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. 2023 May 11;325(1):F1–F21. doi: 10.1152/ajprenal.00012.2023

Table 1.

Kidney disease phenotype after genetic ablation of autophagy/mitophagy-related genes in models of AKI and CKD

Setting Targeted Pathway Model Targeted Gene Targeted Tissue/Cell Kidney Phenotypical Changes Reference
AKI Autophagy Sepsis: LPS Atg7 Proximal tubules Exacerbated proximal tubular cell injury and worsening kidney function 35
Atg7 Proximal tubules Tubular cell apoptosis and impaired kidney function 36
Atg5 Podocytes Increased transient albuminuria 13
Mitophagy Sepsis: CLP, LPS Pink1 or Prkn Global Increased mitochondrial fragmentation, tubular damage, apoptosis, serum creatinine, and BUN 37
Autophagy Cisplatin Atg5 Proximal tubules Increased DNA damage, apoptosis, oxidative stress, number of protein aggregates, tissue damage, and impaired kidney function 38
Atg7 Proximal tubules Exacerbated cell death, tissue damage, and impaired kidney function 39
Mitophagy Cisplatin Pink1 or Prkn Global Increased tubular injury, apoptosis, serum creatinine, and BUN 40
Pink1 Global Reduced DRP1, tubular apoptosis, and kidney injury 41
Autophagy IRI Atg5 Tubules Increased tubular injury, apoptosis, and serum creatinine 16
Atg5 Proximal tubules Increased number of abnormal mitochondria, tubular cell death, kidney damage, serum creatinine, and BUN 42
Atg7 Proximal tubules Increased serum creatinine and BUN 39
Atg7 Tubules Reduced FGF2 expression and fibrotic responses 43
Atg5 Tubules Exacerbated kidney injury and tubulointerstitial fibrosis 44
Atg5 Distal tubules Increased fibrotic responses 44
Becn1 Tubules Exacerbated tissue damage, inflammation, tubulointerstitial fibrosis, and impaired kidney function 44
Becn1 Distal tubules Worsening kidney function 44
Mitophagy IRI Pink1 or Prkn Global Exacerbated oxidative stress, inflammation, apoptosis, and mitochondrial damage in proximal tubules 45
Mfn2 Proximal tubules Increased cell survival and improved kidney function 46
CKD Autophagy Kidney fibrosis/UUO Map1lc3a Global Increased TGF-β1 expression, collagen accumulation, and kidney fibrosis 47
Atg5 Proximal tubules Cell cycle arrested at the G2/M phase and increased tubulointerstitial fibrosis 48
Atg5 Proximal tubules Increased inflammation, NF-κB activation, infiltration of macrophages and T cells in the kidney 49
Atg7 Distal tubules Increased accumulation of abnormal mitochondria, apoptotic markers, NLRP3 inflammasome formation, and kidney fibrosis 50
Atg7 Proximal tubules Reduced tubular atrophy, nephron loss, macrophage infiltration, and kidney fibrosis 51
Becn1 Global Increased TGF-β1 expression and collagen accumulation 47
Becn1 Tubules Exacerbated collagen deposition and kidney fibrosis. 44
Mitophagy Kidney fibrosis/UUO or adenine diet Pink1 or Prkn Global Increased kidney macrophage-derived mROS, tubulointerstitial fibrosis, and impaired kidney function 30
Mfn2 Myeloid lineage Impaired macrophage mitochondrial biogenesis, increased macrophage-derived fibrotic responses, kidney fibrosis, serum creatinine, and BUN 34
Autophagy DN/Akita mice Atg7 Proximal tubules Increased tubular hypertrophy, macrophage infiltration, and kidney fibrosis 52
DN/high-fat diet Atg5 Podocytes Loss of podocytes and massive albuminuria 53
DN/high glucose Atg5 Podocytes Podocyte apoptosis, leaky GFB, and glomerulosclerosis 17
DN/STZ Atg5 Endothelial cells Capillary rarefactions, loss of fenestrations, and glomerular endothelial lesions 17
Autophagy Podocytopathies/PAN, adriamycin Atg5 Podocytes Increased accumulation of oxidized proteins linked to proteinuria, loss of podocytes, and glomerulosclerosis 13
Podocytopathies/ unilateral nephrectomy Atg7 Podocytes ER stress, cytoskeletal destabilization, foot process effacement, and albuminuria 54

AKI, acute kidney injury; atg, autophagy-related; Becn1, beclin 1; BUN, blood urea nitrogen; CKD, chronic kidney disease; CLP, cecal ligation and puncture; DN, diabetic nephropathy; DRP1, dynamin-related protein 1; ER stress, endoplasmic reticulum-derived stress; FGF2, fibroblast growth factor 2; GFB, glomerular filtration barrier; IRI, ischemia-reperfusion injury; LPS, lipopolysaccharides; Map1lc3a, microtubule-associated protein 1 light chain 3α (LC3A); mROS, mitochondria-derived reactive oxygen species; PAN, puromycin aminonucleoside; Pink1, phosphatase and tensin homolog-induced kinase 1; Prkn, Parkin; STZ, streptozotocin; TGF-β1, transforming growth factor-β1; UUO, unilateral ureteral obstruction.