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Updated: Jun 10, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
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.
Abstract:
The number of patients requiring renal replacement therapy due to end-stage renal disease (ESRD) is increasing worldwide. The prevalence of chronic kidney disease (CKD), and the importance of CKD as a risk factor in development of ESRD and in complicating cardiovascular disease (CVD) have been confirmed. In recent years, the involvement of angiogenesis-related factors in the progression of CKD has been studied, and the potential therapeutic effects on CKD of modulating these factors have been identified. Vascular endothelial growth factor (VEGF)-A, a potent pro-angiogenic factor, is involved in the development of the kidney, in maintenance of the glomerular capillary structure and filtration barrier, and in the renal repair process after injury. VEGF-A is also involved in the development of early diabetic nephropathy, demonstrated by the therapeutic effects of anti-VEGF-A antibody. Angiopoietin (Ang)-1 induces the maturation of newly formed blood vessels, and the therapeutic effects of Ang-1 in diabetic nephropathy have been described. In experimental models of diabetic nephropathy, the therapeutic effects of angiogenesis inhibitors, including angiostatin, endostatin and tumstatin peptides, the isocoumarin NM-3, and vasohibin-1, have been reported.Further analysis of the involvement of angiogenesis-related factors in the development of CKD is required. Determining the disease stage at which therapy is most effective and developing an effective drug delivery system targeting the kidney will be essential for pro-or anti-angiogenic strategies for patients with CKD.
Related Concept Videos
Chronic Kidney Disease I: Introduction
Chronic Kidney Disease II: Clinical Manifestations
Chronic Kidney Disease III: Interprofessional Care
Acute Kidney Injury II: Pathophysiology
Diabetic Nephropathy
Mechanism of Angiogenesis

