The potential role of Na-K-ATPase and its signaling in the development of anemia in chronic kidney disease

Am J Physiol Renal Physiol. 2021 Feb 1;320(2):F234-F242. doi: 10.1152/ajprenal.00244.2020. Epub 2020 Dec 28.

Abstract

Chronic kidney disease (CKD) is one of the most prominent diseases affecting our population today. According to the Factsheet published by Centers for Disease Control and Prevention (CDC), it effects approximately 15% of the total population in the United States in some way, shape, or form. Within the myriad of symptomatology associated with CKD, one of the most prevalent factors in terms of affecting quality of life is anemia. Anemia of CKD cannot be completely attributed to one mechanism or cause, but rather has a multifactorial origin in the pathophysiology of CKD. While briefly summarizing well-documented risk factors, this review, as a hypothesis, aims to explore the possible role of Na-K-ATPase and its signaling function [especially recent identified reactive oxygen species (ROS) amplification function] in the interwoven mechanisms of development of the anemia of CKD.

Keywords: Na-K-ATPase; anemia; chronic kidney disease; reactive oxygen species; red blood cell.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Anemia / enzymology*
  • Anemia / etiology*
  • Humans
  • Renal Insufficiency, Chronic / complications*
  • Signal Transduction / physiology*
  • Sodium-Potassium-Exchanging ATPase / genetics
  • Sodium-Potassium-Exchanging ATPase / metabolism*

Substances

  • Sodium-Potassium-Exchanging ATPase