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Evolution, kidney development, and chronic kidney disease.

Robert L Chevalier1

  • 1Department of Pediatrics, The University of Virginia, P.O. Box 800386, Charlottesville, VA, United States.

Seminars in Cell & Developmental Biology
|June 2, 2018
PubMed
Summary
This summary is machine-generated.

Chronic kidney disease (CKD) involves progressive nephron loss, driven by hypertension and diabetes. Evolutionary medicine offers new insights into understanding and treating CKD by examining nephron development and fate.

Keywords:
Chronic kidney diseaseDevelopmentEpigeneticsEvolutionGeneticsPhysiology

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Area of Science:

  • Nephrology
  • Evolutionary Medicine
  • Developmental Biology

Background:

  • Global epidemic of chronic kidney disease (CKD) characterized by progressive nephron loss.
  • Rising incidence of hypertension, metabolic syndrome, and type 2 diabetes mellitus contribute to CKD.
  • Significant variation in nephron number exists, with a natural decrease over a lifetime.

Purpose of the Study:

  • To provide a framework for understanding developmental nephrology and evolutionary biology.
  • To explore the integration of evolutionary medicine principles into CKD research.
  • To highlight the potential of evolutionary approaches in addressing CKD.

Main Methods:

  • Review of advances in kidney physiology, genetics, and development.
  • Integration of principles from evolutionary developmental biology (evo-devo), ecological developmental biology (eco-devo), and developmental origins of health and disease (DOHaD).
  • Examination of the role of environmental stressors and epigenetic regulation.

Main Results:

  • Elucidation of nephron formation, structure, and function through scientific advances.
  • Emergence of evolutionary medicine providing new investigative approaches for chronic diseases.
  • Establishment of evo-devo, eco-devo, and DOHaD frameworks.

Conclusions:

  • Evolutionary medicine offers promising new insights for treating chronic kidney disease.
  • Developmental nephrology, incorporating evolutionary principles, can address key questions about nephron fate.
  • This integrated approach positions developmental nephrology to tackle the complexities of CKD from development through senescence.