Cell-Cycle Dysregulation in the Pathogenesis of Diabetic Kidney Disease: An Update

In the last few decades, the prevalence of diabetes mellitus (DM) has increased rapidly. Diabetic kidney disease (DKD) is the major cause of end-stage renal disease (ESRD) globally, attributed to hemodynamic changes and chronic hyperglycemia. Recent findings have emphasized the role of cell-cycle dy...

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Main Authors: Bowen Deng, Anni Song, Chun Zhang
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/3/2133
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author Bowen Deng
Anni Song
Chun Zhang
author_facet Bowen Deng
Anni Song
Chun Zhang
author_sort Bowen Deng
collection DOAJ
description In the last few decades, the prevalence of diabetes mellitus (DM) has increased rapidly. Diabetic kidney disease (DKD) is the major cause of end-stage renal disease (ESRD) globally, attributed to hemodynamic changes and chronic hyperglycemia. Recent findings have emphasized the role of cell-cycle dysregulation in renal fibrosis and ESRD. Under normal physiological conditions, most mature renal cells are arrested in the G0 phase of the cell cycle, with a rather low rate of renewal. However, renal cells can bypass restriction points and re-enter the cell cycle under stimulation of injuries induced via metabolic disorders. Mild injuries activate proliferation of renal cells to compensate for cell loss and reinstate renal function, while severe or repeated injuries will lead to DNA damage and maladaptive repair which ultimately results in cell-cycle arrest or overproliferation, and eventually promote renal fibrosis and ESRD. In this review, we focus on the role of cell-cycle dysregulation in DKD and discuss new, emerging pathways that are implicated in the process.
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spelling doaj.art-6b94698fc71747beb9ffe028940fb7222023-11-16T16:52:50ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-01-01243213310.3390/ijms24032133Cell-Cycle Dysregulation in the Pathogenesis of Diabetic Kidney Disease: An UpdateBowen Deng0Anni Song1Chun Zhang2Department of Nephrology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Nephrology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Nephrology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaIn the last few decades, the prevalence of diabetes mellitus (DM) has increased rapidly. Diabetic kidney disease (DKD) is the major cause of end-stage renal disease (ESRD) globally, attributed to hemodynamic changes and chronic hyperglycemia. Recent findings have emphasized the role of cell-cycle dysregulation in renal fibrosis and ESRD. Under normal physiological conditions, most mature renal cells are arrested in the G0 phase of the cell cycle, with a rather low rate of renewal. However, renal cells can bypass restriction points and re-enter the cell cycle under stimulation of injuries induced via metabolic disorders. Mild injuries activate proliferation of renal cells to compensate for cell loss and reinstate renal function, while severe or repeated injuries will lead to DNA damage and maladaptive repair which ultimately results in cell-cycle arrest or overproliferation, and eventually promote renal fibrosis and ESRD. In this review, we focus on the role of cell-cycle dysregulation in DKD and discuss new, emerging pathways that are implicated in the process.https://www.mdpi.com/1422-0067/24/3/2133diabetic kidney diseaserenal fibrosiscell-cycle arrestoverproliferationinflammation
spellingShingle Bowen Deng
Anni Song
Chun Zhang
Cell-Cycle Dysregulation in the Pathogenesis of Diabetic Kidney Disease: An Update
International Journal of Molecular Sciences
diabetic kidney disease
renal fibrosis
cell-cycle arrest
overproliferation
inflammation
title Cell-Cycle Dysregulation in the Pathogenesis of Diabetic Kidney Disease: An Update
title_full Cell-Cycle Dysregulation in the Pathogenesis of Diabetic Kidney Disease: An Update
title_fullStr Cell-Cycle Dysregulation in the Pathogenesis of Diabetic Kidney Disease: An Update
title_full_unstemmed Cell-Cycle Dysregulation in the Pathogenesis of Diabetic Kidney Disease: An Update
title_short Cell-Cycle Dysregulation in the Pathogenesis of Diabetic Kidney Disease: An Update
title_sort cell cycle dysregulation in the pathogenesis of diabetic kidney disease an update
topic diabetic kidney disease
renal fibrosis
cell-cycle arrest
overproliferation
inflammation
url https://www.mdpi.com/1422-0067/24/3/2133
work_keys_str_mv AT bowendeng cellcycledysregulationinthepathogenesisofdiabetickidneydiseaseanupdate
AT annisong cellcycledysregulationinthepathogenesisofdiabetickidneydiseaseanupdate
AT chunzhang cellcycledysregulationinthepathogenesisofdiabetickidneydiseaseanupdate