1. Molecular mechanisms involved in podocyte EMT and concomitant diabetic kidney diseases: an update
- Author
-
Guanzhong Wu and Qidi Ying
- Subjects
0301 basic medicine ,Epithelial-Mesenchymal Transition ,Notch signaling pathway ,Podocyte ,Critical Care and Intensive Care Medicine ,epithelial–mesenchymal transition ,State Of The Art Review ,Nephrin ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Diabetic Nephropathies ,Epithelial–mesenchymal transition ,Tight Junction Proteins ,biology ,Podocytes ,Wnt signaling pathway ,Intracellular Signaling Peptides and Proteins ,Membrane Proteins ,General Medicine ,Actin cytoskeleton ,diabetic kidney disease ,Cell biology ,030104 developmental biology ,medicine.anatomical_structure ,Nephrology ,030220 oncology & carcinogenesis ,Hyperglycemia ,Immunology ,Podocin ,biology.protein ,Slit diaphragm ,molecular mechanism ,Signal Transduction - Abstract
Epithelial–mesenchymal transition (EMT) is a tightly regulated process by which epithelial cells lose their hallmark epithelial characteristics and gain the features of mesenchymal cells. For podocytes, expression of nephrin, podocin, P-cadherin, and ZO-1 is downregulated, the slit diaphragm (SD) will be altered, and the actin cytoskeleton will be rearranged. Diabetes, especially hyperglycemia, has been demonstrated to incite podocyte EMT through several molecular mechanisms such as TGF-β/Smad classic pathway, Wnt/β-catenin signaling pathway, Integrins/integrin-linked kinase (ILK) signaling pathway, MAPKs signaling pathway, Jagged/Notch signaling pathway, and NF-κB signaling pathway. As one of the most fundamental prerequisites to develop ground-breaking therapeutic options to prevent the development and progression of diabetic kidney disease (DKD), a comprehensive understanding of the molecular mechanisms involved in the pathogenesis of podocyte EMT is compulsory. Therefore, the purpose of this paper is to update the research progress of these underlying signaling pathways and expound the podocyte EMT-related DKDs.
- Published
- 2017