Circular RNAs in Acute Kidney Injury: Roles in Pathophysiology and Implications for Clinical Management

Acute kidney injury (AKI) is a common clinical condition, results in patient morbidity and mortality, and incurs considerable health care costs. Sepsis, ischaemia-reperfusion injury (IRI) and drug nephrotoxicity are the leading causes. Mounting evidence suggests that perturbations in circular RNAs (...

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Main Authors: Benjamin Y. F. So, Desmond Y. H. Yap, Tak Mao Chan
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/15/8509
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author Benjamin Y. F. So
Desmond Y. H. Yap
Tak Mao Chan
author_facet Benjamin Y. F. So
Desmond Y. H. Yap
Tak Mao Chan
author_sort Benjamin Y. F. So
collection DOAJ
description Acute kidney injury (AKI) is a common clinical condition, results in patient morbidity and mortality, and incurs considerable health care costs. Sepsis, ischaemia-reperfusion injury (IRI) and drug nephrotoxicity are the leading causes. Mounting evidence suggests that perturbations in circular RNAs (circRNAs) are observed in AKI of various aetiologies, and have pathogenic significance. Aberrant circRNA expressions can cause altered intracellular signalling, exaggerated oxidative stress, increased cellular apoptosis, excess inflammation, and tissue injury in AKI due to sepsis or IRI. While circRNAs are dysregulated in drug-induced AKI, their roles in pathogenesis are less well-characterised. CircRNAs also show potential for clinical application in diagnosis, prognostication, monitoring, and treatment. Prospective observational studies are needed to investigate the role of circRNAs in the clinical management of AKI, with special focus on the safety of therapeutic interventions targeting circRNAs and the avoidance of untoward off-target effects.
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spelling doaj.art-6cc57851a0894582b514f88af2a6bde02023-12-01T22:57:50ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-07-012315850910.3390/ijms23158509Circular RNAs in Acute Kidney Injury: Roles in Pathophysiology and Implications for Clinical ManagementBenjamin Y. F. So0Desmond Y. H. Yap1Tak Mao Chan2Division of Nephrology, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, ChinaDivision of Nephrology, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, ChinaDivision of Nephrology, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, ChinaAcute kidney injury (AKI) is a common clinical condition, results in patient morbidity and mortality, and incurs considerable health care costs. Sepsis, ischaemia-reperfusion injury (IRI) and drug nephrotoxicity are the leading causes. Mounting evidence suggests that perturbations in circular RNAs (circRNAs) are observed in AKI of various aetiologies, and have pathogenic significance. Aberrant circRNA expressions can cause altered intracellular signalling, exaggerated oxidative stress, increased cellular apoptosis, excess inflammation, and tissue injury in AKI due to sepsis or IRI. While circRNAs are dysregulated in drug-induced AKI, their roles in pathogenesis are less well-characterised. CircRNAs also show potential for clinical application in diagnosis, prognostication, monitoring, and treatment. Prospective observational studies are needed to investigate the role of circRNAs in the clinical management of AKI, with special focus on the safety of therapeutic interventions targeting circRNAs and the avoidance of untoward off-target effects.https://www.mdpi.com/1422-0067/23/15/8509acute kidney injurycircular RNAssepsisischaemia-reperfusion injurydrugs
spellingShingle Benjamin Y. F. So
Desmond Y. H. Yap
Tak Mao Chan
Circular RNAs in Acute Kidney Injury: Roles in Pathophysiology and Implications for Clinical Management
International Journal of Molecular Sciences
acute kidney injury
circular RNAs
sepsis
ischaemia-reperfusion injury
drugs
title Circular RNAs in Acute Kidney Injury: Roles in Pathophysiology and Implications for Clinical Management
title_full Circular RNAs in Acute Kidney Injury: Roles in Pathophysiology and Implications for Clinical Management
title_fullStr Circular RNAs in Acute Kidney Injury: Roles in Pathophysiology and Implications for Clinical Management
title_full_unstemmed Circular RNAs in Acute Kidney Injury: Roles in Pathophysiology and Implications for Clinical Management
title_short Circular RNAs in Acute Kidney Injury: Roles in Pathophysiology and Implications for Clinical Management
title_sort circular rnas in acute kidney injury roles in pathophysiology and implications for clinical management
topic acute kidney injury
circular RNAs
sepsis
ischaemia-reperfusion injury
drugs
url https://www.mdpi.com/1422-0067/23/15/8509
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