Liang Shan, Wu Yun-Shan, Li Dong-Yi, Tang Ji-Xin, Liu Hua-Feng
1Key Laboratory of Prevention and Management of Chronic Kidney Disease of Zhanjiang, Institute of Nephrology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, China.
2Shunde Women and Children's Hospital, Guangdong Medical University (Foshan Shunde Maternal and Child Healthcare Hospital), Foshan, Guangdong, China.
Aging Dis. 2022 Jun 1;13(3):712-731. doi: 10.14336/AD.2021.1027. eCollection 2022 Jun.
Renal fibrosis is a common process of almost all the chronic kidney diseases progressing to end-stage kidney disease. As a highly conserved lysosomal protein degradation pathway, autophagy is responsible for degrading protein aggregates, damaged organelles, or invading pathogens to maintain intracellular homeostasis. Growing evidence reveals that autophagy is involved in the progression of renal fibrosis, both in the tubulointerstitial compartment and in the glomeruli. Nevertheless, the specific role of autophagy in renal fibrosis has still not been fully understood. Therefore, in this review we will describe the characteristics of autophagy and summarize the recent advances in understanding the functions of autophagy in renal fibrosis. Moreover, the problem existing in this field and the possibility of autophagy as the potential therapeutic target for renal fibrosis have also been discussed.
肾纤维化是几乎所有慢性肾脏病进展至终末期肾病的常见过程。作为一种高度保守的溶酶体蛋白降解途径,自噬负责降解蛋白质聚集体、受损细胞器或入侵病原体,以维持细胞内稳态。越来越多的证据表明,自噬参与肾纤维化的进展,在肾小管间质区室和肾小球中均有涉及。然而,自噬在肾纤维化中的具体作用仍未完全明确。因此,在本综述中,我们将描述自噬的特征,并总结在理解自噬在肾纤维化中功能方面的最新进展。此外,还讨论了该领域存在的问题以及自噬作为肾纤维化潜在治疗靶点的可能性。