PMID- 37442108 OWN - NLM STAT- MEDLINE DCOM- 20231004 LR - 20231024 IS - 2235-3186 (Electronic) IS - 1660-8151 (Linking) VI - 147 IP - 10 DP - 2023 TI - The Interplay of Autophagy and Oxidative Stress in the Kidney: What Do We Know? PG - 627-642 LID - 10.1159/000531290 [doi] AB - BACKGROUND: Autophagy, as an indispensable metabolism, plays pivotal roles in maintaining intracellular homeostasis. Nutritional stress, amino acid deficiency, oxidative stress, and hypoxia can trigger its initiation. Oxidative stress in the kidney activates essential signal molecules, like mammalian target of rapamycin (mTOR), adenosine monophosphate-activated protein kinase (AMPK), and silent mating-type information regulation 2 homolog-1 (SIRT1), to stimulate autophagy, ultimately leading to degradation of intracellular oxidative substances and damaged organelles. Growing evidence suggests that autophagy protects the kidney from oxidative stress during acute ischemic kidney injury, chronic kidney disease, and even aging. SUMMARY: This review emphasizes the cross talk between reactive oxygen species (ROS) signaling pathways and autophagy during renal homeostasis and chronic kidney disease according to the current latest research and provides therapeutic targets during kidney disorders by adjusting autophagy and suppressing oxidative stress. KEY MESSAGES: ROS arise through an imbalance of oxidation and antioxidant defense mechanisms, leading to impaired cellular and organ function. Targeting the overproduction of ROS and reactive nitrogen species, reducing the antioxidant enzyme activity and the recovery of the prooxidative-antioxidative balance provide novel therapeutic regimens to contribute to recovery in acute and chronic renal failure. Although, in recent years, great progress has been made in understanding the molecular mechanisms of oxidative stress and autophagy in acute and chronic renal failure, the focus on clinical therapies is still in its infancy. The growing number of studies on the interactive mechanisms of oxidative stress-mediated autophagy will be of great importance for the future treatment and prevention of kidney diseases. CI - (c) 2023 S. Karger AG, Basel. FAU - Guo, Haihua AU - Guo H AD - Renal Division, Department of Medicine, Medical Center, University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany. FAU - Bechtel-Walz, Wibke AU - Bechtel-Walz W AD - Renal Division, Department of Medicine, Medical Center, University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20230713 PL - Switzerland TA - Nephron JT - Nephron JID - 0331777 RN - 0 (Reactive Oxygen Species) RN - 0 (Antioxidants) SB - IM MH - Humans MH - Reactive Oxygen Species/metabolism MH - Antioxidants/metabolism MH - Kidney/metabolism MH - Oxidative Stress MH - *Renal Insufficiency, Chronic/metabolism MH - *Acute Kidney Injury/metabolism MH - Autophagy/physiology MH - *Kidney Failure, Chronic/metabolism OTO - NOTNLM OT - Acute kidney injury OT - Autophagy OT - Chronic kidney disease OT - Oxidative stress OT - Reactive oxygen species EDAT- 2023/07/14 13:07 MHDA- 2023/10/04 06:44 CRDT- 2023/07/13 18:23 PHST- 2022/09/08 00:00 [received] PHST- 2023/05/19 00:00 [accepted] PHST- 2023/10/04 06:44 [medline] PHST- 2023/07/14 13:07 [pubmed] PHST- 2023/07/13 18:23 [entrez] AID - 000531290 [pii] AID - 10.1159/000531290 [doi] PST - ppublish SO - Nephron. 2023;147(10):627-642. doi: 10.1159/000531290. Epub 2023 Jul 13.