Harnessing Exercise for Chronic Kidney Disease: Integrating Molecular Pathways, Epigenetics, and Gene-Environment Interactions
Kyung-Wan Baek1,2,#, Jinkyung Cho3,#, Ji Hyun Kim4, Ji-Seok Kim1,2,*
BIOCELL, Vol.49, No.8, pp. 1339-1362, 2025, DOI:10.32604/biocell.2025.064916
- 29 August 2025
(This article belongs to the Special Issue: Cellular and Molecular Mechanisms of Exercise in Aging and Chronic Disease)
Abstract Chronic kidney disease (CKD) affects a significant fraction of the global population and is closely associated with elevated cardiovascular risk and poor clinical outcomes. Its pathophysiology entails complex molecular and cellular disturbances, including reduced nitric oxide bioavailability, persistent low-grade inflammation, oxidative stress, endothelial dysfunction, altered mineral metabolism, genetic predispositions, and uremic toxin accumulation. As current pharmacological treatments provide only partial risk reduction, complementary approaches are imperative. Exercise training, both aerobic and resistance, has emerged as a potent non-pharmacological intervention targeting these underlying molecular pathways. Regular exercise can enhance nitric oxide signaling, improve antioxidant defenses, attenuate… More >