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Potential role of Akt signaling in chronic kidney disease
Aiping Lan1, Jie Du1
1The Key Laboratory of Remodeling-related Cardiovascular Diseases, Ministry of Education, Beijing An Zhen Hospital, Institute of Heart Lung and Blood Vessel Diseases, Capital Medical University, Beijing 100029, China.
Abstract:
Renal fibrosis, particularly tubulointerstitial fibrosis, is the common final outcome of almost all chronic kidney diseases. However, the mechanisms involved in the development of renal fibrosis are poorly understood. The Akt (also known as protein kinase B, PKB) family is serine/threonine protein kinases that play critical roles in regulating growth, proliferation, survival, metabolism and other cellular activities. Cytokines, high-glucose medium, transforming growth factor-β1 or advanced glycation end-products activate Akt in different renal cells. Increased Akt activation has been found in experimental tubulointerstitial fibrosis. In addition, Akt activation is also an important node in diverse signaling cascades involved in kidney damage. These data give evidence for a role for Akt in renal fibrosis, but no reviews are available on the role of Akt in the process. Thus, our aim is to review the role of Akt activation and signaling in renal fibrosis.
Insights
Akt signaling plays a key role in renal fibrosis, a common outcome of chronic kidney disease. This review explores how Akt activation contributes to kidney damage and fibrosis progression.
Area of Science:
- Nephrology
- Molecular Biology
- Cell Signaling
Background:
- Renal fibrosis, especially tubulointerstitial fibrosis, is a common endpoint for chronic kidney diseases.
- The underlying mechanisms driving renal fibrosis remain incompletely understood.
- The Akt (protein kinase B, PKB) pathway is crucial for cellular functions like growth, survival, and metabolism.
Purpose of the Study:
- To review the role of Akt activation and signaling pathways in the development of renal fibrosis.
- To consolidate current understanding of Akt's involvement in kidney damage and fibrotic processes.
Main Methods:
- Literature review of studies investigating Akt signaling in renal fibrosis models and human kidney disease.
- Analysis of signaling cascades where Akt activation is implicated in kidney injury.
- Synthesis of evidence linking Akt activation to fibrotic changes in renal cells.
Main Results:
- Akt is activated by various stimuli relevant to kidney disease, including high glucose and TGF-β1.
- Increased Akt activation is observed in experimental models of tubulointerstitial fibrosis.
- Akt acts as a central node in multiple signaling pathways associated with kidney damage.
Conclusions:
- Akt signaling is implicated as a significant contributor to renal fibrosis.
- Further research into Akt's precise role could reveal therapeutic targets for chronic kidney disease.
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