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Insulin-like growth factor-1 induces hyperproliferation of PKD1 cystic cells via a Ras/Raf dependent signalling pathway

Parker, E., Newby, L.J., Sharpe, C.C., Rossetti, S., Streets, A.J., Harris, P.C., O'Hare, O.J. and Ong, A.C.M. (2007) Insulin-like growth factor-1 induces hyperproliferation of PKD1 cystic cells via a Ras/Raf dependent signalling pathway. Kidney International, 72 (2). pp. 157-165. ISSN 0085-2538


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Autosomal dominant polycystic kidney disease (ADPKD) largely results from mutations in the PKD1 gene leading to hyperproliferation of renal tubular epithelial cells and consequent cyst formation. Rodent models of PKD suggest that the multifunctional hormone insulin-like growth factor-1 (IGF-1) could play a pathogenic role in renal cyst formation. In order to test this possibility, conditionally immortalized renal epithelial cells were prepared from normal individuals and from ADPKD patients with known germline mutations in PKD1. All patient cell lines had a decreased or absence of polycystin-1 but not polycystin-2. These cells had an increased sensitivity to IGF-1 and to cyclic AMP, which required phosphatidylinositol-3 (PI3)-kinase and the mitogen-activated protein kinase, extracellular signal-regulated protein kinase (ERK) for enhanced growth. Inhibition of Ras or Raf abolished the stimulated cell proliferation. Our results suggest that haploinsufficiency of polycystin-1 lowers the activation threshold of the Ras/Raf signalling system leading to growth factor-induced hyperproliferation. Inhibition of Ras or Raf activity may be a therapeutic option for decreasing tubular cell proliferation in ADPKD.

Item Type: Article
Copyright, Publisher and Additional Information: © 2007 Nature. This is an author produced version of a paper subsequently published in Kidney International. Uploaded in accordance with the publisher's self-archiving policy.
Keywords: polycystic kidney disease, ADPKD, proliferation, PKD1, IGF-1, polycystin-1
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Medicine (Sheffield) > Clinical Sciences Division North (Sheffield) > Sheffield Kidney Institute
Depositing User: Miss Anthea Tucker
Date Deposited: 11 Aug 2009 08:53
Last Modified: 08 Feb 2013 16:58
Published Version: http://dx.doi.org/10.1038/sj.ki.5002229
Status: Published
Publisher: Nature Publishing Group
Refereed: Yes
Identification Number: 10.1038/sj.ki.5002229
URI: http://eprints.whiterose.ac.uk/id/eprint/9070

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