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Updated: May 8, 2026

Identification of the Source of Secreted Proteins in the Kidney by Brefeldin A Injection
Published on: November 10, 2021
Transforming growth factor-beta and the glomerular filtration barrier
Ayesha Ghayur1, Peter J Margetts
1Division of Nephrology, McMaster University, Hamilton, Ontario, Canada.
Abstract:
The increasing burden of chronic kidney disease worldwide and recent advancements in the understanding of pathologic events leading to kidney injury have opened up new potential avenues for therapies to further diminish progression of kidney disease by targeting the glomerular filtration barrier and reducing proteinuria. The glomerular filtration barrier is affected by many different metabolic and immune-mediated injuries. Glomerular endothelial cells, the glomerular basement membrane, and podocytes-the three components of the filtration barrier-work together to prevent the loss of protein and at the same time allow passage of water and smaller molecules. Damage to any of the components of the filtration barrier can initiate proteinuria and renal fibrosis. Transforming growth factor-beta (TGF-β) is a pleiotropic cytokine strongly associated with the fibrogenic response. It has a known role in tubulointerstitial fibrosis. In this review we will highlight what is known about TGF-β and how it interacts with the components of glomerular filtration barrier and causes loss of function and proteinuria.
Insights
Chronic kidney disease (CKD) therapies may target the glomerular filtration barrier to reduce proteinuria. Transforming growth factor-beta (TGF-β) plays a key role in kidney injury progression and fibrosis.
Area of Science:
- Nephrology
- Cell Biology
- Molecular Medicine
Background:
- Chronic kidney disease (CKD) is a growing global health concern.
- Understanding kidney injury mechanisms is crucial for developing new therapies.
- The glomerular filtration barrier (GFB) is vital for kidney function, preventing protein loss.
Purpose of the Study:
- To review the role of Transforming Growth Factor-beta (TGF-β) in kidney disease.
- To explore how TGF-β interacts with GFB components.
- To highlight TGF-β's contribution to proteinuria and renal fibrosis.
Main Methods:
- Literature review of studies on TGF-β and kidney disease.
- Analysis of molecular pathways involving TGF-β and GFB components.
- Synthesis of current knowledge on GFB injury and fibrogenesis.
Main Results:
- The GFB comprises glomerular endothelial cells, the glomerular basement membrane, and podocytes.
- Damage to any GFB component can lead to proteinuria and renal fibrosis.
- TGF-β is a key cytokine implicated in the fibrogenic response and tubulointerstitial fibrosis.
Conclusions:
- Targeting the GFB and reducing proteinuria are potential therapeutic strategies for CKD.
- TGF-β significantly contributes to GFB dysfunction and kidney fibrosis.
- Further research into TGF-β pathways may yield novel treatments for kidney disease.
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