Publication Date

1-1-2021

Journal

Frontiers in Medicine

DOI

10.3389/fmed.2021.745279

PMID

34646847

PMCID

PMC8502854

PubMedCentral® Posted Date

9-27-2021

PubMedCentral® Full Text Version

Post-print

Published Open-Access

no

Keywords

diabetic kidney disease, mitochondria, mitochondrial dynamics, oxidative phosphorylation, mitochondrial respiratory complexes, bioenergetics

Abstract

The role and nature of mitochondrial dysfunction in diabetic kidney disease (DKD) has been extensively studied. Yet, the molecular drivers of mitochondrial remodeling in DKD are poorly understood. Diabetic kidney cells exhibit a cascade of mitochondrial dysfunction ranging from changes in mitochondrial morphology to significant alterations in mitochondrial biogenesis, biosynthetic, bioenergetics and production of reactive oxygen species (ROS). How these changes individually or in aggregate contribute to progression of DKD remain to be fully elucidated. Nevertheless, because of the remarkable progress in our basic understanding of the role of mitochondrial biology and its dysfunction in DKD, there is great excitement on future targeted therapies based on improving mitochondrial function in DKD. This review will highlight the latest advances in understanding the nature of mitochondria dysfunction and its role in progression of DKD, and the development of mitochondrial targets that could be potentially used to prevent its progression.

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