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Table 2 Potential approaches to target podocyte death in DKD

From: Research progress on multiple cell death pathways of podocytes in diabetic kidney disease

Mode of cell death

Treatment

Mechanism of action

DKD model

References

Apoptosis

TXNIP gene was deleted

Termination of O2− production in mitochondria and inhibition of oxidative stress

STZ-induced TxNIP WT (TxNIP), TxNIP KO (TxNIP+/+−/−), TxNIP HET (TxNIP+/−), and Hcb-19 mice

Hg-induced conditionally immortalized human podocytes

Shah et al. (2015)

Sestrin2 was overexpressed

Inhibition of the TSP-1/TGF-β1/Smad3 pathway inhibits oxidative stress

STZ-induced C57BL/6J mice

Hg-induced MPC5 cells

Shan et al. (2015)

ADSC-Exo

The Smad1/mTOR pathway was inhibited by enhancing miR-486 expression

C0010BL/KsJ db/db mice

Hg-induced MPC5 cells

Jin et al. (2019)

Telmisartan

Inhibition of swiprosin-1 expression further inhibited the p38 MAPK pathway

STZ-induced Sprague–Dawley rats

Hg-induced MPC5 cells

Wei et al. (2022)

Wogonin

Enhanced anti-apoptotic Bcl-2 activation

STZ-induced C57BL/6J mice

Hg-induced MPC5 cells

Liu et al. (2022a, b)

AS-IV

Activation of PPARγ-Klotho-FoxO1 pathway inhibits oxidative stress

C57BLKS/J-LepR db/db mice

Hg-induced MPC5 cells

Xing et al. (2021)

Autophagy

Down-regulation of Risa

Inhibition of the Sirt1/GSK3β pathway

C57BL/KsJ db/db mice

Hg-induced MPC5 cells

Su et al. (2022)

PGRN

Enhanced PGRN-Sirt1-PGC-1α/FoxO1 pathway

STZ-induced C57BL/6 mice

Zhou et al. (2019)

BBR

Inhibition of the mTOR/P70S6K/4EBP1 pathway

Hg-induced MPC5 cells

Li et al. (2020)

Mangiferin

It promoted the up-regulation of AMPK phosphorylation, the down-regulation of mTOR phosphorylation, and the up-regulation of p-ULK1

STZ-induced Sprague–Dawley rats

Hg-induced MPC5 cells

Wang et al. (2018)

JTBF

Inhibition of the PI3K/Akt/mTOR pathway

STZ-induced Sprague–Dawley rats

Jin et al. (2022)

NR1

Activation of the PI3K/Akt pathway

Hg-induced conditionally immortalized human podocytes

Huang et al. (2017)

Geniposide

Enhanced AMPK activity

STZ-induced C57BL/6 mice

Dusabimana et al. (2021)

ER stress

LINC01619

Inhibition of the miR-27a/FOXO1 pathway

STZ-induced Sprague–Dawley rats

Hg-induced MPC5 cells

Bai et al. (2018)

TUDCA

It inhibits the expression of ER stress markers

C57BL/KsJ db/db mice

Hg-induced conditionally immortalized human podocytes

Fan et al. (2017a, b)

Emodin

Inhibition of the PERK-eIF2α pathway

STZ-induced C57BL/6J mice

Hg-induced MPC5 cells

Tian et al. (2018)

OA

Enhance antioxidant effect

C57BL/KsJ db/db mice

Lee et al. (2016)

NAC

Enhance antioxidant effect

C57BL/KsJ db/db mice

Lee et al. (2016)

Unsaturated free fatty acids

Attenuate the upregulation of CHOP

Hg-induced MPC5 cells

Sieber et al. (2010)

Pyroptosis

Gene therapy for IL-22

Inhibition of NLRP3 inflammasome activation

STZ-induced C57BL/6 mice

Wang et al. (2017)

Inhibition of MiR-21-5p in macrophage-derived EVs

It also reduced the levels of NLRP3, caspase-1, and IL-1β, which are inflammasomes associated with pyroptosis

STZ-induced C57BL/6 mice

Hg-induced MPC5 cells

Ding et al. (2021)

Knockdown of caspase-11 or GSDMD

Inhibition of caspase-11 and GSDMD-mediated pyroptosis

STZ-induced C57BL/6J mice

Hg-induced MPC5 cells

Cheng et al. (2021)

SS

Inhibition of the Nrf2/NLRP3 pathway

Hg-induced MPC5 cells

Zhang et al. (2022)

TFA

Targeting m6A modifation-mediated NLRP3 inflammasome activation and the PTEN/PI3K/Akt pathway

Hg-induced MPC5 cells

Liu et al. (2021)

FPS

Regulating the AMPK/mTORC3/NLRP1 pathway inhibits the activation of NLRP3 inflammasome

STZ-induced Sprague–Dawley rats

Hg-induced MPC5 cells

Wang et al. (2022a, b, c)

Carnosine

Targeting caspase-1

STZ-induced C57BL/6J mice

Hg-induced MPC5 cells

Zhu et al. (2021)

Necroptosis

The UCHL1 gene was deleted

This results in a shortened half-life of RIPK1 and RIPK3 proteins and a decrease in their expression

Hg-induced MPC5 cells

Xu et al. (2019)

Nec1

The expression of RIPK1 and RIPK3 was inhibited

Hg-induced MPC5 cells

Xu et al. (2019)

PF

It directly binds and promotes the degradation of TNFR1 in podocytes, thereby inhibiting the RIPK1/RIPK3 pathway

STZ-induced C57BL/6J mice

Hg-induced MPC5 cells

Wang et al. (2022a, b, c)

Curcumin

Inhibition of ROS production and abnormal expression of RIPK3

Hg-induced MPC5 cells

Chung et al. (2022)

Ferroptosis

The expression of Prdx6 was up-regulated

Alleviates oxidative stress

STZ-induced C57BL/6 mice

Hg-induced MPC5 cells

Zhang et al. (2022)

Rosiglitazone

Inhibition of ACSL4 expression reduces lipid peroxidation

STZ-induced ICR mice

C57BL/KsJ db/db mice

Wang et al. (2021)

GB

Inhibition of GPX4 ubiquitination

C57BL/KsJ db/db mice

Hg-induced MPC5 cells

Chen et al. (2022)

MGM

Up-regulation of mevalonate-mediated antioxidant capacity and impairment of ACSL4-mediated lipid driver production in the kidney

STZ-induced Sprague–Dawley rats

Zhao et al. (2023)

Mitotic catastrophe

Inhibition of lncRNA MIAT

It increases the expression of Sox4, which in turn regulates p53 ubiquitination and acetylation

STZ-induced C57BL/6 mice

Wang et al. (2022a, b, c)

MYDGF

Activation of the Akt/BAD pathway

STZ-induced C57BL/6J mice

Hg-induced MPC5 cells

He et al. (2020)