Metabolic Rewiring and Communication : An Integrative View of Kidney Proximal Tubule Function

The kidney proximal tubule is a key organ for human metabolism. The kidney responds to stress with altered metabolite transformation and perturbed metabolic pathways, an ultimate cause for kidney disease. Here, we review the proximal tubule's metabolic function through an integrative view of transport, metabolism, and function, and embed it in the context of metabolome-wide data-driven research. Function (filtration, transport, secretion, and reabsorption), metabolite transformation, and metabolite signaling determine kidney metabolic rewiring in disease. Energy metabolism and substrates for key metabolic pathways are orchestrated by metabolite sensors. Given the importance of renal function for the inner milieu, we also review metabolic communication routes with other organs. Exciting research opportunities exist to understand metabolic perturbation of kidney and proximal tubule function, for example, in hypertension-associated kidney disease. We argue that, based on the integrative view outlined here, kidney diseases without genetic cause should be approached scientifically as metabolic diseases.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:86

Enthalten in:

Annual review of physiology - 86(2024) vom: 12. Feb., Seite 405-427

Sprache:

Englisch

Beteiligte Personen:

Chrysopoulou, Maria [VerfasserIn]
Rinschen, Markus M [VerfasserIn]

Links:

Volltext

Themen:

AKI
Amino acids
CKD
Diabetes
Fatty acid metabolism
Gluconeogenesis
Glycolysis
Journal Article
Ketone body metabolism
Review
SGLT2

Anmerkungen:

Date Completed 14.02.2024

Date Revised 14.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1146/annurev-physiol-042222-024724

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365032263