Article ; Online: Proximal Tubular Oxidative Metabolism in Acute Kidney Injury and the Transition to CKD.
Kidney360
2020 Volume 2, Issue 2, Page(s) 355–364
Abstract: The proximal tubule relies on oxidative mitochondrial metabolism to meet its energy needs and has limited capacity for glycolysis, which makes it uniquely susceptible to damage during AKI, especially after ischemia and anoxia. Under these conditions, ... ...
Abstract | The proximal tubule relies on oxidative mitochondrial metabolism to meet its energy needs and has limited capacity for glycolysis, which makes it uniquely susceptible to damage during AKI, especially after ischemia and anoxia. Under these conditions, mitochondrial ATP production is initially decreased by several mechanisms, including fatty acid-induced uncoupling and inhibition of respiration related to changes in the shape and volume of mitochondria. Glycolysis is initially insufficient as a source of ATP to protect the cells and mitochondrial function, but supplementation of tricarboxylic acid cycle intermediates augments anaerobic ATP production, and improves recovery of mitochondrial oxidative metabolism. Incomplete recovery is characterized by defects of respiratory enzymes and lipid metabolism. During the transition to CKD, tubular cells atrophy but maintain high expression of glycolytic enzymes, and there is decreased fatty acid oxidation. These metabolic changes may be amenable to a number of therapeutic interventions. |
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MeSH term(s) | Acute Kidney Injury/chemically induced ; Humans ; Kidney Tubules, Proximal/metabolism ; Mitochondria/metabolism ; Oxidative Stress ; Renal Insufficiency, Chronic/metabolism |
Language | English |
Publishing date | 2020-12-22 |
Publishing country | United States |
Document type | Journal Article ; Research Support, N.I.H., Extramural |
ISSN | 2641-7650 |
ISSN (online) | 2641-7650 |
DOI | 10.34067/KID.0004772020 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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