EOS789, pan‐phosphate transporter inhibitor, ameliorates the progression of kidney injury in anti‐GBM‐induced glomerulonephritis rats

Abstract Hyperphosphatemia associated with chronic kidney disease (CKD) not only dysregulates mineral metabolism and bone diseases, but also strongly contributes to the progression of kidney disease itself. We have identified a novel drug for hyperphosphatemia, EOS789, that interacts with several so...

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Main Authors: Yoshinori Tsuboi, Yasuhiro Ichida, Atsuko Murai, Akira Maeda, Manami Iida, Atsuhiko Kato, Shuichi Ohtomo, Naoshi Horiba
Format: Article
Language:English
Published: Wiley 2022-06-01
Series:Pharmacology Research & Perspectives
Subjects:
Online Access:https://doi.org/10.1002/prp2.973
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author Yoshinori Tsuboi
Yasuhiro Ichida
Atsuko Murai
Akira Maeda
Manami Iida
Atsuhiko Kato
Shuichi Ohtomo
Naoshi Horiba
author_facet Yoshinori Tsuboi
Yasuhiro Ichida
Atsuko Murai
Akira Maeda
Manami Iida
Atsuhiko Kato
Shuichi Ohtomo
Naoshi Horiba
author_sort Yoshinori Tsuboi
collection DOAJ
description Abstract Hyperphosphatemia associated with chronic kidney disease (CKD) not only dysregulates mineral metabolism and bone diseases, but also strongly contributes to the progression of kidney disease itself. We have identified a novel drug for hyperphosphatemia, EOS789, that interacts with several sodium‐dependent phosphate transporters (NaPi‐IIb, PiT‐1, and PiT‐2) known to contribute to intestinal phosphate absorption. In this study, we investigated whether EOS789 could ameliorate kidney disease progression in glomerulonephritis rats. Anti‐glomerular basement membrane (GBM) nephritis was induced in rats by intravenously administering two types of anti‐rat GBM antibodies. We evaluated the effect of EOS789 administered in food admixture on hyperphosphatemia and kidney disease progression. In an anti‐GBM nephritis rats, which exhibit a significant increase in serum phosphate and a decline in renal function, EOS789 dose‐dependently improved hyperphosphatemia and EOS789 at 0.3% food admixture significantly ameliorated kidney dysfunction as shown in the decline of serum creatinine and BUN. Renal histopathology analysis showed that EOS789 significantly decreased crescent formation in glomeruli. To elucidate the mechanism underlying glomerular disease progression, human mesangial cells were used. High phosphate concentration in media significantly increased the expression of Collagen 1A1, 3A1, and αSMA mRNA in human mesangial cells and EOS789 dose‐dependently suppressed these fibrotic markers. These results indicate that EOS789 prevented glomerular crescent formation caused by mesangial fibrosis by ameliorating hyperphosphatemia. In conclusion, EOS789 would not only be useful against hyperphosphatemia but may also have the potential to relieve mesangial proliferative glomerulonephritis with crescent formation.
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spelling doaj.art-a72a36671cf9417faac34bd3b49b17182022-12-22T00:57:49ZengWileyPharmacology Research & Perspectives2052-17072022-06-01103n/an/a10.1002/prp2.973EOS789, pan‐phosphate transporter inhibitor, ameliorates the progression of kidney injury in anti‐GBM‐induced glomerulonephritis ratsYoshinori Tsuboi0Yasuhiro Ichida1Atsuko Murai2Akira Maeda3Manami Iida4Atsuhiko Kato5Shuichi Ohtomo6Naoshi Horiba7Research Division Chugai Pharmaceutical Co., Ltd. Gotemba Shizuoka JapanResearch Division Chugai Pharmaceutical Co., Ltd. Gotemba Shizuoka JapanTranslational Research Division Chugai Pharmaceutical Co., Ltd. Gotemba Shizuoka JapanResearch Division Chugai Pharmaceutical Co., Ltd. Gotemba Shizuoka JapanResearch Division Chugai Pharmaceutical Co., Ltd. Gotemba Shizuoka JapanTranslational Research Division Chugai Pharmaceutical Co., Ltd. Gotemba Shizuoka JapanTranslational Research Division Chugai Pharmaceutical Co., Ltd. Gotemba Shizuoka JapanResearch Division Chugai Pharmaceutical Co., Ltd. Gotemba Shizuoka JapanAbstract Hyperphosphatemia associated with chronic kidney disease (CKD) not only dysregulates mineral metabolism and bone diseases, but also strongly contributes to the progression of kidney disease itself. We have identified a novel drug for hyperphosphatemia, EOS789, that interacts with several sodium‐dependent phosphate transporters (NaPi‐IIb, PiT‐1, and PiT‐2) known to contribute to intestinal phosphate absorption. In this study, we investigated whether EOS789 could ameliorate kidney disease progression in glomerulonephritis rats. Anti‐glomerular basement membrane (GBM) nephritis was induced in rats by intravenously administering two types of anti‐rat GBM antibodies. We evaluated the effect of EOS789 administered in food admixture on hyperphosphatemia and kidney disease progression. In an anti‐GBM nephritis rats, which exhibit a significant increase in serum phosphate and a decline in renal function, EOS789 dose‐dependently improved hyperphosphatemia and EOS789 at 0.3% food admixture significantly ameliorated kidney dysfunction as shown in the decline of serum creatinine and BUN. Renal histopathology analysis showed that EOS789 significantly decreased crescent formation in glomeruli. To elucidate the mechanism underlying glomerular disease progression, human mesangial cells were used. High phosphate concentration in media significantly increased the expression of Collagen 1A1, 3A1, and αSMA mRNA in human mesangial cells and EOS789 dose‐dependently suppressed these fibrotic markers. These results indicate that EOS789 prevented glomerular crescent formation caused by mesangial fibrosis by ameliorating hyperphosphatemia. In conclusion, EOS789 would not only be useful against hyperphosphatemia but may also have the potential to relieve mesangial proliferative glomerulonephritis with crescent formation.https://doi.org/10.1002/prp2.973anti‐GBM nephritis ratscrescentEOS789hyperphosphatemia
spellingShingle Yoshinori Tsuboi
Yasuhiro Ichida
Atsuko Murai
Akira Maeda
Manami Iida
Atsuhiko Kato
Shuichi Ohtomo
Naoshi Horiba
EOS789, pan‐phosphate transporter inhibitor, ameliorates the progression of kidney injury in anti‐GBM‐induced glomerulonephritis rats
Pharmacology Research & Perspectives
anti‐GBM nephritis rats
crescent
EOS789
hyperphosphatemia
title EOS789, pan‐phosphate transporter inhibitor, ameliorates the progression of kidney injury in anti‐GBM‐induced glomerulonephritis rats
title_full EOS789, pan‐phosphate transporter inhibitor, ameliorates the progression of kidney injury in anti‐GBM‐induced glomerulonephritis rats
title_fullStr EOS789, pan‐phosphate transporter inhibitor, ameliorates the progression of kidney injury in anti‐GBM‐induced glomerulonephritis rats
title_full_unstemmed EOS789, pan‐phosphate transporter inhibitor, ameliorates the progression of kidney injury in anti‐GBM‐induced glomerulonephritis rats
title_short EOS789, pan‐phosphate transporter inhibitor, ameliorates the progression of kidney injury in anti‐GBM‐induced glomerulonephritis rats
title_sort eos789 pan phosphate transporter inhibitor ameliorates the progression of kidney injury in anti gbm induced glomerulonephritis rats
topic anti‐GBM nephritis rats
crescent
EOS789
hyperphosphatemia
url https://doi.org/10.1002/prp2.973
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