Kota Satya K, Kota Savithri B
Harvard School of Dental Medicine, Boston, MA, USA.
Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Drug Discov Today. 2017 Jul;22(7):1112-1122. doi: 10.1016/j.drudis.2017.04.020. Epub 2017 May 6.
Kidneys have a major role in normal physiology and metabolic homeostasis. Loss or impairment of kidney function is a common occurrence in several metabolic disorders, including hypertension and diabetes. Chronic kidney disease (CKD) affect nearly 10% of the population worldwide; ranks 18th in the list of causes of death; and contributes to a significant proportion of healthcare costs. The tissue repair and regenerative potential of kidneys are limited and they decline during aging. Recent studies have demonstrated a key role for epigenetic processes and players, such as DNA methylation, histone modifications, noncoding (nc)RNA, and so on, in both kidney development and disease. In this review, we highlight these recent findings with an emphasis on aberrant epigenetic changes that accompany renal diseases, key targets, and their therapeutic value.
肾脏在正常生理和代谢稳态中发挥着重要作用。肾功能丧失或受损在包括高血压和糖尿病在内的几种代谢性疾病中很常见。慢性肾脏病(CKD)影响着全球近10%的人口;在死因排行榜上位列第18位;并占医疗保健费用的很大一部分。肾脏的组织修复和再生潜力有限,且会随着衰老而下降。最近的研究表明,表观遗传过程和相关因子,如DNA甲基化、组蛋白修饰、非编码(nc)RNA等,在肾脏发育和疾病中都起着关键作用。在这篇综述中,我们重点介绍这些最新发现,尤其关注伴随肾脏疾病出现的异常表观遗传变化、关键靶点及其治疗价值。