Calcium (Ca) plays a critical role in podocyte function. The
Ca-sensitive receptors on the cell surface can sense changes in Ca
concentration, and Ca flow into podocytes, after activation of Ca
channels (such as transient receptor potential canonical (TRPC) channels and
N-type calcium channels) by different stimuli. In addition, the type 2
ryanodine receptor (RyR2) and the voltage-dependent anion channel 1 (VDAC1) on
mitochondrial store-operated calcium channels (SOCs) on the endoplasmic reticulum
maintain the Ca homeostasis of the organelle. Ca signaling is
transmitted through multiple downstream signaling pathways and participates in
the morphogenesis, structural maintenance, and survival of podocytes. When
Ca is dysregulated, it leads to the occurrence and progression of various
diseases, such as focal segmental glomerulosclerosis, diabetic kidney disease,
lupus nephritis, transplant glomerulopathy, and hypertensive renal injury.
Ca signaling is a promising therapeutic target for podocyte-related
diseases. This review first summarizes the role of Ca sensing, Ca
channels, and different Ca-signaling pathways in the biological functions
of podocytes, then, explores the status of Ca signaling in different
podocyte-related diseases and its advances as a therapeutic target.