Triptolide is a traditional Chinese medicine-derived inhibitor of polycystic kidney disease

SJ Leuenroth, D Okuhara… - Proceedings of the …, 2007 - National Acad Sciences
SJ Leuenroth, D Okuhara, JD Shotwell, GS Markowitz, Z Yu, S Somlo, CM Crews
Proceedings of the National Academy of Sciences, 2007National Acad Sciences
During kidney organogenesis, tubular epithelial cells proliferate until a functional tubule is
formed as sensed by cilia bending in response to fluid flow. This flow-induced ciliary
mechanosensation opens the calcium (Ca2+) channel polycystin-2 (PC2), resulting in a
calcium flux-mediated cell cycle arrest. Loss or mutation of either PC2 or its regulatory
protein polycystin-1 (PC1) results in autosomal dominant polycystic kidney disease
(ADPKD), characterized by cyst formation and growth and often leading to renal failure and …
During kidney organogenesis, tubular epithelial cells proliferate until a functional tubule is formed as sensed by cilia bending in response to fluid flow. This flow-induced ciliary mechanosensation opens the calcium (Ca2+) channel polycystin-2 (PC2), resulting in a calcium flux-mediated cell cycle arrest. Loss or mutation of either PC2 or its regulatory protein polycystin-1 (PC1) results in autosomal dominant polycystic kidney disease (ADPKD), characterized by cyst formation and growth and often leading to renal failure and death. Here we show that triptolide, the active diterpene in the traditional Chinese medicine Lei Gong Teng, induces Ca2+ release by a PC2-dependent mechanism. Furthermore, in a murine model of ADPKD, triptolide arrests cellular proliferation and attenuates overall cyst formation by restoring Ca2+ signaling in these cells. We anticipate that small molecule induction of PC2-dependent calcium release is likely to be a valid therapeutic strategy for ADPKD.
National Acad Sciences