PMID- 31936109 OWN - NLM STAT- MEDLINE DCOM- 20210331 LR - 20210331 IS - 2218-273X (Electronic) IS - 2218-273X (Linking) VI - 10 IP - 1 DP - 2020 Jan 7 TI - Autophagy Function and Regulation in Kidney Disease. LID - 10.3390/biom10010100 [doi] LID - 100 AB - Autophagy is a dynamic process by which intracellular damaged macromolecules and organelles are degraded and recycled for the synthesis of new cellular components. Basal autophagy in the kidney acts as a quality control system and is vital for cellular metabolic and organelle homeostasis. Under pathological conditions, autophagy facilitates cellular adaptation; however, activation of autophagy in response to renal injury may be insufficient to provide protection, especially under dysregulated conditions. Kidney-specific deletion of Atg genes in mice has consistently demonstrated worsened acute kidney injury (AKI) outcomes supporting the notion of a pro-survival role of autophagy. Recent studies have also begun to unfold the role of autophagy in progressive renal disease and subsequent fibrosis. Autophagy also influences tubular cell death in renal injury. In this review, we reported the current understanding of autophagy regulation and its role in the pathogenesis of renal injury. In particular, the classic mammalian target of rapamycin (mTOR)-dependent signaling pathway and other mTOR-independent alternative signaling pathways of autophagy regulation were described. Finally, we summarized the impact of autophagy activation on different forms of cell death, including apoptosis and regulated necrosis, associated with the pathophysiology of renal injury. Understanding the regulatory mechanisms of autophagy would identify important targets for therapeutic approaches. FAU - Kaushal, Gur P AU - Kaushal GP AD - Renal Section, Central Arkansas Veterans Healthcare System Little Rock, Arkansas and Division of Nephrology, 4300 W 7th St, Little Rock, AR 72205, USA. AD - Department of Internal Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham, Little Rock, AR 72205, USA. FAU - Chandrashekar, Kiran AU - Chandrashekar K AD - Department of Internal Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham, Little Rock, AR 72205, USA. FAU - Juncos, Luis A AU - Juncos LA AUID- ORCID: 0000-0002-4630-2747 AD - Renal Section, Central Arkansas Veterans Healthcare System Little Rock, Arkansas and Division of Nephrology, 4300 W 7th St, Little Rock, AR 72205, USA. AD - Department of Internal Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham, Little Rock, AR 72205, USA. FAU - Shah, Sudhir V AU - Shah SV AD - Renal Section, Central Arkansas Veterans Healthcare System Little Rock, Arkansas and Division of Nephrology, 4300 W 7th St, Little Rock, AR 72205, USA. AD - Department of Internal Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham, Little Rock, AR 72205, USA. LA - eng GR - BX000444/VA Aministration/International PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review DEP - 20200107 PL - Switzerland TA - Biomolecules JT - Biomolecules JID - 101596414 SB - IM MH - Acute Kidney Injury/metabolism/*pathology/therapy MH - Animals MH - Apoptosis MH - Autophagy/*physiology MH - Fibrosis MH - Homeostasis MH - Humans MH - Kidney/pathology MH - Kidney Diseases/*physiopathology MH - Signal Transduction PMC - PMC7022273 OTO - NOTNLM OT - AMPK OT - acute kidney injury OT - apoptosis OT - autophagy OT - chronic kidney disease OT - diabetic nephropathy OT - mTORC1 OT - regulated necrosis OT - renal fibrosis COIS- The authors declare no conflict of interest. EDAT- 2020/01/16 06:00 MHDA- 2021/04/01 06:00 PMCR- 2020/01/01 CRDT- 2020/01/16 06:00 PHST- 2019/11/27 00:00 [received] PHST- 2019/12/16 00:00 [revised] PHST- 2019/12/19 00:00 [accepted] PHST- 2020/01/16 06:00 [entrez] PHST- 2020/01/16 06:00 [pubmed] PHST- 2021/04/01 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - biom10010100 [pii] AID - biomolecules-10-00100 [pii] AID - 10.3390/biom10010100 [doi] PST - epublish SO - Biomolecules. 2020 Jan 7;10(1):100. doi: 10.3390/biom10010100.