Effects of melanocortin 1 receptor agonists in experimental nephropathies

PLoS One. 2014 Jan 30;9(1):e87816. doi: 10.1371/journal.pone.0087816. eCollection 2014.

Abstract

Nephrotic syndrome, characterized by massive proteinuria, is caused by a large group of diseases including membranous nephropathy (MN) and focal segmental glomerulosclerosis (FSGS). Although the underlying mechanisms are beginning to unravel, therapy is unspecific and far from efficient. It has been suggested that adrenocorticotropic hormone (ACTH) has beneficial effects in patients with MN and possibly in other nephrotic diseases. We have previously reported that ACTH may act directly on podocytes through the melanocortin 1 receptor (MC1R). In the present study, we evaluate the effect of highly specific MC1R agonists in two different nephrotic disease models. Experimental MN: Passive Heymann nephritis (PHN) was induced in rats that were treated for four weeks with MS05, a selective MC1R agonist, or saline. The degree of albuminuria was significantly reduced over time and the effect was sustained one week after treatment withdrawal (p<0.05). Experimental FSGS: Based on a dose-response study, two doses of adriamycin were used for induction of nephropathy in Balb/c mice. Mice were treated with either a synthetic MC1R agonist (BMS-470539), with α-melanocyte stimulating hormone (α-MSH) or with saline. There was no beneficial effect of treatment. In summary, MC1R agonists reduce albuminuria and improve morphology in experimentally induced MN whereas they have no effect in experimental FSGS. The results illustrate the differences in these podocytopathies in terms of signaling mechanisms underlying proteinuria, and progression of disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Albuminuria / drug therapy
  • Albuminuria / metabolism
  • Animals
  • Disease Models, Animal
  • Doxorubicin / pharmacology
  • Glomerulonephritis, Membranous / drug therapy*
  • Glomerulonephritis, Membranous / metabolism
  • Glomerulosclerosis, Focal Segmental / drug therapy*
  • Glomerulosclerosis, Focal Segmental / metabolism
  • Imidazoles / pharmacology*
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Proteinuria / drug therapy
  • Proteinuria / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Receptor, Melanocortin, Type 1 / agonists*
  • Receptor, Melanocortin, Type 1 / metabolism

Substances

  • BMS-470539
  • Imidazoles
  • Receptor, Melanocortin, Type 1
  • Doxorubicin

Grants and funding

This study was supported by the Swedish Medical Research Council grants 9898 and 14764, Vinnova, the National Association for Kidney Diseases, the John and Brit Wennerström Research Foundation, IngaBritt and Arne Lundberg Research Foundation, Gambro AB and Sahlgrenska University Hospital Grant LUA75450 and the Marianne & Marcus Wallenberg Foundation and Malmö Hospital Research Funds. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.