A kidney is an organ with relatively low basal cellular regenerative potential. However, renal cells have a pronounced ability to proliferate after injury, which undermines that the kidney cells are able to regenerate under induced conditions. The majority of studies explain yielded regeneration either by the dedifferentiation of the mature tubular epithelium or by the presence of a resident pool of progenitor cells in the kidney tissue. Whether cells responsible for the regeneration of the kidney initially have progenitor properties or if they obtain a “progenitor phenotype” during dedifferentiation after an injury, still stays the open question. The major stumbling block in resolving the issue is the lack of specific methods for distinguishing between dedifferentiated cells and resident progenitor cells. Transgenic animals, single-cell transcriptomics, and other recent approaches could be powerful tools to solve this problem. This review examines the main mechanisms of kidney regeneration: dedifferentiation of epithelial cells and activation of progenitor cells with special attention to potential niches of kidney progenitor cells. We attempted to give a detailed description of the most controversial topics in this field and ways to resolve these issues.

Dietary restriction (DR) is believed to be one of the most promising approaches to extend life span of different animal species and to delay deleterious age-related physiological alterations and diseases. Among others, DR was shown to ameliorate acute kidney injury (AKI) and chronic kidney disease (CKD). However, to date, a comprehensive analysis of the mechanisms of the protective effect of DR specifically in kidney pathologies has not been carried out. The protective properties of DR are mediated by a range of signaling pathways associated with adaptation to reduced nutrient intake. The adaptation is accompanied by a number of metabolic changes, such as autophagy activation, metabolic shifts toward lipid utilization and ketone bodies production, improvement of mitochondria functioning, and decreased oxidative stress. However, some studies indicated that with age, the gain of DR-mediated positive remodeling gradually decreases. This may be an obstacle if we seek to translate the DR approach into a clinic for the treatment of kidney diseases as most patients with AKI and CKD are elderly. It is well known that aging is accompanied by impairments in a huge variety of organs and systems, such as hormonal regulation, stress sensing, autophagy and proteasomal activity, gene expression, and epigenome profile, increased damage to macromolecules and organelles including mitochondria. All these age-associated changes might be the reasons for the reduced protective potential of the DR during aging. We summarized the available mechanisms of DR-mediated nephroprotection and described ways to improve the effectiveness of this approach for an aged kidney.

The decrease in the number of resident progenitor cells with age was shown for several organs. Such a loss is associated with a decline in regenerative capacity and a greater vulnerability of organs to injury. However, experiments evaluating the number of progenitor cells in the kidney during aging have not been performed until recently. Our study tried to address the change in the number of renal progenitor cells with age. Experiments were carried out on young and old transgenic nestin-green fluorescent protein (GFP) reporter mice, since nestin is suggested to be one of the markers of progenitor cells. We found that nestin+ cells in kidney tissue were located in the putative niches of resident renal progenitor cells. Evaluation of the amount of nestin+ cells in the kidneys of different ages revealed a multifold decrease in the levels of nestin+ cells in old mice. In vitro experiments on primary cultures of renal tubular cells showed that all cells including nestin+ cells from old mice had a lower proliferation rate. Moreover, the resistance to damaging factors was reduced in cells obtained from old mice. Our data indicate the loss of resident progenitor cells in kidneys and a decrease in renal cells proliferative capacity with aging.

Background and Aims The functioning of mitochondria is a key parameter that determines the normal activity of kidney cells and triggers life/death transition in pathological conditions. The main pathological event in the mitochondria is the opening of a permeability transition pore, observed in renal ischemia and other acute nephrological pathologies. The development of non-specific mitochondrial permeability leads to a burst of ROS generation and the release of proapoptotic factors. Assessment of mitochondrial resistance to induction of permeability transition is an important characteristic for the analysis of kidney tolerance to damaging factors, such as ischemia. In this study, we developed a method for evaluating mitochondrial permeability transition in renal tubular cell culture using fluorescence microscopy. Method The primary renal tubular epithelial cells were loaded with a fluorescent probe, TMRE, which accumulates in the mitochondria depending on the transmembrane potential. Cells in the culture were analyzed on a fluorescent microscope for 180 seconds under constant exposure with exciting light and the video was recorded at a frequency of 1 frame/sec. To analyze the images, a Python algorithm was created that allocated the individual mitochondria in the image and analyzed the shape, size, and dynamics of the TMRE fluorescence of each mitochondrion. In total, more than 10^5 mitochondria were analyzed in each experiment. Results The initial state of mitochondrial transmembrane potential was evaluated by the intensity of TMRE fluorescence in the first frame in each series when phototoxicity of the dye was not manifested yet. Population analysis revealed that the total distribution of mitochondria by TMRE fluorescence intensity was a single-modal. In this case, the histogram of the distribution had a wide arm of mitochondria with greater TMRE fluorescence (that means high transmembrane potential). This distribution suggests that renal cells have mitochondria with high and low TMRE fluorescence values. This can be interpreted as the presence of mitochondria in cells with higher transmembrane potential values. Analysis of the dynamics of TMRE fluorescence intensity revealed that some mitochondria after a certain time demonstrated a sharp drop in the fluorescence intensity, which we interpret as the opening of the mitochondrial pore (Fig.1). However, this drop did not occur in all kidney cells mitochondria, but only in about 15% of the cells. A small number of mitochondria had several repeated falls/rises in TMRE fluorescence. This can be interpreted as the closing and subsequent opening of the permeability transition pores. Analysis of a subpopulation of mitochondria with low TMRE values revealed that low-energized mitochondria have a later pore opening time. It is important to note that mitochondria with higher TMRE fluorescence are more susceptible to photodynamic effects when the probe is excited by light. Conclusion Renal epithelial cells happen to be very heterogeneous in terms of mitochondrial potential and the time of the induction of mitochondrial permeability transition. Correlations were found between the value of the mitochondrial potential (TMRE accumulation) and the cell's resistance to induction of non-specific mitochondrial pore.