An Overview of Pathways of Regulated Necrosis in Acute Kidney Injury.

Abstract:

:Necrosis is the predominant form of regulated cell death in acute kidney injury (AKI) and represents results in the formation of casts that appear in the urine sedimentation, referred to as muddy brown casts, which are part of the diagnosis of AKI. Pathologists referred to this typical feature as acute tubular necrosis. We are only beginning to understand the dynamics and the molecular pathways that underlie such typical necrotic morphology. In this review, we provide an overview of candidate pathways and summarize the emerging evidence for the relative contribution of these pathways of regulated necrosis, such as necroptosis, ferroptosis, mitochondrial permeability transition-mediated regulated necrosis, parthanatos, and pyroptosis. Inhibitors of each of these pathways are available, and clinical trials may be started after the detection of the most promising drug targets, which will be discussed here. With the global burden of AKI in mind, inhibitiors of regulated necrosis represent promising means to prevent this disease.

journal_name

Semin Nephrol

journal_title

Seminars in nephrology

authors

Kers J,Leemans JC,Linkermann A

doi

10.1016/j.semnephrol.2016.03.002

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

139-52

issue

3

eissn

0270-9295

issn

1558-4488

pii

S0270-9295(16)00022-X

journal_volume

36

pub_type

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