Cellular stress conditions, such as oxidative and endoplasmic reticulum (ER) stresses contribute to development of various kidney diseases. Oxidative stress is prompted by reactive oxygen species (ROS) accumulation and delicately mitigated by glutathione and thioredoxin (Trx) antioxidant systems. Initially identified as a Trx-binding partner, thioredoxin interacting protein (TXNIP) is significantly upregulated and activated by oxidative and ER stresses. The function of TXNIP is closely linked to its subcellular localizations. Under normal physiological conditions, TXNIP primarily localizes to the nucleus. When exposed to ROS or ER stress, TXNIP relocates to mitochondria and binds to mitochondrial Trx2, which releases Trx-tethered apoptosis signal-regulating kinase 1 (ASK1) and activates ASK1-mediated apoptosis. Oxidative and ER stresses are also closely associated with autophagy. TXNIP can promote or inhibit autophagy depending on different contexts. Although recent studies have highlighted the indispensable role of TXNIP in the etiology and progression of kidney disease, TXNIP-targeted therapy is still missing. This review will focus on the following aspects: (1) Oxidative and ER stresses; (2) Regulation and function of TXNIP during cellular stress; (3) TXNIP in stress-regulated autophagy; (4) TXNIP in kidney diseases, including nephrotic syndrome, diabetic nephropathy and chronic kidney disease, acute kidney injury and kidney aging; (5) Novel treatment agents targeting TXNIP in kidney disease, where we will review the current advances in chemical compounds and RNA-based therapy suppressing TXNIP.
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