PMID- 35159216 OWN - NLM STAT- MEDLINE DCOM- 20220408 LR - 20220408 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 11 IP - 3 DP - 2022 Jan 25 TI - New Insights into the Mechanisms of Chaperon-Mediated Autophagy and Implications for Kidney Diseases. LID - 10.3390/cells11030406 [doi] LID - 406 AB - Chaperone-mediated autophagy (CMA) is a separate type of lysosomal proteolysis, characterized by its selectivity of substrate proteins and direct translocation into lysosomes. Recent studies have declared the involvement of CMA in a variety of physiologic and pathologic situations involving the kidney, and it has emerged as a potential target for the treatment of kidney diseases. The role of CMA in kidney diseases is context-dependent and appears reciprocally with macroautophagy. Among the renal resident cells, the proximal tubule exhibits a high basal level of CMA activity, and restoration of CMA alleviates the aging-related tubular alternations. The level of CMA is up-regulated under conditions of oxidative stress, such as in acute kidney injury, while it is declined in chronic kidney disease and aging-related kidney diseases, leading to the accumulation of oxidized substrates. Suppressed CMA leads to the kidney hypertrophy in diabetes mellitus, and the increase of CMA contributes to the progress and chemoresistance in renal cell carcinoma. With the progress on the understanding of the cellular functions and uncovering the clinical scenario, the application of targeting CMA in the treatment of kidney diseases is expected. FAU - Yuan, Zhen AU - Yuan Z AD - Pathology Department, The School of Medicine, Nankai University, 94 Weijin Road, Nankai District, Tianjin 300071, China. FAU - Wang, Shuyuan AU - Wang S AD - Pathology Department, The School of Medicine, Nankai University, 94 Weijin Road, Nankai District, Tianjin 300071, China. FAU - Tan, Xiaoyue AU - Tan X AUID- ORCID: 0000-0003-3394-9063 AD - Pathology Department, The School of Medicine, Nankai University, 94 Weijin Road, Nankai District, Tianjin 300071, China. FAU - Wang, Dekun AU - Wang D AD - Pathology Department, The School of Medicine, Nankai University, 94 Weijin Road, Nankai District, Tianjin 300071, China. LA - eng GR - 81872554 (X.T) and 82000708 (D.W)/National Natural Science Foundation of China/ GR - 201910055106 (S.W. and Z.Y.)/National College Student Innovation and Entrepreneurship Training Program of China/ PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220125 PL - Switzerland TA - Cells JT - Cells JID - 101600052 SB - IM MH - Autophagy/physiology MH - *Chaperone-Mediated Autophagy MH - Humans MH - *Kidney Diseases/metabolism MH - Lysosomes/metabolism PMC - PMC8834181 OTO - NOTNLM OT - chaperon-mediated autophagy OT - heat shock-cognate 71 kDa protein OT - kidney diseases OT - lysosomal associated protein 2A COIS- The authors declare that they have no conflict of interest. EDAT- 2022/02/16 06:00 MHDA- 2022/04/09 06:00 PMCR- 2022/01/25 CRDT- 2022/02/15 01:04 PHST- 2021/12/24 00:00 [received] PHST- 2022/01/14 00:00 [revised] PHST- 2022/01/18 00:00 [accepted] PHST- 2022/02/15 01:04 [entrez] PHST- 2022/02/16 06:00 [pubmed] PHST- 2022/04/09 06:00 [medline] PHST- 2022/01/25 00:00 [pmc-release] AID - cells11030406 [pii] AID - cells-11-00406 [pii] AID - 10.3390/cells11030406 [doi] PST - epublish SO - Cells. 2022 Jan 25;11(3):406. doi: 10.3390/cells11030406.