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Review article

Insulin signalling to the kidney in health and disease

Lorna J. Hale, Richard J. M. Coward
Clinical Science Mar 01, 2013, 124 (6) 351-370; DOI: 10.1042/CS20120378
Lorna J. Hale
Academic and Children's Renal Unit, University of Bristol, Learning and Research, Southmead Hospital, Bristol BS10 5NB, U.K.
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Richard J. M. Coward
Academic and Children's Renal Unit, University of Bristol, Learning and Research, Southmead Hospital, Bristol BS10 5NB, U.K.
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  • For correspondence: Richard.Coward@bristol.ac.uk
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Abstract

Ninety-one years ago insulin was discovered, which was one of the most important medical discoveries in the past century, transforming the lives of millions of diabetic patients. Initially insulin was considered only important for rapid control of blood glucose by its action on a restricted number of tissues; however, it has now become clear that this hormone controls an array of cellular processes in many different tissues. The present review will focus on the role of insulin in the kidney in health and disease.

  • diabetes
  • diabetic nephropathy
  • insulin
  • intracellular signalling
  • kidney
  • metabolic syndrome

Abbreviations: BK channel, large-conductance Ca2+-activated K+ channel; BP, blood pressure; CAP, Cbl-associated protein; DM, diabetes mellitus; DN, diabetic nephropathy; DOK, downstream of kinase; ECM, extracellular matrix; eNOS, endothelial NO synthase; ERK, extracellular-signal-regulated kinase; ESRD, end-stage renal disease; FSGS, focal segmental glomerulosclerosis; GBM, glomerular basement membrane; GFB, glomerular filtration barrier; GFR, glomerular filtration rate; GLUT, glucose transporter; GEnC, glomerular endothelial cell; Grb2, growth-factor-receptor-bound protein 2; IGF, insulin-like growth factor; IGF-IR, IGF-I receptor; IL, interleukin; IR, insulin receptor; IRS, insulin receptor substrate; ksp, kidney-specific; JNK, c-Jun N-terminal kinase; MAPK, mitogen-activated protein kinase; MPGN, membranoproliferative glomerulonephritis; mTOR, mammalian target of rapamycin; mTORC, mTOR complex; OMIM, Online Mendelian Inheritance in Man®; PH, pleckstrin homology; PI3K, phosphoinositide 3-kinase; podIRKO mouse, podocyte-specific IR-deficient transgenic mouse; PPARγ, peroxisome-proliferator-activated receptor γ; PTB, phosphotyrosine-binding; Raptor, regulatory associated protein of mTOR; RBF, renal blood flow; SGK1, serum- and glucocorticoid-induced protein kinase 1; SH2, Src homology 2; SOS, Son of Sevenless; TRPC, transient receptor potential cation channel; TSC, tuberous sclerosis complex

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March 2013

Volume: 124 Issue: 6

Clinical Science: 124 (6)
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Insulin signalling to the kidney in health and disease
Lorna J. Hale, Richard J. M. Coward
Clinical Science Mar 2013, 124 (6) 351-370; DOI: 10.1042/CS20120378
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Insulin signalling to the kidney in health and disease
Lorna J. Hale, Richard J. M. Coward
Clinical Science Mar 2013, 124 (6) 351-370; DOI: 10.1042/CS20120378

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  • Article
    • Abstract
    • OVERVIEW OF CELLULAR INSULIN SIGNALLING
    • INSULIN AND IGF (INSULIN-LIKE GROWTH FACTOR) RECEPTORS
    • CELLULAR INSULIN SIGNALLING PATHWAYS
    • INSULIN SIGNALLING IS NOT ALL ABOUT GLUCOSE HOMOEOSTASIS
    • INSULIN AND THE KIDNEY
    • INSULIN AND THE KIDNEY: IN HEALTH
    • INSULIN SIGNALLING AND THE KIDNEY: DISEASE
    • FUTURE DIRECTIONS
    • CONCLUSIONS
    • FUNDING
    • Acknowledgments
    • References
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Keywords

diabetes
diabetic nephropathy
insulin
intracellular signalling
kidney
metabolic syndrome

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