The role of lipotoxicity in kidney disease: From molecular mechanisms to therapeutic prospects

Lipotoxicity is the dysregulation of the lipid environment and/or intracellular composition that leads to accumulation of harmful lipids and ultimately to organelle dysfunction, abnormal activation of intracellular signaling pathways, chronic inflammation and cell death. It plays an important role i...

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Main Authors: Linan Ren, Haiying Cui, Yao Wang, Feng Ju, Yunjia Cai, Xiaokun Gang, Guixia Wang
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Biomedicine & Pharmacotherapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0753332223002536
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author Linan Ren
Haiying Cui
Yao Wang
Feng Ju
Yunjia Cai
Xiaokun Gang
Guixia Wang
author_facet Linan Ren
Haiying Cui
Yao Wang
Feng Ju
Yunjia Cai
Xiaokun Gang
Guixia Wang
author_sort Linan Ren
collection DOAJ
description Lipotoxicity is the dysregulation of the lipid environment and/or intracellular composition that leads to accumulation of harmful lipids and ultimately to organelle dysfunction, abnormal activation of intracellular signaling pathways, chronic inflammation and cell death. It plays an important role in the development of acute kidney injury and chronic kidney disease, including diabetic nephropathy, obesity-related glomerulopathy, age-related kidney disease, polycystic kidney disease, and the like. However, the mechanisms of lipid overload and kidney injury remain poorly understood. Herein, we discuss two pivotal aspects of lipotoxic kidney injury. First, we analyzed the mechanism of lipid accumulation in the kidney. Accumulating data indicate that the mechanisms of lipid overload in different kidney diseases are inconsistent. Second, we summarize the multiple mechanisms by which lipotoxic species affect the kidney cell behavior, including oxidative stress, endoplasmic reticulum stress, mitochondrial dysfunction, dysregulated autophagy, and inflammation, highlighting the central role of oxidative stress. Blocking the molecular pathways of lipid accumulation in the kidney and the damage of the kidney by lipid overload may be potential therapeutic targets for kidney disease, and antioxidant drugs may play a pivotal role in the treatment of kidney disease in the future.
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spelling doaj.art-01efa92b84754b339ba8d421c160274d2023-03-29T09:22:28ZengElsevierBiomedicine & Pharmacotherapy0753-33222023-05-01161114465The role of lipotoxicity in kidney disease: From molecular mechanisms to therapeutic prospectsLinan Ren0Haiying Cui1Yao Wang2Feng Ju3Yunjia Cai4Xiaokun Gang5Guixia Wang6Department of Endocrinology and Metabolism, First Hospital of Jilin University, Changchun 130021, Jilin, China; Institute of Translational Medicine, First Hospital of Jilin University, Changchun 130021, Jilin, ChinaDepartment of Endocrinology and Metabolism, First Hospital of Jilin University, Changchun 130021, Jilin, China; Institute of Translational Medicine, First Hospital of Jilin University, Changchun 130021, Jilin, ChinaDepartment of Orthopedics, The Second Hospital of Jilin University, Changchun 130021, Jilin, ChinaDepartment of Orthopedics, Yuci District People’s Hospital, Yuci 030600, Shanxi, ChinaDepartment of Endocrinology and Metabolism, First Hospital of Jilin University, Changchun 130021, Jilin, ChinaDepartment of Endocrinology and Metabolism, First Hospital of Jilin University, Changchun 130021, Jilin, China; Corresponding authors.Department of Endocrinology and Metabolism, First Hospital of Jilin University, Changchun 130021, Jilin, China; Corresponding authors.Lipotoxicity is the dysregulation of the lipid environment and/or intracellular composition that leads to accumulation of harmful lipids and ultimately to organelle dysfunction, abnormal activation of intracellular signaling pathways, chronic inflammation and cell death. It plays an important role in the development of acute kidney injury and chronic kidney disease, including diabetic nephropathy, obesity-related glomerulopathy, age-related kidney disease, polycystic kidney disease, and the like. However, the mechanisms of lipid overload and kidney injury remain poorly understood. Herein, we discuss two pivotal aspects of lipotoxic kidney injury. First, we analyzed the mechanism of lipid accumulation in the kidney. Accumulating data indicate that the mechanisms of lipid overload in different kidney diseases are inconsistent. Second, we summarize the multiple mechanisms by which lipotoxic species affect the kidney cell behavior, including oxidative stress, endoplasmic reticulum stress, mitochondrial dysfunction, dysregulated autophagy, and inflammation, highlighting the central role of oxidative stress. Blocking the molecular pathways of lipid accumulation in the kidney and the damage of the kidney by lipid overload may be potential therapeutic targets for kidney disease, and antioxidant drugs may play a pivotal role in the treatment of kidney disease in the future.http://www.sciencedirect.com/science/article/pii/S0753332223002536LipotoxicityLipid overloadAcute kidney injuryChronic kidney diseaseMolecular mechanism
spellingShingle Linan Ren
Haiying Cui
Yao Wang
Feng Ju
Yunjia Cai
Xiaokun Gang
Guixia Wang
The role of lipotoxicity in kidney disease: From molecular mechanisms to therapeutic prospects
Biomedicine & Pharmacotherapy
Lipotoxicity
Lipid overload
Acute kidney injury
Chronic kidney disease
Molecular mechanism
title The role of lipotoxicity in kidney disease: From molecular mechanisms to therapeutic prospects
title_full The role of lipotoxicity in kidney disease: From molecular mechanisms to therapeutic prospects
title_fullStr The role of lipotoxicity in kidney disease: From molecular mechanisms to therapeutic prospects
title_full_unstemmed The role of lipotoxicity in kidney disease: From molecular mechanisms to therapeutic prospects
title_short The role of lipotoxicity in kidney disease: From molecular mechanisms to therapeutic prospects
title_sort role of lipotoxicity in kidney disease from molecular mechanisms to therapeutic prospects
topic Lipotoxicity
Lipid overload
Acute kidney injury
Chronic kidney disease
Molecular mechanism
url http://www.sciencedirect.com/science/article/pii/S0753332223002536
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