Podocyte Aging: Why and How Getting Old Matters

J Am Soc Nephrol. 2021 Nov;32(11):2697-2713. doi: 10.1681/ASN.2021050614.

Abstract

The effects of healthy aging on the kidney, and how these effects intersect with superimposed diseases, are highly relevant in the context of the population's increasing longevity. Age-associated changes to podocytes, which are terminally differentiated glomerular epithelial cells, adversely affect kidney health. This review discusses the molecular and cellular mechanisms underlying podocyte aging, how these mechanisms might be augmented by disease in the aged kidney, and approaches to mitigate progressive damage to podocytes. Furthermore, we address how biologic pathways such as those associated with cellular growth confound aging in humans and rodents.

Keywords: RNA sequencing; aging; glomerulosclerosis; glomerulus; podocyte; senescence.

Publication types

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

MeSH terms

  • Adult
  • Aged
  • Aging / physiology*
  • Animals
  • Autophagy
  • Caloric Restriction
  • Cell Cycle
  • Cell Shape
  • Cells, Cultured
  • Cellular Senescence
  • DNA Damage
  • Female
  • Gene Expression
  • Humans
  • Inflammasomes
  • Kidney Glomerulus / cytology
  • Kidney Glomerulus / growth & development
  • Male
  • Mice
  • Middle Aged
  • Mitochondria / metabolism
  • Models, Animal
  • Oligopeptides / pharmacology
  • Oxidative Stress
  • Podocytes / cytology*
  • Podocytes / metabolism
  • Rats
  • Regulated Cell Death
  • Sirtuins / metabolism
  • Species Specificity
  • Young Adult

Substances

  • Inflammasomes
  • Oligopeptides
  • arginyl-2,'6'-dimethyltyrosyl-lysyl-phenylalaninamide
  • Sirtuins