The Podocyte in Diabetic Kidney Disease

Approaching epidemic levels, diabetic kidney disease (DKD) is now the leading cause of end-stage renal disease (ESRD). Microalbuminuria is an early clinical marker of DKD that results from damage to the glomerular filtration barrier at the level of the highly differentiated glomerular podocyte cells...

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Main Authors: Erin Stitt-Cavanagh, Laura MacLoed, Chris R.J. Kennedy
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2009.133
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author Erin Stitt-Cavanagh
Laura MacLoed
Chris R.J. Kennedy
author_facet Erin Stitt-Cavanagh
Laura MacLoed
Chris R.J. Kennedy
author_sort Erin Stitt-Cavanagh
collection DOAJ
description Approaching epidemic levels, diabetic kidney disease (DKD) is now the leading cause of end-stage renal disease (ESRD). Microalbuminuria is an early clinical marker of DKD that results from damage to the glomerular filtration barrier at the level of the highly differentiated glomerular podocyte cells. Injury to these epithelial cells, podocytopathies, includes cellular hypertrophy, foot process effacement, detachment from the glomerular basement membrane, and apoptosis. Here we review the role of a number of recently identified factors that contribute to podocytopathies in DKD. These factors include members of the renin-angiotensin system (RAS), including angiotensin-converting enzyme (ACE) types 1 and 2, prorenin and its receptor, reactive oxygen species (ROS), prostanoids, peroxisome proliferator-activated receptors (PPAR), advanced glycation end-products (AGEs) and their receptors (RAGE), adiponectin, and microRNAs. As the number of therapeutic options that slow, but do not halt, the progression of DKD to ESRD remains limited, a more comprehensive understanding of the signaling events that contribute to this increasingly prevalent disease may identify novel avenues for treatment and prevention.
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spelling doaj-art-b6a872e9f8d74a1ca63e8e4ed3f62b802025-02-03T05:53:22ZengWileyThe Scientific World Journal1537-744X2009-01-0191127113910.1100/tsw.2009.133The Podocyte in Diabetic Kidney DiseaseErin Stitt-Cavanagh0Laura MacLoed1Chris R.J. Kennedy2Kidney Research Centre, Chronic Disease Program, Ottawa Hospital Research Institute, CanadaKidney Research Centre, Chronic Disease Program, Ottawa Hospital Research Institute, CanadaKidney Research Centre, Chronic Disease Program, Ottawa Hospital Research Institute, CanadaApproaching epidemic levels, diabetic kidney disease (DKD) is now the leading cause of end-stage renal disease (ESRD). Microalbuminuria is an early clinical marker of DKD that results from damage to the glomerular filtration barrier at the level of the highly differentiated glomerular podocyte cells. Injury to these epithelial cells, podocytopathies, includes cellular hypertrophy, foot process effacement, detachment from the glomerular basement membrane, and apoptosis. Here we review the role of a number of recently identified factors that contribute to podocytopathies in DKD. These factors include members of the renin-angiotensin system (RAS), including angiotensin-converting enzyme (ACE) types 1 and 2, prorenin and its receptor, reactive oxygen species (ROS), prostanoids, peroxisome proliferator-activated receptors (PPAR), advanced glycation end-products (AGEs) and their receptors (RAGE), adiponectin, and microRNAs. As the number of therapeutic options that slow, but do not halt, the progression of DKD to ESRD remains limited, a more comprehensive understanding of the signaling events that contribute to this increasingly prevalent disease may identify novel avenues for treatment and prevention.http://dx.doi.org/10.1100/tsw.2009.133
spellingShingle Erin Stitt-Cavanagh
Laura MacLoed
Chris R.J. Kennedy
The Podocyte in Diabetic Kidney Disease
The Scientific World Journal
title The Podocyte in Diabetic Kidney Disease
title_full The Podocyte in Diabetic Kidney Disease
title_fullStr The Podocyte in Diabetic Kidney Disease
title_full_unstemmed The Podocyte in Diabetic Kidney Disease
title_short The Podocyte in Diabetic Kidney Disease
title_sort podocyte in diabetic kidney disease
url http://dx.doi.org/10.1100/tsw.2009.133
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