Inhibition of asparagine synthetase effectively retards polycystic kidney disease progression.

ADPKD Antisense Oligonucleotides Glutamine Metabolism Glycolysis Metabolic Reprogramming

Journal

EMBO molecular medicine
ISSN: 1757-4684
Titre abrégé: EMBO Mol Med
Pays: England
ID NLM: 101487380

Informations de publication

Date de publication:
29 Apr 2024
Historique:
received: 06 10 2023
accepted: 12 04 2024
revised: 11 04 2024
medline: 30 4 2024
pubmed: 30 4 2024
entrez: 29 4 2024
Statut: aheadofprint

Résumé

Polycystic kidney disease (PKD) is a genetic disorder characterized by bilateral cyst formation. We showed that PKD cells and kidneys display metabolic alterations, including the Warburg effect and glutaminolysis, sustained in vitro by the enzyme asparagine synthetase (ASNS). Here, we used antisense oligonucleotides (ASO) against Asns in orthologous and slowly progressive PKD murine models and show that treatment leads to a drastic reduction of total kidney volume (measured by MRI) and a prominent rescue of renal function in the mouse. Mechanistically, the upregulation of an ATF4-ASNS axis in PKD is driven by the amino acid response (AAR) branch of the integrated stress response (ISR). Metabolic profiling of PKD or control kidneys treated with Asns-ASO or Scr-ASO revealed major changes in the mutants, several of which are rescued by Asns silencing in vivo. Indeed, ASNS drives glutamine-dependent de novo pyrimidine synthesis and proliferation in cystic epithelia. Notably, while several metabolic pathways were completely corrected by Asns-ASO, glycolysis was only partially restored. Accordingly, combining the glycolytic inhibitor 2DG with Asns-ASO further improved efficacy. Our studies identify a new therapeutic target and novel metabolic vulnerabilities in PKD.

Identifiants

pubmed: 38684863
doi: 10.1038/s44321-024-00071-9
pii: 10.1038/s44321-024-00071-9
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Italy Ministry of Health | Agenzia Italiana del Farmaco, Ministero della Salute (AIFA)
ID : RF-2018-12368254
Organisme : Italy Ministry of Health | Agenzia Italiana del Farmaco, Ministero della Salute (AIFA)
ID : GR-2016-02364851
Organisme : Fondazione AIRC per la ricerca sul cancro ETS (AIRC)
ID : IG2019-23513

Informations de copyright

© 2024. The Author(s).

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Auteurs

Sara Clerici (S)

Molecular Basis of Cystic Kidney Disorders Unit, Division of Genetics and Cell Biology, IRCCS, San Raffaele Scientific Institute, Milan, Italy.

Christine Podrini (C)

Molecular Basis of Cystic Kidney Disorders Unit, Division of Genetics and Cell Biology, IRCCS, San Raffaele Scientific Institute, Milan, Italy.
The BioArte Ltd, Laboratories at Malta Life Science Park (LS2.1.10, LS2.1.12-LS2.1.15), Triq San Giljan, San Gwann, SGN, 3000, Malta.

Davide Stefanoni (D)

Molecular Basis of Cystic Kidney Disorders Unit, Division of Genetics and Cell Biology, IRCCS, San Raffaele Scientific Institute, Milan, Italy.

Gianfranco Distefano (G)

Molecular Basis of Cystic Kidney Disorders Unit, Division of Genetics and Cell Biology, IRCCS, San Raffaele Scientific Institute, Milan, Italy.

Laura Cassina (L)

Molecular Basis of Cystic Kidney Disorders Unit, Division of Genetics and Cell Biology, IRCCS, San Raffaele Scientific Institute, Milan, Italy.

Maria Elena Steidl (ME)

Molecular Basis of Cystic Kidney Disorders Unit, Division of Genetics and Cell Biology, IRCCS, San Raffaele Scientific Institute, Milan, Italy.

Laura Tronci (L)

Cogentech SRL Benefit Corporation, 20139, Milan, Italy.
IFOM ETS The AIRC Institute of Molecular Oncology, Milan, Italy.

Tamara Canu (T)

Center for Experimental Imaging (CIS), IRCCS, San Raffaele Scientific Institute, Milan, Italy.

Marco Chiaravalli (M)

Molecular Basis of Cystic Kidney Disorders Unit, Division of Genetics and Cell Biology, IRCCS, San Raffaele Scientific Institute, Milan, Italy.

Daniel Spies (D)

Molecular Basis of Cystic Kidney Disorders Unit, Division of Genetics and Cell Biology, IRCCS, San Raffaele Scientific Institute, Milan, Italy.
Center for Omics Sciences (COSR), IRCCS, San Raffaele Scientific Institute, Milan, Italy.

Thomas A Bell (TA)

Ionis Pharmaceuticals, Carlsbad, CA, USA.

Ana Sh Costa (AS)

MRC, Cancer Unit Cambridge, University of Cambridge, Hutchison/MRC Research Centre, Box 197, Cambridge Biomedical Campus, Cambridge, CB2 0XZ, UK.
Matterworks, Inc, 444 Somerville Avenue, Somerville, MA, 02143, USA.

Antonio Esposito (A)

Center for Experimental Imaging (CIS), IRCCS, San Raffaele Scientific Institute, Milan, Italy.

Angelo D'Alessandro (A)

Department of Biochemistry and Molecular Genetics, University of Colorado Denver, Aurora, CO, USA.

Christian Frezza (C)

Faculty of Medicine and University Hospital Cologne, Faculty of Mathematics and Natural Sciences, Cluster of Excellence Cellular Stress Responses in Aging-associated Diseases (CECAD), Joseph-Stelzmann-Str. 26-50931, Cologne, Germany.

Angela Bachi (A)

IFOM ETS The AIRC Institute of Molecular Oncology, Milan, Italy.

Alessandra Boletta (A)

Molecular Basis of Cystic Kidney Disorders Unit, Division of Genetics and Cell Biology, IRCCS, San Raffaele Scientific Institute, Milan, Italy. boletta.alessandra@hsr.it.

Classifications MeSH