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Updated: Jun 25, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
NF-kappaB signalling in chronic kidney disease
Gopala Rangan1, Yiping Wang, David Harris
1Centre for Transplant and Renal Research, Westmead Millennium Institute, Westmead Hospital and Sydney-West Area Health Service, Sydney, Australia. g.rangan@wmi.usyd.edu.au
The nuclear factor kappa B (NF-κB) pathway drives chronic inflammation in chronic kidney disease (CKD). Targeting specific NF-κB isoforms may offer new treatments for kidney failure.
Area of Science:
- Molecular Biology
- Immunology
- Nephrology
Background:
- The nuclear factor kappa B (NF-κB) pathway is a key intracellular transcription factor system activated by external stimuli.
- NF-κB regulates genes involved in inflammation, immunity, apoptosis, and cell growth.
- Components like cell-surface receptors, kinases, and inhibitory proteins modulate NF-κB activation.
Purpose of the Study:
- To review current evidence on NF-κB isoforms in chronic kidney disease (CKD).
- To explore the pathogenic role of NF-κB upregulation in CKD.
- To examine the potential of targeting NF-κB isoforms for treating kidney failure.
Main Methods:
- Review of in vitro studies.
- Analysis of animal models.
- Examination of human studies.
Main Results:
- Upregulation of the canonical (RelA/p50) NF-κB isoform is implicated in chronic inflammation in CKD.
- This pathogenic role is observed in tubular epithelial cells, podocytes, mesangial cells, and macrophages.
- Evidence suggests NF-κB isoforms contribute to kidney damage in CKD.
Conclusions:
- The canonical NF-κB isoform plays a significant role in the pathogenesis of CKD.
- Understanding NF-κB isoform activity is crucial for developing targeted therapies.
- Targeting NF-κB pathways presents a potential therapeutic strategy for kidney failure in CKD.
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