As human life expectancy keeps increasing, ageing populations present a
growing challenge for clinical practices. Human ageing is associated with
molecular, structural, and functional changes in a variety of organ systems,
including the kidney. During the ageing process, the kidney experiences
progressive functional decline as well as macroscopic and microscopic
histological alterations, which are accentuated by systemic comorbidities like
hypertension and diabetes mellitus, or by preexisting or underlying kidney
diseases. Although ageing
per se
does not cause kidney injury,
physiologic changes associated with normal ageing processes are likely to impair
the reparative capacity of the kidney and thus predispose older people to acute
kidney disease, chronic kidney disease and other renal diseases.
Mechanistically, cell senescence plays a key role in renal ageing, involving a
number of cellular signaling mechanisms, many of which may be harnessed as
interventional targets for slowing or even reversing kidney ageing. This review
summarizes the clinical characteristics of renal ageing, highlights the latest
progresses in deciphering the role of cell senescence in renal ageing, and
envisages potential interventional strategies and novel therapeutic targets for
preventing or improving renal ageing in the hope of maintaining long-term kidney
health and function across the life course.