Renoprotective Role of Hypoxia-Inducible Factors and the Mechanism

Background: The kidney requires abundant blood supply, and oxygen is transmitted by diffusion through blood vessels. Most physiological metabolism of the kidney depends on oxygen, so it is very sensitive to oxygen. An increasing pool of evidence suggests that hypoxia is involved in almost all acute and chronic kidney diseases (CKDs). Vascular damage, tubular injury, and fibrosis are the main pathologies associated during hypoxia. Hypoxia-inducible factors (HIFs) are the main mediators during hypoxia, but their functions remain controversial. This article reviewed recent studies and described its mechanisms on renoprotection. Summary: HIF is degraded rapidly during under normal oxygen. But under hypoxia, HIFs accumulate and many target genes are regulated by HIFs. Homeostasis during injury is maintained through these genes. Pretreatment of HIF can protect the kidney from acute hypoxia and can improve repair, but HIF’s role in CKD and in renal tumor is still controversial. Due to its mechanism in kidney disease, many drugs toward HIFs are widely researched, even some of which have been used in clinical or in clinical research. Key Messages: In this review, we described the known physiological mechanisms, target genes, and renal protective roles of HIFs, and we discussed several drugs that are researched due to such renal protective roles.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Renoprotective Role of Hypoxia-Inducible Factors and the Mechanism ; volume:8 ; number:1 ; year:2021 ; pages:44-56 ; extent:13
Kidney diseases ; 8, Heft 1 (2021), 44-56 (gesamt 13)

Creator
Li, Qiu-Yu
Liu, Fei
Tang, Xiaoxiao
Fu, Haidong
Mao, Jianhua

DOI
10.1159/000520141
URN
urn:nbn:de:101:1-2022012623262623249729
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:33 AM CEST

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Associated

  • Li, Qiu-Yu
  • Liu, Fei
  • Tang, Xiaoxiao
  • Fu, Haidong
  • Mao, Jianhua

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