Angiogenesis and chronic kidney disease

Yohei Maeshima1, Hirofumi Makino

  • 1Department of Medicine and Clinical Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan. ymaeshim@md.okayama-u.ac.jp.

Insights

Chronic kidney disease (CKD) progression involves angiogenesis. Modulating these factors offers potential therapies for CKD and end-stage renal disease (ESRD), requiring further research for optimal treatment strategies.

Area of Science:

  • Nephrology
  • Cardiovascular Medicine
  • Angiogenesis Research

Background:

  • Increasing global prevalence of end-stage renal disease (ESRD) necessitates understanding chronic kidney disease (CKD) progression.
  • CKD is a significant risk factor for ESRD and complicates cardiovascular disease (CVD).
  • Emerging research highlights the role of angiogenesis-related factors in CKD development and progression.

Purpose of the Study:

  • To review the involvement of angiogenesis-related factors in CKD.
  • To explore the therapeutic potential of modulating these factors for CKD and related conditions.
  • To identify future research directions for pro- or anti-angiogenic therapies in CKD.

Main Methods:

  • Literature review of studies on angiogenesis factors in kidney disease.
  • Analysis of the roles of vascular endothelial growth factor (VEGF)-A and Angiopoietin (Ang)-1 in kidney development and disease.
  • Examination of therapeutic effects of angiogenesis inhibitors in experimental models.

Main Results:

  • VEGF-A is crucial for kidney development, glomerular structure, and repair, and implicated in diabetic nephropathy.
  • Ang-1 promotes blood vessel maturation and shows therapeutic potential in diabetic nephropathy.
  • Various angiogenesis inhibitors (e.g., angiostatin, endostatin) have demonstrated therapeutic effects in experimental diabetic nephropathy models.

Conclusions:

  • Angiogenesis-related factors play a significant role in CKD progression.
  • Targeting these factors presents potential therapeutic avenues for CKD.
  • Further research is needed to determine optimal therapeutic timing and develop targeted drug delivery systems for CKD patients.

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