PMID- 31881325 OWN - NLM STAT- MEDLINE DCOM- 20210609 LR - 20210609 IS - 1873-3913 (Electronic) IS - 0898-6568 (Print) IS - 0898-6568 (Linking) VI - 68 DP - 2020 Apr TI - Apoptosis and autophagy in polycystic kidney disease (PKD). PG - 109518 LID - S0898-6568(19)30314-6 [pii] LID - 10.1016/j.cellsig.2019.109518 [doi] AB - Apoptosis in the cystic epithelium is observed in most rodent models of polycystic kidney disease (PKD) and in human autosomal dominant PKD (ADPKD). Apoptosis inhibition decreases cyst growth, whereas induction of apoptosis in the kidney of Bcl-2 deficient mice increases proliferation of the tubular epithelium and subsequent cyst formation. However, alternative evidence indicates that both induction of apoptosis as well as increased overall rates of apoptosis are associated with decreased cyst growth. Autophagic flux is suppressed in cell, zebra fish and mouse models of PKD and suppressed autophagy is known to be associated with increased apoptosis. There may be a link between apoptosis and autophagy in PKD. The mammalian target of rapamycin (mTOR), B-cell lymphoma 2 (Bcl-2) and caspase pathways that are known to be dysregulated in PKD, are also known to regulate both autophagy and apoptosis. Induction of autophagy in cell and zebrafish models of PKD results in suppression of apoptosis and reduced cyst growth supporting the hypothesis autophagy induction may have a therapeutic role in decreasing cyst growth, perhaps by decreasing apoptosis and proliferation in PKD. Future research is needed to evaluate the effects of direct autophagy inducers on apoptosis in rodent PKD models, as well as the cause and effect relationship between autophagy, apoptosis and cyst growth in PKD. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Nowak, Kristen L AU - Nowak KL AD - Division of Renal Diseases and Hypertension, Univ. of Colorado Anschutz Medical Campus, Aurora, CO, USA. FAU - Edelstein, Charles L AU - Edelstein CL AD - Division of Renal Diseases and Hypertension, Univ. of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: Charles.edelstein@cuanschutz.edu. LA - eng GR - I01 BX003803/BX/BLRD VA/United States GR - K01 DK103678/DK/NIDDK NIH HHS/United States GR - P30 DK090868/DK/NIDDK NIH HHS/United States GR - R03 DK118215/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review DEP - 20191224 PL - England TA - Cell Signal JT - Cellular signalling JID - 8904683 RN - 0 (Caspase Inhibitors) RN - EC 3.4.22.- (Caspases) SB - IM MH - Animals MH - *Apoptosis MH - *Autophagy MH - Caspase Inhibitors/pharmacology MH - Caspases/metabolism MH - Humans MH - Polycystic Kidney Diseases/*pathology/therapy MH - Signal Transduction PMC - PMC7127985 MID - NIHMS1067050 OTO - NOTNLM OT - Apoptosis OT - Autophagy OT - Polycystic kidney disease EDAT- 2019/12/28 06:00 MHDA- 2021/06/10 06:00 PMCR- 2021/04/01 CRDT- 2019/12/28 06:00 PHST- 2019/09/27 00:00 [received] PHST- 2019/12/20 00:00 [revised] PHST- 2019/12/21 00:00 [accepted] PHST- 2019/12/28 06:00 [pubmed] PHST- 2021/06/10 06:00 [medline] PHST- 2019/12/28 06:00 [entrez] PHST- 2021/04/01 00:00 [pmc-release] AID - S0898-6568(19)30314-6 [pii] AID - 10.1016/j.cellsig.2019.109518 [doi] PST - ppublish SO - Cell Signal. 2020 Apr;68:109518. doi: 10.1016/j.cellsig.2019.109518. Epub 2019 Dec 24.