Tubular Cell Glucose Metabolism Shift During Acute and Chronic Injuries

Anna Faivre1,2, Thomas Verissimo1,2, Hannah Auwerx1,2

  • 1Laboratory of Nephrology, Geneva University Hospitals, Geneva, Switzerland.

Frontiers in Medicine
|November 15, 2021
PubMed

Insights

Kidney disease alters how kidney cells use glucose. This review explores changes in glucose metabolism during acute kidney injury and chronic kidney disease, offering therapeutic insights.

Area of Science:

  • Nephrology
  • Metabolic pathways
  • Renal cell biology

Background:

  • Acute and chronic kidney disease (CKD) impose significant global healthcare burdens.
  • Kidney injury triggers metabolic adaptations to manage oxygen and nutrient scarcity.
  • Metabolic changes in renal disease can negatively impact fibrosis progression.

Purpose of the Study:

  • To review alterations in proximal tubular cells' glucose metabolism during acute kidney injury (AKI) and CKD.
  • To discuss the consequences of these metabolic shifts.
  • To explore potential therapeutic strategies targeting kidney cell metabolism.

Main Methods:

  • Literature review focusing on glucose metabolism in renal proximal tubular cells.
  • Analysis of metabolic shifts during physiological and pathological kidney conditions.
  • Synthesis of findings related to AKI and CKD.

Main Results:

  • Proximal tubular cells shift from fatty acid oxidation and gluconeogenesis to glycolysis during AKI.
  • Reduced fatty acid oxidation is also observed in CKD.
  • Emerging data indicate significant changes in glucose metabolism in CKD.

Conclusions:

  • Understanding glucose metabolism modifications in kidney disease is crucial.
  • Metabolic reprogramming in proximal tubular cells has implications for disease progression.
  • Targeting metabolic pathways presents potential therapeutic avenues for kidney disease.

Related Concept Videos

Glucose Homeostasis: Pancreatic Islets and Insulin Secretion01:27

Glucose Homeostasis: Pancreatic Islets and Insulin Secretion

The pancreatic islets comprising only 1%-2% of the volume are highly vascularized and innervated mini-organs. They contain five endocrine cell types, including β cells that secrete insulin, which is synthesized as a single polypeptide chain, preproinsulin, processed to proinsulin, and finally to insulin and C-peptide. This process is complex and regulated, involving the Golgi complex, the endoplasmic reticulum, and the secretory granules of the β cell.
Insulin and C-peptide are...
1.5K
Hormones Regulating Blood Glucose01:16

Hormones Regulating Blood Glucose

Insulin is released by beta cells of the pancreas when blood glucose levels are high. It facilitates glucose absorption and utilization in insulin-dependent cells with insulin receptors on their plasma membranes. Insulin promotes glucose uptake by increasing the number of glucose transport proteins in the cell membrane, allowing glucose to enter the cell. As a result, glucose utilization and ATP production are enhanced.
In addition to accelerating glucose uptake and utilization, insulin has...
4.7K
Hypoglycemia and Glucagon01:15

Hypoglycemia and Glucagon

Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
443
Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
197
Glucose Homeostasis: Regulation of Blood Glucose01:02

Glucose Homeostasis: Regulation of Blood Glucose

Carbohydrates consumed through foods are converted into glucose, a crucial energy source for the body. In the prandial state, high blood glucose levels stimulate the secretion of insulin from the pancreas. Insulin inhibits hepatic glucose production and stimulates glucose uptake and metabolism by muscle and adipose tissue. The excess glucose is converted into glycogen and stored in the liver and muscles.
During fasting, when blood glucose levels are low, the pancreas secretes glucagon. it...
2.8K
Metabolic States of the Body: The Postabsorptive State01:18

Metabolic States of the Body: The Postabsorptive State

The postabsorptive state usually starts about four hours after a meal and lasts until the next meal is eaten. During this time, the digestive system stops absorbing nutrients, and the body uses stored energy reserves to maintain stable blood glucose levels.
Initially, glycogen stored in the liver is broken down to release glucose into the bloodstream, while glycogen in the muscles is broken down to supply glucose for energy directly within the muscle cells. As glycogen stores diminish,...
693