PMID- 29332935 OWN - NLM STAT- MEDLINE DCOM- 20190815 LR - 20190815 IS - 1759-507X (Electronic) IS - 1759-5061 (Linking) VI - 14 IP - 4 DP - 2018 Apr TI - Novel treatment strategies for chronic kidney disease: insights from the animal kingdom. PG - 265-284 LID - 10.1038/nrneph.2017.169 [doi] AB - Many of the >2 million animal species that inhabit Earth have developed survival mechanisms that aid in the prevention of obesity, kidney disease, starvation, dehydration and vascular ageing; however, some animals remain susceptible to these complications. Domestic and captive wild felids, for example, show susceptibility to chronic kidney disease (CKD), potentially linked to the high protein intake of these animals. By contrast, naked mole rats are a model of longevity and are protected from extreme environmental conditions through mechanisms that provide resistance to oxidative stress. Biomimetic studies suggest that the transcription factor nuclear factor erythroid 2-related factor 2 (NRF2) offers protection in extreme environmental conditions and promotes longevity in the animal kingdom. Similarly, during months of fasting, immobilization and anuria, hibernating bears are protected from muscle wasting, azotaemia, thrombotic complications, organ damage and osteoporosis - features that are often associated with CKD. Improved understanding of the susceptibility and protective mechanisms of these animals and others could provide insights into novel strategies to prevent and treat several human diseases, such as CKD and ageing-associated complications. An integrated collaboration between nephrologists and experts from other fields, such as veterinarians, zoologists, biologists, anthropologists and ecologists, could introduce a novel approach for improving human health and help nephrologists to find novel treatment strategies for CKD. FAU - Stenvinkel, Peter AU - Stenvinkel P AD - Divison of Renal Medicine M99, Karolinska University Hospital, Karolinska Institutet, Halsovagen 13, 14157 Stockholm, Sweden. FAU - Painer, Johanna AU - Painer J AD - Konrad Lorenz Institute of Ethology and Research Institute of Wildlife Ecology, Department of Integrative Biology and Evolution at the University of Veterinary Medicine, Savoyenstreet 1, 1160 Vienna, Austria. FAU - Kuro-O, Makoto AU - Kuro-O M AD - Division of Anti-Aging Medicine, Center for Molecular Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan. FAU - Lanaspa, Miguel AU - Lanaspa M AD - Division of Renal Diseases and Hypertension, 12700 East 19th Avenue, Room 7015 Mail Stop C281, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045, USA. FAU - Arnold, Walter AU - Arnold W AD - Konrad Lorenz Institute of Ethology and Research Institute of Wildlife Ecology, Department of Integrative Biology and Evolution at the University of Veterinary Medicine, Savoyenstreet 1, 1160 Vienna, Austria. FAU - Ruf, Thomas AU - Ruf T AD - Konrad Lorenz Institute of Ethology and Research Institute of Wildlife Ecology, Department of Integrative Biology and Evolution at the University of Veterinary Medicine, Savoyenstreet 1, 1160 Vienna, Austria. FAU - Shiels, Paul G AU - Shiels PG AD - Wolfson Wohl Translational Research Centre, University of Glasgow, Garscube Estate, Switchback Road, Bearsden, Glasgow G61 1QH, UK. FAU - Johnson, Richard J AU - Johnson RJ AD - Division of Renal Diseases and Hypertension, 12700 East 19th Avenue, Room 7015 Mail Stop C281, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045, USA. LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review DEP - 20180115 PL - England TA - Nat Rev Nephrol JT - Nature reviews. Nephrology JID - 101500081 RN - 0 (Antioxidants) RN - 0 (NF-E2-Related Factor 2) MH - Animals MH - Antioxidants/metabolism MH - Disease Susceptibility/*veterinary MH - Longevity/physiology MH - NF-E2-Related Factor 2/physiology MH - Oxidative Stress/physiology MH - Renal Insufficiency, Chronic/*therapy/*veterinary EDAT- 2018/01/16 06:00 MHDA- 2019/08/16 06:00 CRDT- 2018/01/16 06:00 PHST- 2018/01/16 06:00 [pubmed] PHST- 2019/08/16 06:00 [medline] PHST- 2018/01/16 06:00 [entrez] AID - nrneph.2017.169 [pii] AID - 10.1038/nrneph.2017.169 [doi] PST - ppublish SO - Nat Rev Nephrol. 2018 Apr;14(4):265-284. doi: 10.1038/nrneph.2017.169. Epub 2018 Jan 15.