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Published on: June 2, 2023
Mitochondrial Oxidative Stress and Cell Death in Podocytopathies
Yu-Ting Zhu1, Cheng Wan1, Ji-Hong Lin2
1Department of Nephrology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Abstract:
Podocytopathies are kidney diseases that are driven by podocyte injury with proteinuria and proteinuria-related symptoms as the main clinical presentations. Albeit podocytopathies are the major contributors to end-stage kidney disease, the underlying molecular mechanisms of podocyte injury remain to be elucidated. Mitochondrial oxidative stress is associated with kidney diseases, and increasing evidence suggests that oxidative stress plays a vital role in the pathogenesis of podocytopathies. Accumulating evidence has placed mitochondrial oxidative stress in the focus of cell death research. Excessive generated reactive oxygen species over antioxidant defense under pathological conditions lead to oxidative damage to cellular components and regulate cell death in the podocyte. Conversely, exogenous antioxidants can protect podocyte from cell death. This review provides an overview of the role of mitochondrial oxidative stress in podocytopathies and discusses its role in the cell death of the podocyte, aiming to identify the novel targets to improve the treatment of patients with podocytopathies.
Insights
Mitochondrial oxidative stress drives podocyte injury in kidney diseases, leading to cell death. Antioxidants may offer protection, highlighting new therapeutic targets for podocytopathies.
Area of Science:
- Nephrology
- Cell Biology
- Mitochondrial Medicine
Background:
- Podocytopathies are kidney diseases characterized by podocyte injury, leading to proteinuria and end-stage kidney disease.
- The molecular mechanisms underlying podocyte injury in these conditions are not fully understood.
- Mitochondrial oxidative stress is increasingly implicated in the pathogenesis of various kidney diseases.
Purpose of the Study:
- To review the role of mitochondrial oxidative stress in podocytopathies.
- To discuss the involvement of mitochondrial oxidative stress in podocyte cell death.
- To identify potential novel therapeutic targets for treating podocytopathies.
Main Methods:
- Literature review of studies investigating podocytopathies and mitochondrial oxidative stress.
- Analysis of research on reactive oxygen species (ROS) production and antioxidant defense in podocytes.
- Examination of evidence for exogenous antioxidant effects on podocyte survival.
Main Results:
- Mitochondrial oxidative stress contributes significantly to podocyte injury and cell death in podocytopathies.
- An imbalance between excessive ROS generation and antioxidant capacity underlies podocyte damage.
- Antioxidant interventions show promise in protecting podocytes from cell death.
Conclusions:
- Mitochondrial oxidative stress is a key factor in the pathogenesis of podocytopathies.
- Targeting mitochondrial pathways and enhancing antioxidant defense could be beneficial for patients.
- Further research into novel therapeutic strategies is warranted to improve treatment outcomes.
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