细胞衰老与慢性肾脏病之间的相互作用作为一种治疗契机。

The interaction between cellular senescence and chronic kidney disease as a therapeutic opportunity.

作者信息

Zhao Jing-Li, Qiao Xiao-Hui, Mao Jian-Hua, Liu Fei, Fu Hai-Dong

机构信息

Department of Nephrology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.

Department of Pediatric Internal Medicine, Ningbo Women and Children's Hospital, Ningbo, China.

出版信息

Front Pharmacol. 2022 Aug 26;13:974361. doi: 10.3389/fphar.2022.974361. eCollection 2022.

Abstract

Chronic kidney disease (CKD) is an increasingly serious public health problem in the world, but the effective therapeutic approach is quite limited at present. Cellular senescence is characterized by the irreversible cell cycle arrest, senescence-associated secretory phenotype (SASP) and senescent cell anti-apoptotic pathways (SCAPs). Renal senescence shares many similarities with CKD, including etiology, mechanism, pathological change, phenotype and outcome, however, it is difficult to judge whether renal senescence is a trigger or a consequence of CKD, since there is a complex correlation between them. A variety of cellular signaling mechanisms are involved in their interactive association, which provides new potential targets for the intervention of CKD, and then extends the researches on senotherapy. Our review summarizes the common features of renal senescence and CKD, the interaction between them, the strategies of senotherapy, and the open questions for future research.

摘要

慢性肾脏病(CKD)是全球日益严重的公共卫生问题,但目前有效的治疗方法相当有限。细胞衰老的特征是不可逆的细胞周期停滞、衰老相关分泌表型(SASP)和衰老细胞抗凋亡途径(SCAPs)。肾脏衰老与CKD有许多相似之处,包括病因、机制、病理变化、表型和结局,然而,由于它们之间存在复杂的相关性,很难判断肾脏衰老究竟是CKD的触发因素还是结果。多种细胞信号传导机制参与了它们的相互作用,这为CKD的干预提供了新的潜在靶点,进而拓展了衰老疗法的研究。我们的综述总结了肾脏衰老和CKD的共同特征、它们之间的相互作用、衰老疗法的策略以及未来研究的开放性问题。

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