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Effectiveness and mechanistic effects of green mamba peptide MQ232 in an orthologous mouse model of Autosomal Dominant Polycystic Kidney Disease - PubMed

3 hours ago
  • #ADPKD
  • #peptide therapy
  • #V2 receptor
  • MQ232, a green mamba-derived peptide and V2R inverse agonist, was tested in Pkd1RC/RC mice as a potential treatment for ADPKD.
  • MQ232 and tolvaptan equally attenuated polycystic kidney disease in mice, despite dose-dependent differences in cAMP reduction and urine output.
  • High doses of MQ232 and tolvaptan may activate cAMP-independent pathways (e.g., Src, ERK), potentially limiting therapeutic benefits.
  • Both compounds downregulated PAPPA, but MQ232 uniquely inhibited IGF1Rβ phosphorylation compared to tolvaptan.
  • The study suggests that titrating V2R inverse agonists to maximally tolerated doses may not be optimal due to activation of alternative cystogenic pathways.