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Updated: May 16, 2026

Unilateral Ureteral Obstruction Model for Investigating Kidney Interstitial Fibrosis
Published on: April 25, 2025
Molecular targets for treatment of kidney fibrosis
Peter Y Chuang1, Madhav C Menon, John C He
1Division of Nephrology, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1243, New York, NY 10029, USA. peter.chuang@mssm.edu
Abstract:
Renal fibrosis is the culmination of processes driven by signaling pathways involving transforming growth factor-β family of cytokines, connective-tissue growth factor, nuclear factor κB, Wnt/β-catenin, Notch, and other growth factors. Many studies in experimental animal models have directly targeted these pathways and demonstrated efficacy in mitigating renal fibrosis. However, only a small fraction of these approaches have been attempted in human and even fewer have been successfully translated to clinical use for patient with kidney diseases. Drugs with proven efficacy for treatment of kidney diseases and tissue fibrosis exert some of their effects by interfering with components of these pathways. This review considers key molecular mediators of renal fibrosis and their potential as targets for treatment of renal fibrosis.
Insights
Renal fibrosis involves key molecular pathways. Targeting these pathways shows promise for treating kidney diseases, but clinical translation remains limited.
Area of Science:
- Nephrology
- Molecular Biology
- Pathology
Background:
- Renal fibrosis is a common pathway for progressive kidney diseases.
- Signaling pathways like TGF-β, CTGF, NF-κB, and Wnt are implicated in fibrosis.
- Despite preclinical success, few antifibrotic therapies are clinically approved.
Purpose of the Study:
- To review key molecular mediators of renal fibrosis.
- To discuss the potential of these mediators as therapeutic targets.
Main Methods:
- Literature review of experimental and clinical studies on renal fibrosis pathways.
- Analysis of molecular mechanisms driving fibrosis progression.
Main Results:
- Multiple signaling pathways contribute significantly to renal fibrosis.
- Preclinical studies demonstrate pathway-specific antifibrotic effects.
- Clinical translation of targeted therapies is lagging.
Conclusions:
- Key molecular pathways offer viable targets for renal fibrosis treatment.
- Further research and clinical trials are needed to translate preclinical findings into effective therapies for kidney disease patients.
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