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Updated: Oct 13, 2025

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
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.
Abstract:
Acute and chronic kidney disease are responsible for large healthcare costs worldwide. During injury, kidney metabolism undergoes profound modifications in order to adapt to oxygen and nutrient shortage. Several studies highlighted recently the importance of these metabolic adaptations in acute as well as in chronic phases of renal disease, with a potential deleterious effect on fibrosis progression. Until recently, glucose metabolism in the kidney has been poorly studied, even though the kidney has the capacity to use and produce glucose, depending on the segment of the nephron. During physiology, renal proximal tubular cells use the beta-oxidation of fatty acid to generate large amounts of energy, and can also produce glucose through gluconeogenesis. In acute kidney injury, proximal tubular cells metabolism undergo a metabolic shift, shifting away from beta-oxidation of fatty acids and gluconeogenesis toward glycolysis. In chronic kidney disease, the loss of fatty acid oxidation is also well-described, and data about glucose metabolism are emerging. We here review the modifications of proximal tubular cells glucose metabolism during acute and chronic kidney disease and their potential consequences, as well as the potential therapeutic implications.
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.
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