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Apoptosis (2008) 13:11–32
DOI 10.1007/s10495-007-0151-z
ORIGINAL PAPER
Renal cell apoptosis induced by nephrotoxic drugs: cellular
and molecular mechanisms and potential approaches to
modulation
H. Servais Æ A. Ortiz Æ O. Devuyst Æ S. Denamur Æ P. M. Tulkens Æ
M.-P. Mingeot-Leclercq
Published online: 30 October 2007
Springer Science+Business Media, LLC 2007
Abstract Apoptosis plays a central role not only in the ined. Finally, key issues that need to be addressed for the
physiological processes of kidney growth and remodeling, success of apoptosis-based therapies are underlined.
but also in various human renal diseases and drug-induced
nephrotoxicity. We present in a synthetic fashion the main Keywords Renal apoptosis Nephrotoxic drugs
molecular and cellular pathways leading to drug-induced
apoptosis in kidney and the mechanisms regulating it. We
Abbreviations
illustrate them using three main nephrotoxic drugs (cis-
AIF Apoptosis induced factor
platin, gentamicin, and cyclosporine A). We discuss the
Akt/PKB Serine/threonine kinase/protein kinase B
main regulators and effectors that have emerged as key
ATP Adenosine triphosphate
targets for the design of therapeutic strategies. Novel
Bid Bcl-2 interacting domain
approaches using gene therapy, antisense strategies,
BIP Bax inhibiting peptide
recombinant proteins, or compounds obtained from both
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