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. Author manuscript; available in PMC: 2022 Jul 1.
Published in final edited form as: Kidney Int. 2021 Apr 6;100(1):67–78. doi: 10.1016/j.kint.2021.03.024

Table 1 |.

Cell cycle dysregulation in RTECs and podocytes in kidney injury and disease

Cell cycle regulation/impairment Mediators Results References
RTECs in AKI-CKD
 G1/S transition delay ↑p53/p21 (and p27) and ↓CDK2/cyclin E activity Improved RTEC recovery after AKI 4648
Transient CDK4/6 inhibition Improved RTEC recovery after AKI 49, 50
 G2/M checkpoint arrest Cyclin → ↑p53/p21 SASP, TASCC formation, and fibrosis 6, 7
TGF-β → ↑p21 Tubular damage, EMT, fibrosis 60, 61
 Endocycling (Pax8+ RTECs) Not identified Polyploidy and hypertrophy 89
PKD (ADPKD)
 Unchecked cell cycle progression Loss of PC1 → ↓p53/p21 RTEC hyperproliferation 97, 172, 173
Loss of PC1 → ↑Cux1, ↑Pax2 108, 111, 112
86, 87, 114
 Premature G1/S transition Loss of PC1 → ↓STAT1 activation → ↓Yp21 Cell cycle progression and hyperproliferation 97
Loss of PC1 → ↑cyclin A 98, 99
Loss of PC2 → ↑Id2 nuclear translocation and gene expression 100
 Cytokinesis defects Loss of PC1 Centrosomal amplification, MC 131, 141
Mitotic slippage/endomitosis, aberrant ploidy
RTECs in HIVAN
 G2/M checkpoint arrest Vpr → DNA damage response (ATM/ATR) Caspase-mediated cell death 160, 161, 171
 Cytokinesis defects Vpr→ FAT10 Centrosome amplification, MC 162166, 171
Vpr → DNA-PK Mitotic slippage/endomitosis, aberrant ploidy

ADPKD, autosomal dominant polycystic kidney disease; AKI, acute kidney injury; ATM, Ataxia telangiectasia mutated; ATR, ATM and RAD3-related; CDK, cyclin-dependent kinase; CKD, chronic kidney disease; Cux, Cut-like homeobox; DNA-PK, DNA-dependent protein kinase; EMT, epithelial-to-mesenchymal transition; FAT10, HLA-F–adjacent transcript 10; HIVAN, HIV-associated nephropathy; MC, mitotic catastrophe; Pax, paired box; PC1, polycystin-1; PC2, polycystin-2; PKD, polycystic kidney disease; RTEC, renal tubular epithelial cell; SASP, senescence-associated secretory phenotype; STAT, signal transducers and activators of transcription; TASCC, target of rapamycin–autophagy spatial coupling compartment; TGF-β, transforming growth factor-β; Vpr, Viral Protein R.