Related Experiment Video
Updated: May 5, 2026

Identification of the Source of Secreted Proteins in the Kidney by Brefeldin A Injection
Published on: November 10, 2021
Tumor necrosis factor-like weak inducer of apoptosis (TWEAK) and kidney disease
Marta Ruiz-Ortega1, Alberto Ortiz, Adrian M Ramos
1aIIS-Fundación Jiménez Díaz bREDinREN cUniversidad Autonoma de Madrid dIRSIN, Madrid, Spain.
Purpose Of Review:
The tumor necrosis factor-like weak inducer of apoptosis (TWEAK) cytokine has been linked to kidney injury by functional studies in experimental animals, and has biomarker potential in kidney disease.
Recent Findings:
TWEAK was known to promote tubular cell injury and kidney inflammation. Recent studies have expanded these observations, identifying additional targets of TWEAK relevant to kidney injury. Thus, TWEAK upregulates the chemokine and cholesterol scavenger receptor CXCL16 and downregulates the antiaging and antifibrotic molecule Klotho in tubular cells. Furthermore, fibrogenic TWEAK actions on renal fibroblasts were described. TWEAK or factor-inducible molecule 14 targeting decreased the kidney fibrosis resulting from immune and nonimmune kidney injury induced by transient tubular or glomerular insults or by persistent urinary tract obstruction. TWEAK might also contribute to the link between chronic kidney disease and kidney cancer, as suggested by its role in other genitourinary cancers. Progress has also been made in TWEAK targeting. A phase I clinical trial showed that TWEAK targeting is well tolerated in humans, and an ongoing trial is exploring efficacy in lupus nephritis. Nanomolecules and inhibitors of epidermal growth factor receptor pathway may also protect from the adverse effects of TWEAK in the kidney.
Summary:
These findings suggest that TWEAK targeting has clinical potential in kidney injury of immune and nonimmune origin.
Insights
Targeting the tumor necrosis factor-like weak inducer of apoptosis (TWEAK) shows promise for treating kidney injury. TWEAK targeting is well-tolerated in humans and may offer new therapies for various kidney diseases.
Area of Science:
- Nephrology
- Immunology
- Molecular Biology
Background:
- The cytokine tumor necrosis factor-like weak inducer of apoptosis (TWEAK) is implicated in kidney injury.
- TWEAK has potential as a biomarker in kidney disease.
- Previous studies linked TWEAK to kidney injury in animal models.
Purpose of the Study:
- To review recent findings on TWEAK's role in kidney injury.
- To explore the therapeutic potential of TWEAK targeting in kidney diseases.
- To summarize the clinical progress of TWEAK inhibition.
Main Methods:
- Review of experimental studies on TWEAK in kidney injury.
- Analysis of recent research identifying TWEAK targets in renal cells.
- Evaluation of clinical trial data for TWEAK inhibitors.
Main Results:
- TWEAK promotes tubular cell injury and kidney inflammation.
- TWEAK upregulates CXCL16 and downregulates Klotho in tubular cells.
- TWEAK inhibition reduced kidney fibrosis in various injury models.
- TWEAK may link chronic kidney disease and cancer.
- TWEAK targeting is well-tolerated in a Phase I clinical trial.
Conclusions:
- TWEAK targeting demonstrates clinical potential for immune and non-immune kidney injuries.
- Further clinical trials are investigating TWEAK inhibition for lupus nephritis.
- Novel therapeutic strategies targeting TWEAK are emerging for kidney disease.
More Related Videos
Related Concept Videos
Acute Kidney Injury II: Pathophysiology
Chronic Kidney Disease II: Clinical Manifestations
Nephrons
Acute Kidney Injury I: Introduction
Acute Kidney Injury III: Clinical Manifestations
Chronic Kidney Disease I: Introduction

