Exploring the mTOR Pathway as a Therapeutic Target in a Mouse Model of XLAS.
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ABSTRACT: X-Linked Alport syndrome (XLAS) is a hereditary kidney disease with substantial phenotypic variability despite well-defined causal mutations in type IV collagen. To identify modifier pathways influencing disease severity, we previously generated and analyzed a population of ~200 genetically diverse outbred mice with XLAS and identified two candidate genes associated with albuminuria (Dgke and Pik3r1) both involved in the PI3K-AKT-mTOR pathway. To investigate the role of the PI3K-AKT-mTOR pathway in XLAS, we inhibited mTOR with rapamycin and found that treatment extended time to renal failure by 44%, whereas partial mTORC2 reduction via Rictor haploinsufficiency did not alter disease. A multi-drug intervention showed that rapamycin, meclizine, and fisetin significantly reduced albuminuria without improving GFR, indicating protection from kidney injury rather than restoration of filtration. Together, these findings highlight mTORC1 signaling as a key modifier of XLAS.
ORGANISM(S): Mus musculus
PROVIDER: GSE338462 | GEO | 2026/07/13
REPOSITORIES: GEO
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