PMID- 28571536 OWN - NLM STAT- MEDLINE DCOM- 20191016 LR - 20191016 IS - 1873-5592 (Electronic) IS - 1389-4501 (Linking) VI - 19 IP - 6 DP - 2018 TI - AMP-activated Protein Kinase as a Drug Target in Chronic Kidney Disease. PG - 709-720 LID - 10.2174/1389450118666170601130947 [doi] AB - BACKGROUND: Chronic kidney disease (CKD) is a condition increasingly affecting millions of individuals worldwide and is ranked as the ninth leading cause of death in the United States. AMPactivated protein kinase (AMPK) is an energy sensor that plays a pivotal role in cellular homoeostasis. Deficiency in AMPK activity and autophagic signaling, and sustained activation of mammalian target of rapamycin (mTOR) signaling and endoplasmic reticulum (ER) stress have been shown to promote epithelial-to-mesenchymal transition (EMT) and renal cell apoptosis and contribute to CKD. Emerging evidences demonstrate that AMPK acts as a modulator of the aforementioned pathways that underpin the pathophysiology of CKD. Furthermore, pharmacological activators of AMPK such as metformin have been shown to exert renoprotective effects in experimental studies and improve clinical outcomes in patients with CKD. OBJECTIVE: The current review focuses on the nephroprotective effects of AMPK and its utility as a therapeutic target for the prevention and treatment of CKD. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.org. FAU - Allouch, Soumaya AU - Allouch S AD - College of Pharmacy, Qatar University, PO Box 2713, Doha, Qatar. FAU - Munusamy, Shankar AU - Munusamy S AD - College of Pharmacy, Qatar University, PO Box 2713, Doha, Qatar. AD - College of Pharmacy and Health Sciences, Drake University, Des Moines, Iowa, IA 50311-3010, United States. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Drug Targets JT - Current drug targets JID - 100960531 RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/*metabolism MH - Animals MH - Apoptosis/drug effects MH - Autophagy/drug effects MH - Endoplasmic Reticulum Stress/drug effects MH - Epithelial-Mesenchymal Transition MH - Humans MH - *Molecular Targeted Therapy MH - Renal Insufficiency, Chronic/*drug therapy/enzymology/physiopathology OTO - NOTNLM OT - AMP-activated protein kinase OT - apoptosis OT - autophagy OT - chronic kidney disease OT - endoplasmic reticulum stress OT - epithelial- mesenchymal transition OT - mammalian target of rapamycin OT - metformin. EDAT- 2017/06/03 06:00 MHDA- 2019/10/17 06:00 CRDT- 2017/06/03 06:00 PHST- 2017/03/11 00:00 [received] PHST- 2017/05/17 00:00 [revised] PHST- 2017/05/26 00:00 [accepted] PHST- 2017/06/03 06:00 [pubmed] PHST- 2019/10/17 06:00 [medline] PHST- 2017/06/03 06:00 [entrez] AID - CDT-EPUB-83839 [pii] AID - 10.2174/1389450118666170601130947 [doi] PST - ppublish SO - Curr Drug Targets. 2018;19(6):709-720. doi: 10.2174/1389450118666170601130947.