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Renal insufficiency and chronic kidney disease - Promotor or consequence of pathological post-translational
Jonas Laget1, Flore Duranton2, Àngel Argilés1
1RD-Néphrologie SAS, 2 rue des Mûriers, 34090, Montpellier, France; BC2M, Université de Montpellier, Montpellier, France.
Abstract:
More than 840 million people, representing almost 10% of world population, were estimated to have chronic kidney disease (CKD) in 2017. In CKD, many systemic changes relative to oxidative stress, inflammation, energy balance or neuroendocrine signalling are observed and can be linked to dysfunctional proteins, including protein post-translational modifications (PTMs). Recent technical advances enabled the detection of PTMs and allowed understanding their participation in CKD pathophysiology and kidney damage. In this review article, the interconnections between CKD and PTMs, both as causes and consequences, are described. PTMs, particularly non-enzymatic PTMs, are frequently observed in CKD, as they are the direct consequence of systemic changes following the decline in kidney function. Other PTMs, mainly enzymatic ones, are critical for proper kidney physiology. Still, both types of PTMs have been shown to induce damage not only in kidney but also in other organs (brain, cardiovascular system). Therapeutic approaches focusing on metabolic changes responsible for PTMs alteration have shown interesting results. Targeting specific PTMs responsible for kidney damage is also being considered, which could lead to the development of innovative treatments.
Insights
Chronic kidney disease (CKD) affects millions globally, with protein post-translational modifications (PTMs) playing a key role in its development and progression. Understanding PTMs offers new avenues for treating kidney damage and related systemic issues.
Area of Science:
- Nephrology
- Biochemistry
- Molecular Biology
Background:
- Chronic kidney disease (CKD) impacts over 840 million people worldwide.
- Systemic changes in CKD, including oxidative stress and inflammation, affect protein function.
- Protein post-translational modifications (PTMs) are increasingly recognized in CKD pathophysiology.
Purpose of the Study:
- To review the intricate relationship between CKD and PTMs.
- To explore PTMs as both causes and consequences of kidney disease.
- To highlight the potential of targeting PTMs for therapeutic interventions.
Main Methods:
- Literature review of recent advances in PTM detection and analysis.
- Examination of the role of both enzymatic and non-enzymatic PTMs in kidney health and disease.
- Analysis of therapeutic strategies targeting metabolic alterations and specific PTMs.
Main Results:
- Non-enzymatic PTMs are common in CKD, arising from systemic changes.
- Enzymatic PTMs are crucial for normal kidney function but can contribute to damage when altered.
- Altered PTMs can lead to damage in kidneys, brain, and the cardiovascular system.
Conclusions:
- PTMs are deeply interconnected with CKD, influencing its progression and severity.
- Therapeutic strategies targeting metabolic pathways and specific PTMs show promise for treating CKD and its complications.
- Further research into PTMs could lead to novel treatments for kidney disease and associated organ damage.
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