Core signaling pathways in renal ischemia-reperfusion injury: network regulation and therapeutic prospects

Rui Yan1, Yalong Zhang1, Zewen Li1

  • 1Department of Urology, The Second Hospital of Lanzhou University, Lanzhou, China; Gansu Province Clinical Research Center for Urinary System Disease, China; The Second Clinical Medical College, Lanzhou University, Lanzhou, China.

Cellular Signalling
|October 23, 2025
PubMed

Insights

Renal ischemia-reperfusion injury (RIRI) involves complex molecular pathways impacting kidney health. Understanding these interconnected signaling networks is crucial for developing effective multi-targeted therapies to improve patient outcomes.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Immunology

Background:

  • Renal ischemia-reperfusion injury (RIRI) is a primary cause of acute kidney injury (AKI) and impaired renal transplant function.
  • RIRI involves oxidative stress, inflammation, cell death, and immune dysregulation.
  • The intricate molecular regulatory network and signal transduction pathways in RIRI remain incompletely understood.

Purpose of the Study:

  • To review recent advancements in understanding the network regulation of RIRI.
  • To emphasize the crosstalk between key signaling pathways involved in RIRI.
  • To discuss novel therapeutic strategies targeting RIRI.

Main Methods:

  • Literature review of recent research on RIRI.
  • Analysis of signaling pathway interactions and crosstalk.
  • Integration of insights for therapeutic strategy development.

Main Results:

  • Recent advances reveal complex network regulation in RIRI.
  • Key signaling pathways exhibit significant crosstalk.
  • Understanding these dynamics is vital for therapeutic development.

Conclusions:

  • A network systems approach to RIRI signaling is essential.
  • Targeting critical signaling nodes offers promising therapeutic avenues.
  • Developing multi-targeted therapies can mitigate RIRI and enhance patient recovery.

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