suPAR: An Inflammatory Mediator for Kidneys

Background: Inflammation is a common feature of many kidney diseases. The implicated inflammatory mediators and their underlying molecular mechanisms however are often not clear. Summary: suPAR is the soluble form of urokinase-type plasminogen activator receptor (uPAR), associated with inflammation...

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Main Authors: Yashwanth Reddy Sudhini, Changli Wei, Jochen Reiser
Format: Article
Language:English
Published: Karger Publishers 2022-06-01
Series:Kidney Diseases
Subjects:
Online Access:https://www.karger.com/Article/FullText/524965
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author Yashwanth Reddy Sudhini
Changli Wei
Jochen Reiser
author_facet Yashwanth Reddy Sudhini
Changli Wei
Jochen Reiser
author_sort Yashwanth Reddy Sudhini
collection DOAJ
description Background: Inflammation is a common feature of many kidney diseases. The implicated inflammatory mediators and their underlying molecular mechanisms however are often not clear. Summary: suPAR is the soluble form of urokinase-type plasminogen activator receptor (uPAR), associated with inflammation and immune activation. It has evolved into a unique circulating kidney disease factor over the last 10 years. In particular, suPAR has multiple looks due to enzymatic cleavage and alternative transcriptional splicing of the uPAR gene. Most recently, suPAR has emerged as a systemic mediator for COVID-19 infection, associated with lung as well as kidney dysfunction. Like membrane-bound uPAR, suPAR could interact with integrins (e.g., αvβ3 integrin) on podocytes, providing the molecular basis for some glomerular kidney diseases. In addition, there have been numerous studies suggesting that suPAR connects acute kidney injury to chronic kidney disease as a special kidney risk factor. Moreover, the implication of circulating suPAR levels in kidney transplantation and plasmapheresis not only indicates its relevance in monitoring for recurrence but also implies suPAR as a possible therapeutic target. In fact, the therapeutic concept of manipulating suPAR function has been evidenced in several kidney disease experimental models. Key Messages: The last 10 years of research has established suPAR as a unique inflammatory mediator for kidneys. While open questions remain and deserve additional studies, modulating suPAR function may represent a promising novel therapeutic strategy for kidney disease.
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spelling doaj.art-f31597fccdd34b1d842a78ffcebacd8c2022-12-22T02:32:16ZengKarger PublishersKidney Diseases2296-93812296-93572022-06-018426527410.1159/000524965524965suPAR: An Inflammatory Mediator for KidneysYashwanth Reddy SudhiniChangli WeiJochen ReiserBackground: Inflammation is a common feature of many kidney diseases. The implicated inflammatory mediators and their underlying molecular mechanisms however are often not clear. Summary: suPAR is the soluble form of urokinase-type plasminogen activator receptor (uPAR), associated with inflammation and immune activation. It has evolved into a unique circulating kidney disease factor over the last 10 years. In particular, suPAR has multiple looks due to enzymatic cleavage and alternative transcriptional splicing of the uPAR gene. Most recently, suPAR has emerged as a systemic mediator for COVID-19 infection, associated with lung as well as kidney dysfunction. Like membrane-bound uPAR, suPAR could interact with integrins (e.g., αvβ3 integrin) on podocytes, providing the molecular basis for some glomerular kidney diseases. In addition, there have been numerous studies suggesting that suPAR connects acute kidney injury to chronic kidney disease as a special kidney risk factor. Moreover, the implication of circulating suPAR levels in kidney transplantation and plasmapheresis not only indicates its relevance in monitoring for recurrence but also implies suPAR as a possible therapeutic target. In fact, the therapeutic concept of manipulating suPAR function has been evidenced in several kidney disease experimental models. Key Messages: The last 10 years of research has established suPAR as a unique inflammatory mediator for kidneys. While open questions remain and deserve additional studies, modulating suPAR function may represent a promising novel therapeutic strategy for kidney disease.https://www.karger.com/Article/FullText/524965soluble urokinase-type plasminogen activator receptorkidneyintegrincovid-19biomarkertherapeutics
spellingShingle Yashwanth Reddy Sudhini
Changli Wei
Jochen Reiser
suPAR: An Inflammatory Mediator for Kidneys
Kidney Diseases
soluble urokinase-type plasminogen activator receptor
kidney
integrin
covid-19
biomarker
therapeutics
title suPAR: An Inflammatory Mediator for Kidneys
title_full suPAR: An Inflammatory Mediator for Kidneys
title_fullStr suPAR: An Inflammatory Mediator for Kidneys
title_full_unstemmed suPAR: An Inflammatory Mediator for Kidneys
title_short suPAR: An Inflammatory Mediator for Kidneys
title_sort supar an inflammatory mediator for kidneys
topic soluble urokinase-type plasminogen activator receptor
kidney
integrin
covid-19
biomarker
therapeutics
url https://www.karger.com/Article/FullText/524965
work_keys_str_mv AT yashwanthreddysudhini suparaninflammatorymediatorforkidneys
AT changliwei suparaninflammatorymediatorforkidneys
AT jochenreiser suparaninflammatorymediatorforkidneys