Evidence map›Paper›PMID 43004992›Full record

ReviewThe Yale journal of biology and medicine2026

Mitochondrial Dysfunction in Renal Proximal Tubule Injury: Mechanisms, Pathophysiology, and Therapeutic Opportunities.

Anjali Sudha, Pratheesh Kanakarajan Vijaya Kumari, Vineeth Vijayan, Derrick Dean

Abstract readReview
In one paragraph

Review in The Yale journal of biology and medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Anjali SudhaBiomedical and Mechanical Engineering Alabama State University.ORCID https://orcid.org/0000-0002-2040-5553
Pratheesh Kanakarajan Vijaya KumariBiomedical and Mechanical Engineering Alabama State University.
Vineeth VijayanBiomedical and Mechanical Engineering Alabama State University.ORCID https://orcid.org/0000-0003-4764-8085
Derrick DeanBiomedical and Mechanical Engineering Alabama State University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mitochondria play a key role in both health and disease. Mitochondrial dysfunction, characterized by oxidative stress, impaired bioenergetics, altered dynamics, defective mitophagy, and mitochondrial DNA-mediated signaling, is critically involved in both acute kidney injury and chronic kidney disease. These defects not only trigger tubular cell death, but also drive inflammation, fibrosis, and maladaptive remodeling through interactions with endoplasmic reticulum stress, metabolic pathways, and epithelial-to-mesenchymal transition. This review summarizes the structure and function of mitochondria in the renal proximal tubules and outlines the most prominent mechanisms contributing to mitochondrial dysfunction in tubular injury. Because mitochondria play a central role in renal pathophysiology, therapies targeting mitochondria have emerged as promising strategies for preventing and treating kidney disease. Here, we review emerging therapeutic options aimed at improving mitochondrial function, including mitochondria-targeted antioxidants, metabolic modulators and activators of the AMP-activated protein kinase and sirtuins, modulators of mitochondrial fission and fusion, enhancers of mitophagy, gene-based approaches, and stem cell- or exosome-based therapies. There is growing evidence that multitargeting mitochondria by combining different pathways may offer more effective protection against tubular injury and the progression of tubular disease. Finally, future perspectives and translational challenges are discussed, including the definition of reliable mitochondrial biomarkers, development of organ-specific delivery systems, application of precision medicine approaches, and long-term safety considerations. Collectively, mitochondrial defects in renal tubule injury represent a promising target for innovative, organelle-centered strategies to safeguard kidney function.

Indexed as

Acute Kidney InjuryKidney Tubules, ProximalMitochondriaAnimalsHumansMitophagyOxidative StressAcute Kidney InjuryChronic Kidney DiseaseMitochondrial dysfunctionMitochondria-targeted therapies.Renal Proximal tubule

Identifiers

PMID43004992
PMCPMC13736878

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.