Purine adducts as a presumable missing link for aristolochic acid nephropathy‐related cellular energy crisis, potential anti‐fibrotic prevention and treatment

Aristolochic acid nephropathy is a progressive exposome‐induced disease characterized by tubular atrophy and fibrosis culminating in end‐stage renal disease and malignancies. The molecular mechanisms of the energy crisis as a putative cause of fibrosis have not yet been elucidated. In light of the f...

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Veröffentlicht in:British journal of pharmacology 2021-11, Vol.178 (22), p.4411-4427
Hauptverfasser: Kocic, Gordana, Gajic, Mihajlo, Tomovic, Katarina, Hadzi‐Djokic, Jovan, Anderluh, Marko, Smelcerovic, Andrija
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container_issue 22
container_start_page 4411
container_title British journal of pharmacology
container_volume 178
creator Kocic, Gordana
Gajic, Mihajlo
Tomovic, Katarina
Hadzi‐Djokic, Jovan
Anderluh, Marko
Smelcerovic, Andrija
description Aristolochic acid nephropathy is a progressive exposome‐induced disease characterized by tubular atrophy and fibrosis culminating in end‐stage renal disease and malignancies. The molecular mechanisms of the energy crisis as a putative cause of fibrosis have not yet been elucidated. In light of the fact that aristolochic acid forms DNA and RNA adducts by covalent binding of aristolochic acid metabolites to exocyclic amino groups of (deoxy)adenosine and (deoxy)guanosine, we hypothesize here that similar aristolochic acid adducts may exist with other purine‐containing molecules. We also provide new insights into the aristolochic acid‐induced energy crisis and presumably a link between already known mechanisms. In addition, an overview of potential targets in fibrosis treatment is provided, which is followed by recommendations on possible preventive measures that could be taken to at least postpone or partially alleviate aristolochic acid nephropathy.
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subjects Acids
Adducts
Adenosine
Alkalies
Amino groups
Aristolochic acid
aristolochic acid adducts
aristolochic acid nephropathy
Atrophy
DNA adducts
DPP‐4
Energy
energy crisis
Energy shortages
Fibrosis
Molecular modelling
Nephropathy
title Purine adducts as a presumable missing link for aristolochic acid nephropathy‐related cellular energy crisis, potential anti‐fibrotic prevention and treatment
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