Cross Talk Between Macrophages and Podocytes in Diabetic Nephropathy: Potential Mechanisms and Novel Therapeutics

Diabetic nephropathy (DN) is a leading cause of chronic kidney disease and end-stage renal failure worldwide. Podocytes, essential components of the glomerular filtration barrier (GFB), are profoundly affected in the diabetic milieu, resulting in structural and functional alterations. Concurrently,...

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Main Authors: Siming Yu, Zehui Han, Chunsheng Li, Xinxin Lu, Yue Li, Xingxing Yuan, Dandan Guo
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/mi/8140479
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author Siming Yu
Zehui Han
Chunsheng Li
Xinxin Lu
Yue Li
Xingxing Yuan
Dandan Guo
author_facet Siming Yu
Zehui Han
Chunsheng Li
Xinxin Lu
Yue Li
Xingxing Yuan
Dandan Guo
author_sort Siming Yu
collection DOAJ
description Diabetic nephropathy (DN) is a leading cause of chronic kidney disease and end-stage renal failure worldwide. Podocytes, essential components of the glomerular filtration barrier (GFB), are profoundly affected in the diabetic milieu, resulting in structural and functional alterations. Concurrently, macrophages, pivotal innate immune cells, infiltrate the diabetic kidney and exhibit diverse activation states influenced by the local environment, playing a crucial role in kidney physiology and pathology. This review synthesizes current insights into how the dynamic cross talk between these two cell types contributes to the progression of DN, exploring the molecular and cellular mechanisms underlying this interaction, with a particular focus on how macrophages influence podocyte survival through various forms of cell death, including apoptosis, pyroptosis, and autophagy. The review also discusses the potential of targeting macrophages to develop more effective treatments for DN.
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id doaj-art-d4a0fdf148c34266b8ae92a2f74f6f12
institution OA Journals
issn 1466-1861
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publishDate 2025-01-01
publisher Wiley
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series Mediators of Inflammation
spelling doaj-art-d4a0fdf148c34266b8ae92a2f74f6f122025-08-20T02:28:40ZengWileyMediators of Inflammation1466-18612025-01-01202510.1155/mi/8140479Cross Talk Between Macrophages and Podocytes in Diabetic Nephropathy: Potential Mechanisms and Novel TherapeuticsSiming Yu0Zehui Han1Chunsheng Li2Xinxin Lu3Yue Li4Xingxing Yuan5Dandan Guo6Department of Nephrology IIFirst Clinical Medical CollegeFirst Clinical Medical CollegeFirst Clinical Medical CollegeFirst Clinical Medical CollegeFirst Clinical Medical CollegeDepartment of CardiologyDiabetic nephropathy (DN) is a leading cause of chronic kidney disease and end-stage renal failure worldwide. Podocytes, essential components of the glomerular filtration barrier (GFB), are profoundly affected in the diabetic milieu, resulting in structural and functional alterations. Concurrently, macrophages, pivotal innate immune cells, infiltrate the diabetic kidney and exhibit diverse activation states influenced by the local environment, playing a crucial role in kidney physiology and pathology. This review synthesizes current insights into how the dynamic cross talk between these two cell types contributes to the progression of DN, exploring the molecular and cellular mechanisms underlying this interaction, with a particular focus on how macrophages influence podocyte survival through various forms of cell death, including apoptosis, pyroptosis, and autophagy. The review also discusses the potential of targeting macrophages to develop more effective treatments for DN.http://dx.doi.org/10.1155/mi/8140479
spellingShingle Siming Yu
Zehui Han
Chunsheng Li
Xinxin Lu
Yue Li
Xingxing Yuan
Dandan Guo
Cross Talk Between Macrophages and Podocytes in Diabetic Nephropathy: Potential Mechanisms and Novel Therapeutics
Mediators of Inflammation
title Cross Talk Between Macrophages and Podocytes in Diabetic Nephropathy: Potential Mechanisms and Novel Therapeutics
title_full Cross Talk Between Macrophages and Podocytes in Diabetic Nephropathy: Potential Mechanisms and Novel Therapeutics
title_fullStr Cross Talk Between Macrophages and Podocytes in Diabetic Nephropathy: Potential Mechanisms and Novel Therapeutics
title_full_unstemmed Cross Talk Between Macrophages and Podocytes in Diabetic Nephropathy: Potential Mechanisms and Novel Therapeutics
title_short Cross Talk Between Macrophages and Podocytes in Diabetic Nephropathy: Potential Mechanisms and Novel Therapeutics
title_sort cross talk between macrophages and podocytes in diabetic nephropathy potential mechanisms and novel therapeutics
url http://dx.doi.org/10.1155/mi/8140479
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