2004
DOI: 10.1111/j.1523-1755.2004.00843.x
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Cyclic AMP promotes growth and secretion in human polycystic kidney epithelial cells

Abstract: Endogenous adenylyl cyclase agonists promote cell proliferation and electrolyte secretion of human ADPKD and ARPKD cells in vitro. We suggest that increased levels of cAMP may accelerate cyst growth and overall renal enlargement in patients with PKD.

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Cited by 246 publications
(224 citation statements)
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“…For example, EGF and TGF-␣ elicit mitogenic effect in ADPKD cells by the MEK-ERK pathway through binding to receptor tyrosine kinase (21)(22)(23)(24), and cAMP promotes growth and secretion of ADPKD cells via B-Raf/MEK/ERK (21,43). Our results show that ouabain caused phosphorylation of ERK in ADPKD cells within 15 min of addition of the steroid, ERK phosphorylation was maximal at nanomolar ouabain concentrations, and inhibition of MEK blocked the effect.…”
Section: Discussionmentioning
confidence: 53%
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“…For example, EGF and TGF-␣ elicit mitogenic effect in ADPKD cells by the MEK-ERK pathway through binding to receptor tyrosine kinase (21)(22)(23)(24), and cAMP promotes growth and secretion of ADPKD cells via B-Raf/MEK/ERK (21,43). Our results show that ouabain caused phosphorylation of ERK in ADPKD cells within 15 min of addition of the steroid, ERK phosphorylation was maximal at nanomolar ouabain concentrations, and inhibition of MEK blocked the effect.…”
Section: Discussionmentioning
confidence: 53%
“…Therefore, under physiologic conditions, endogenous ouabain can readily activate the MEK-ERK pathway in the cyst cells of ADPKD kidneys, representing a factor that may have a direct impact on the growth of the cysts. A variety of circulating factors, hormones, and autocoids have been shown to stimulate the proliferation of renal cyst epithelial cells (21,27,(23)(24)(25)48,49). This study is the first to demonstrate that ouabain, an endogenous steroid hormone, has a positive effect on proliferation of ADPKD cells.…”
Section: Discussionmentioning
confidence: 72%
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“…Experimental studies have implicated a central role for cAMP in promoting cyst growth (6). cAMP stimulates cyst formation by promoting chloride-driven fluid secretion and by stimulating activation and proliferation of cyst-derived cells (7). In line with this potential detrimental role of VP are the findings in animal models of polycystic kidney disease, in which blocking the effect of VP (and consequently decreasing cAMP levels) by a pharmacologic agent (8)(9)(10) or by drinking more water (11) led to reduction of cyst formation and renal function preservation.…”
Section: Introductionmentioning
confidence: 99%
“…Exposure to cAMP agonists stimulates fluid secretion across monolayers of ADPKD cyst-lining epithelial cells (6), as well as the proliferation of these cells (7). Furthermore, increased levels of cAMP resulting from the activation of vasopressin (AVP) V2 receptor (V2R) pathway in CD cells may contribute to the progression of cystogenesis.…”
mentioning
confidence: 99%