Department of Molecular Pharmacology and Physiology, University of South Florida, Tampa, Florida.
Hypertension and Kidney Research Center, University of South Florida, Tampa, Florida.
Physiol Rev. 2023 Jan 1;103(1):787-854. doi: 10.1152/physrev.00013.2022. Epub 2022 Aug 25.
An essential step in renal function entails the formation of an ultrafiltrate that is delivered to the renal tubules for subsequent processing. This process, known as glomerular filtration, is controlled by intrinsic regulatory systems and by paracrine, neuronal, and endocrine signals that converge onto glomerular cells. In addition, the characteristics of glomerular fluid flow, such as the glomerular filtration rate and the glomerular filtration fraction, play an important role in determining blood flow to the rest of the kidney. Consequently, disease processes that initially affect glomeruli are the most likely to lead to end-stage kidney failure. The cells that comprise the glomerular filter, especially podocytes and mesangial cells, express many different types of ion channels that regulate intrinsic aspects of cell function and cellular responses to the local environment, such as changes in glomerular capillary pressure. Dysregulation of glomerular ion channels, such as changes in TRPC6, can lead to devastating glomerular diseases, and a number of channels, including TRPC6, TRPC5, and various ionotropic receptors, are promising targets for drug development. This review discusses glomerular structure and glomerular disease processes. It also describes the types of plasma membrane ion channels that have been identified in glomerular cells, the physiological and pathophysiological contexts in which they operate, and the pathways by which they are regulated and dysregulated. The contributions of these channels to glomerular disease processes, such as focal segmental glomerulosclerosis (FSGS) and diabetic nephropathy, as well as the development of drugs that target these channels are also discussed.
在肾功能中,一个重要的步骤是形成超滤液,然后将其输送到肾小管进行后续处理。这个过程被称为肾小球滤过,它受到内在调节系统以及旁分泌、神经元和内分泌信号的控制,这些信号汇聚到肾小球细胞上。此外,肾小球液流的特征,如肾小球滤过率和肾小球滤过分数,在决定肾脏其余部分的血流量方面起着重要作用。因此,最初影响肾小球的疾病过程最有可能导致终末期肾衰竭。构成肾小球滤过器的细胞,特别是足细胞和系膜细胞,表达许多不同类型的离子通道,这些通道调节细胞功能的内在方面和细胞对局部环境的反应,如肾小球毛细血管压力的变化。肾小球离子通道的失调,如 TRPC6 的变化,可导致严重的肾小球疾病,许多通道,包括 TRPC6、TRPC5 和各种离子型受体,都是药物开发的有前途的靶点。这篇综述讨论了肾小球的结构和肾小球疾病过程。它还描述了在肾小球细胞中已经鉴定出的各种质膜离子通道,它们的作用的生理和病理生理背景,以及它们的调节和失调途径。这些通道对肾小球疾病过程(如局灶节段性肾小球硬化症和糖尿病肾病)的贡献,以及针对这些通道的药物的开发也在讨论中。
Physiol Rev. 2023-1-1
Cells. 2019-12-23
Biochim Biophys Acta Mol Basis Dis. 2019-4-4
Am J Physiol Renal Physiol. 2015-9-1
Pediatr Nephrol. 2010-12-16
Methods Mol Biol. 2013
Am J Physiol Renal Physiol. 2010-8-4
Function (Oxf). 2025-8-1
Nat Rev Nephrol. 2025-5-8
Am J Physiol Cell Physiol. 2025-7-1
Org Biomol Chem. 2025-4-16
J Am Soc Nephrol. 2025-2-1
Front Endocrinol (Lausanne). 2022
Nat Rev Nephrol. 2022-7
Front Pharmacol. 2022-2-23