Ciarimboli Giuliano, Theil Gerit, Bialek Joanna, Edemir Bayram
Medicine Clinic D, Experimental Nephrology, University Hospital of Münster, Münster, Germany.
Clinic of Urology, University Hospital, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
Rev Physiol Biochem Pharmacol. 2021;181:81-104. doi: 10.1007/112_2020_34.
The body homeostasis is maintained mainly by the function of the kidneys, which regulate salt and water balance and excretion of metabolism waste products and xenobiotics. This important renal function is determined by the action of many transport systems, which are specifically expressed in the different parts of the nephron, the functional unit of the kidneys. These transport systems are involved, for example, in the reabsorption of sodium, glucose, and other important solutes and peptides from the primary urine. They are also important in the reabsorption of water and thereby production of a concentrated urine. However, several studies have shown the importance of transport systems for different tumor entities. Transport systems, for example, contributed to the proliferation and migration of cancer cells and thereby on tumor progression. They could also serve as drug transporters that could enable drug resistance by outward transport of, for example, chemotherapeutic agents and other drugs. Although many renal transporters have been characterized in detail with respect to the significance for proper kidney function, their role in renal cancer progression is less known. Here, we describe the types of renal cancer and review the studies that analyzed the role of organic cation transporters of the SLC22-family and of the aquaporin water channel family in kidney tumors.
机体稳态主要由肾脏功能维持,肾脏调节盐和水平衡以及代谢废物和外源性物质的排泄。这一重要的肾功能由许多转运系统的作用决定,这些转运系统在肾单位(肾脏的功能单位)的不同部位特异性表达。例如,这些转运系统参与从原尿中重吸收钠、葡萄糖以及其他重要溶质和肽。它们在水的重吸收以及由此产生浓缩尿方面也很重要。然而,多项研究表明转运系统对不同肿瘤实体的重要性。例如,转运系统促进癌细胞的增殖和迁移,从而影响肿瘤进展。它们还可作为药物转运体,通过向外转运例如化疗药物和其他药物而产生耐药性。尽管许多肾转运体关于其对正常肾功能的重要性已得到详细表征,但其在肾癌进展中的作用却鲜为人知。在此,我们描述肾癌的类型,并综述分析SLC22家族有机阳离子转运体和水通道蛋白水通道家族在肾肿瘤中作用的研究。