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The management of CKD: a look into the future
A Khwaja1, M El Kossi, J Floege
1Department of Academic Nephrology, Sheffield Kidney Institute, Sheffield, UK. arif.khwaja@sth.nhs.uk
Insights
Chronic kidney disease (CKD) is a growing global health issue. This review explores new experimental therapies targeting kidney fibrosis to slow CKD progression, offering hope beyond current treatments.
Area of Science:
- Nephrology
- Fibrosis Research
- Translational Medicine
Background:
- Chronic kidney disease (CKD) and end-stage renal disease (ESRD) present significant global public health and economic challenges.
- Progressive kidney fibrosis is a hallmark of CKD, driving disease progression.
- Current treatments primarily focus on blood pressure control, with limited options targeting the fibrotic process itself.
Purpose of the Study:
- To review experimental therapeutic strategies for slowing CKD progression.
- To explore novel approaches that prevent or reverse kidney fibrosis.
- To highlight potential treatments targeting the underlying mechanisms of kidney remodeling.
Main Methods:
- Literature review of experimental studies on kidney fibrosis.
- Analysis of pathophysiologic steps in kidney remodeling.
- Exploration of therapeutic targets for fibrotic processes.
Main Results:
- Limited current therapies exist for targeting kidney fibrosis directly.
- Experimental strategies show promise in preventing or reversing fibrosis.
- Understanding kidney remodeling pathways is key to developing new treatments.
Conclusions:
- Novel therapeutic strategies targeting kidney fibrosis are crucial for managing CKD.
- Experimental approaches offer potential for slowing CKD progression.
- Further research into fibrotic mechanisms may yield effective treatments.
Abstract:
The increasing global prevalence of chronic kidney disease (CKD) and end-stage renal disease with the associated spiraling cost has profound public health and economic implications. This has made slowing the progression of CKD, a major health-care priority. CKD is invariably characterized by progressive kidney fibrosis and at present, treatment aiming to slow the progression of CKD is limited to aggressive blood pressure control, with few therapies targeting the fibrotic process itself. In this review, we explore the potential of experimental therapeutic strategies, based on preventing or reversing the pathophysiologic steps of kidney remodeling that lead to fibrosis.
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