Regulated necrosis in kidney ischemia-reperfusion injury.

Abstract:

:Ischemia-reperfusion injury (IRI) is the outcome of an inflammatory process that is triggered when an organ undergoes a transient reduction or cessation of blood flow, followed by re-establishment of perfusion. In the clinical setting, IRI contributes to significant acute kidney injury, patient morbidity and mortality, and adverse outcomes in transplantation. Tubular cell death by necrosis and apoptosis is a central feature of renal IRI. Recent research has challenged traditional views of cell death by identifying new pathways in which cells die in a regulated manner but with the morphologic features of necrosis. This regulated necrosis (RN) takes several forms, with necroptosis and ferroptosis being the best described. The precise mechanisms and relationships between the RN pathways in renal IRI are currently the subject of active research. The common endpoint of RN is cell membrane rupture, resulting in the release of cytosolic components with subsequent inflammation and activation of the immune system. We review the evidence and mechanisms of RN in the kidney following renal IRI, and discuss the use of small molecule inhibitors and genetically modified mice to better understand this process and guide potentially novel therapeutic interventions.

journal_name

Kidney Int

journal_title

Kidney international

authors

Pefanis A,Ierino FL,Murphy JM,Cowan PJ

doi

10.1016/j.kint.2019.02.009

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

291-301

issue

2

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(19)30190-5

journal_volume

96

pub_type

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