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Updated: May 20, 2026

Identification of the Source of Secreted Proteins in the Kidney by Brefeldin A Injection
Published on: November 10, 2021
TGF-β signaling via TAK1 pathway: role in kidney fibrosis
Mary E Choi1, Yan Ding, Sung Il Kim
1Renal Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. mchoi@rics.bwh.harvard.edu
Abstract:
In progressive kidney diseases, fibrosis represents the common pathway to end-stage kidney failure. Transforming growth factor-β1 (TGF-β1) is a pleiotropic cytokine that has been established as a central mediator of kidney fibrosis. Emerging evidence shows a complex scheme of signaling networks that enable multifunctionality of TGF-β1 actions. Specific targeting of the TGF-β signaling pathway is seemingly critical and an attractive molecular therapeutic strategy. TGF-β1 signals through the interaction of type I and type II receptors to activate distinct intracellular pathways involving the Smad and the non-Smad. The Smad signaling axis is known as the canonical pathway induced by TGF-β1. Importantly, recent investigations have shown that TGF-β1 also induces various non-Smad signaling pathways. In this review, we focus on current insights into the mechanism and function of the Smad-independent signaling pathway via TGF-β-activated kinase 1 and its role in mediating the profibrotic effects of TGF-β1.
Insights
Transforming growth factor-β1 (TGF-β1) drives kidney fibrosis. This review details the Smad-independent pathway, particularly TGF-β-activated kinase 1, as a key mediator of kidney disease progression.
Area of Science:
- Nephrology
- Molecular Biology
- Cell Signaling
Background:
- Kidney fibrosis is a common pathway to end-stage renal failure in progressive kidney diseases.
- Transforming growth factor-β1 (TGF-β1) is a central mediator of kidney fibrosis.
- Targeting the TGF-β signaling pathway is a promising therapeutic strategy.
Purpose of the Study:
- To review current insights into the mechanism and function of Smad-independent signaling pathways.
- To elucidate the role of TGF-β-activated kinase 1 (TAK1) in mediating TGF-β1's profibrotic effects.
- To highlight the complexity of TGF-β1 signaling networks.
Main Methods:
- Literature review focusing on Smad-independent signaling.
- Analysis of molecular mechanisms involving TGF-β1, its receptors, and downstream kinases.
- Examination of signaling pathways including canonical (Smad) and non-canonical (non-Smad) routes.
Main Results:
- TGF-β1 activates both Smad and non-Smad signaling pathways.
- The non-Smad pathway involving TGF-β-activated kinase 1 (TAK1) plays a significant role in kidney fibrosis.
- Understanding these complex networks is crucial for therapeutic development.
Conclusions:
- The Smad-independent pathway, particularly via TAK1, is critical for TGF-β1-mediated kidney fibrosis.
- Targeting non-Smad pathways offers a novel therapeutic avenue for kidney disease.
- Further research into these complex signaling networks is warranted.
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