Mitochondrial metabolism and targeted treatment strategies in ischemic-induced acute kidney injury

Abstract Ischemia-reperfusion injury (IRI) is a common cause of acute kidney injury (AKI). The kidney is susceptible to IRI under several clinical conditions, including hypotension, sepsis, and surgical procedures, such as partial nephrectomy and kidney transplantation. Extensive research has been c...

Full description

Bibliographic Details
Main Authors: Yongming Chen, Zixian Li, Hongyong Zhang, Huixia Chen, Junfeng Hao, Huafeng Liu, Xiaoyu Li
Format: Article
Language:English
Published: Nature Publishing Group 2024-02-01
Series:Cell Death Discovery
Online Access:https://doi.org/10.1038/s41420-024-01843-5
_version_ 1797275861283504128
author Yongming Chen
Zixian Li
Hongyong Zhang
Huixia Chen
Junfeng Hao
Huafeng Liu
Xiaoyu Li
author_facet Yongming Chen
Zixian Li
Hongyong Zhang
Huixia Chen
Junfeng Hao
Huafeng Liu
Xiaoyu Li
author_sort Yongming Chen
collection DOAJ
description Abstract Ischemia-reperfusion injury (IRI) is a common cause of acute kidney injury (AKI). The kidney is susceptible to IRI under several clinical conditions, including hypotension, sepsis, and surgical procedures, such as partial nephrectomy and kidney transplantation. Extensive research has been conducted on the mechanism and intervention strategies of renal IRI in past decades; however, the complex pathophysiology of IRI-induced AKI (IRI-AKI) is not fully understood, and there remains a lack of effective treatments for AKI. Renal IRI involves several processes, including reactive oxygen species (ROS) production, inflammation, and apoptosis. Mitochondria, the centers of energy metabolism, are increasingly recognized as substantial contributors to the early phases of IRI. Multiple mitochondrial lesions have been observed in the renal tubular epithelial cells (TECs) of IRI-AKI mice, and damaged or dysfunctional mitochondria are toxic to the cells because they produce ROS and release cell death factors, resulting in TEC apoptosis. In this review, we summarize the recent advances in the mitochondrial pathology in ischemic AKI and highlight promising therapeutic approaches targeting mitochondrial dysfunction to prevent or treat human ischemic AKI.
first_indexed 2024-03-07T15:20:06Z
format Article
id doaj.art-8e012b9792ae4e96b8ecba67a43c3bec
institution Directory Open Access Journal
issn 2058-7716
language English
last_indexed 2024-03-07T15:20:06Z
publishDate 2024-02-01
publisher Nature Publishing Group
record_format Article
series Cell Death Discovery
spelling doaj.art-8e012b9792ae4e96b8ecba67a43c3bec2024-03-05T17:41:46ZengNature Publishing GroupCell Death Discovery2058-77162024-02-0110111110.1038/s41420-024-01843-5Mitochondrial metabolism and targeted treatment strategies in ischemic-induced acute kidney injuryYongming Chen0Zixian Li1Hongyong Zhang2Huixia Chen3Junfeng Hao4Huafeng Liu5Xiaoyu Li6Institute of Nephrology, and Guangdong Provincial Key Laboratory of Autophagy and Major Chronic Non-Communicable Diseases, Affiliated Hospital of Guangdong Medical UniversityInstitute of Nephrology, and Guangdong Provincial Key Laboratory of Autophagy and Major Chronic Non-Communicable Diseases, Affiliated Hospital of Guangdong Medical UniversityZhanjiang Institute of Clinical Medicine, Central People’s Hospital of Zhanjiang, Guangdong Medical University Zhan-jiang Central HospitalInstitute of Nephrology, and Guangdong Provincial Key Laboratory of Autophagy and Major Chronic Non-Communicable Diseases, Affiliated Hospital of Guangdong Medical UniversityInstitute of Nephrology, and Guangdong Provincial Key Laboratory of Autophagy and Major Chronic Non-Communicable Diseases, Affiliated Hospital of Guangdong Medical UniversityInstitute of Nephrology, and Guangdong Provincial Key Laboratory of Autophagy and Major Chronic Non-Communicable Diseases, Affiliated Hospital of Guangdong Medical UniversityInstitute of Nephrology, and Guangdong Provincial Key Laboratory of Autophagy and Major Chronic Non-Communicable Diseases, Affiliated Hospital of Guangdong Medical UniversityAbstract Ischemia-reperfusion injury (IRI) is a common cause of acute kidney injury (AKI). The kidney is susceptible to IRI under several clinical conditions, including hypotension, sepsis, and surgical procedures, such as partial nephrectomy and kidney transplantation. Extensive research has been conducted on the mechanism and intervention strategies of renal IRI in past decades; however, the complex pathophysiology of IRI-induced AKI (IRI-AKI) is not fully understood, and there remains a lack of effective treatments for AKI. Renal IRI involves several processes, including reactive oxygen species (ROS) production, inflammation, and apoptosis. Mitochondria, the centers of energy metabolism, are increasingly recognized as substantial contributors to the early phases of IRI. Multiple mitochondrial lesions have been observed in the renal tubular epithelial cells (TECs) of IRI-AKI mice, and damaged or dysfunctional mitochondria are toxic to the cells because they produce ROS and release cell death factors, resulting in TEC apoptosis. In this review, we summarize the recent advances in the mitochondrial pathology in ischemic AKI and highlight promising therapeutic approaches targeting mitochondrial dysfunction to prevent or treat human ischemic AKI.https://doi.org/10.1038/s41420-024-01843-5
spellingShingle Yongming Chen
Zixian Li
Hongyong Zhang
Huixia Chen
Junfeng Hao
Huafeng Liu
Xiaoyu Li
Mitochondrial metabolism and targeted treatment strategies in ischemic-induced acute kidney injury
Cell Death Discovery
title Mitochondrial metabolism and targeted treatment strategies in ischemic-induced acute kidney injury
title_full Mitochondrial metabolism and targeted treatment strategies in ischemic-induced acute kidney injury
title_fullStr Mitochondrial metabolism and targeted treatment strategies in ischemic-induced acute kidney injury
title_full_unstemmed Mitochondrial metabolism and targeted treatment strategies in ischemic-induced acute kidney injury
title_short Mitochondrial metabolism and targeted treatment strategies in ischemic-induced acute kidney injury
title_sort mitochondrial metabolism and targeted treatment strategies in ischemic induced acute kidney injury
url https://doi.org/10.1038/s41420-024-01843-5
work_keys_str_mv AT yongmingchen mitochondrialmetabolismandtargetedtreatmentstrategiesinischemicinducedacutekidneyinjury
AT zixianli mitochondrialmetabolismandtargetedtreatmentstrategiesinischemicinducedacutekidneyinjury
AT hongyongzhang mitochondrialmetabolismandtargetedtreatmentstrategiesinischemicinducedacutekidneyinjury
AT huixiachen mitochondrialmetabolismandtargetedtreatmentstrategiesinischemicinducedacutekidneyinjury
AT junfenghao mitochondrialmetabolismandtargetedtreatmentstrategiesinischemicinducedacutekidneyinjury
AT huafengliu mitochondrialmetabolismandtargetedtreatmentstrategiesinischemicinducedacutekidneyinjury
AT xiaoyuli mitochondrialmetabolismandtargetedtreatmentstrategiesinischemicinducedacutekidneyinjury