Division of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.
Division of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan Division of Chronic Kidney Disease Pathophysiology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.
Nephrol Dial Transplant. 2016 Jul;31(7):1062-9. doi: 10.1093/ndt/gfv317. Epub 2015 Sep 1.
Acute kidney injury (AKI) is a common clinical entity that is associated with high mortality and morbidity. It is a risk factor for the development and progression of chronic kidney disease. Presently, no effective treatment for AKI is available, and novel therapeutic approaches are desperately needed. Accumulating evidence highlights mitochondrial dysfunction as an important factor in the pathogenesis of AKI. Recent advances in our understanding of the molecules involved in mitochondrial biogenesis, fusion/fission, mitophagy and their pathophysiological roles will lead to the development of drugs that target mitochondria for the treatment of various diseases, including AKI. In this review, we summarize current knowledge of the contribution of mitochondria-related pathophysiology in AKI and the prospective benefits of mitochondria-targeting therapeutic approaches against AKI.
急性肾损伤(AKI)是一种常见的临床病症,与高死亡率和高发病率相关。它是慢性肾脏病发展和进展的一个风险因素。目前,尚无 AKI 的有效治疗方法,急需新的治疗方法。越来越多的证据表明,线粒体功能障碍是 AKI 发病机制中的一个重要因素。我们对参与线粒体生物发生、融合/分裂、线粒体自噬的分子及其病理生理作用的理解的最新进展,将导致开发针对各种疾病(包括 AKI)的靶向线粒体的药物。在这篇综述中,我们总结了线粒体相关病理生理学在 AKI 中的作用以及针对 AKI 的靶向线粒体治疗方法的预期益处的最新知识。