Srivastava Anjali, Tomar Bhawna, Sharma Divyansh, Rath Srikanta Kumar
Division of Toxicology and Experimental Medicine, CSIR-Central Drug Research Institute, Lucknow 226031, India.
Division of Toxicology and Experimental Medicine, CSIR-Central Drug Research Institute, Lucknow 226031, India; Academy of Scientific and Innovative Research (AcSIR), Ghaziabad 201002, India.
Life Sci. 2023 Apr 15;319:121432. doi: 10.1016/j.lfs.2023.121432. Epub 2023 Jan 24.
Chronic kidney disease (CKD) is associated with a variety of distinct disease processes that permanently change the function and structure of the kidney across months or years. CKD is characterized as a glomerular filtration defect or proteinuria that lasts longer than three months. In most instances, CKD leads to end-stage kidney disease (ESKD), necessitating kidney transplantation. Mitochondrial dysfunction is a typical response to damage in CKD patients. Despite the abundance of mitochondria in the kidneys, variations in mitochondrial morphological and functional characteristics have been associated with kidney inflammatory responses and injury during CKD. Despite these variations, CKD is frequently used to define some classic signs of mitochondrial dysfunction, including altered mitochondrial shape and remodeling, increased mitochondrial oxidative stress, and a marked decline in mitochondrial biogenesis and ATP generation. With a focus on the most significant developments and novel understandings of the involvement of mitochondrial remodeling in the course of CKD, this article offers a summary of the most recent advances in the sources of procured mitochondrial dysfunction in the advancement of CKD. Understanding mitochondrial biology and function is crucial for developing viable treatment options for CKD.
慢性肾脏病(CKD)与多种不同的疾病过程相关,这些过程会在数月或数年的时间里永久性地改变肾脏的功能和结构。CKD的特征是肾小球滤过缺陷或蛋白尿持续超过三个月。在大多数情况下,CKD会导致终末期肾病(ESKD),需要进行肾脏移植。线粒体功能障碍是CKD患者损伤的典型反应。尽管肾脏中存在大量线粒体,但线粒体形态和功能特征的变化与CKD期间的肾脏炎症反应和损伤有关。尽管存在这些变化,但CKD常被用于定义线粒体功能障碍的一些经典体征,包括线粒体形状改变和重塑、线粒体氧化应激增加以及线粒体生物发生和ATP生成显著下降。本文聚焦于线粒体重塑在CKD病程中作用的最重要进展和新认识,总结了CKD进展过程中获得性线粒体功能障碍来源的最新研究进展。了解线粒体生物学和功能对于开发可行的CKD治疗方案至关重要。
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