, resulting in an increase of C/EBP?, which activates
degradation of CDK4. Furthermore, inhibition of XPO1 with the parallel inhibitor
KPT-335 attenuated cyst growth in vivo in the PKD1 mutant mouse model Pkd1(v/v).
Thus, inhibition of nuclear export by KPT-330, which has shown no adverse effects
in renal serum chemistries and urinalyses in animal models, and which is already
in phase 1 trials for cancers, will be rapidly translatable to human ADPKD.