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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Role of oxidative stress in age-associated chronic kidney pathologies
Christine Percy1, Betty Pat, Philip Poronnik
1Department of Molecular and Cellular Pathology, The University of Queensland School of Medicine, Herston, Australia.
Abstract:
The kidneys exhibit age-associated deterioration in function via a loss of 20% to 25% kidney mass, particularly from the renal cortex and increased fibrosis. Oxidative stress has been found to mediate age-associated renal cell injury and cell death, particularly apoptosis. Oxidative stress results from an imbalance between the levels of free radicals generated during aerobic metabolism, inflammation, and infection and the safe breakdown of these species by endogenous and exogenous scavengers. Other factors may influence these pathologies. For example, growth hormone and caloric restriction have been shown to influence life span, although neither method of prolonging life is likely to find general acceptance in humans. Some genetic knockout models offer promise; for example, knockout of the p66 isoform of the Shc gene in mice increases life span by 30%, but appetite, size, and fertility are retained. Whether the increase in life span is via increased kidney health is not yet clear, but decreasing the age-related renal pathologies will no doubt aid in increasing life span and health in general. This review looks at the role and modulation of factors that influence life span, in particular modulation of oxidative stress, with particular relevance to age-related renal pathologies.
Insights
Aging kidneys experience functional decline due to mass loss and fibrosis. Oxidative stress significantly contributes to this renal cell injury and apoptosis, impacting overall health and lifespan.
Area of Science:
- Nephrology
- Gerontology
- Molecular Biology
Background:
- Kidney function declines with age, marked by a 20-25% loss of renal mass, cortical thinning, and increased fibrosis.
- Oxidative stress, an imbalance between free radicals and scavengers, is a key mediator of age-related renal cell injury and apoptosis.
- Factors like growth hormone and caloric restriction influence lifespan, but their practical application is limited.
Purpose of the Study:
- To review the role of factors influencing lifespan, focusing on oxidative stress modulation.
- To examine the relevance of these factors to age-related renal pathologies.
- To explore potential interventions for mitigating age-associated kidney decline.
Main Methods:
- Literature review of studies on aging, kidney function, oxidative stress, and lifespan.
- Analysis of genetic knockout models, such as the p66Shc gene knockout in mice.
- Synthesis of findings on factors influencing renal health and longevity.
Main Results:
- Oxidative stress is implicated in age-associated kidney damage and cell death (apoptosis).
- Genetic modifications, like p66Shc knockout, show potential for increasing lifespan while maintaining key physiological functions.
- While direct links are under investigation, reducing age-related renal pathologies is expected to improve overall healthspan.
Conclusions:
- Modulating oxidative stress is a promising strategy for addressing age-related renal pathologies.
- Interventions that enhance kidney health may contribute to increased lifespan and improved general health.
- Further research into genetic and molecular mechanisms is crucial for developing effective anti-aging strategies for the kidneys.
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