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Unilateral Ureteral Obstruction Model for Investigating Kidney Interstitial Fibrosis
Published on: April 25, 2025
Potential approaches to reverse or repair renal fibrosis
Desiree Tampe1, Michael Zeisberg1
1Department of Nephrology and Rheumatology, Göttingen University Medical Center, Georg August University, Robert Koch Straße 40, 37075 Göttingen, Germany.
Abstract:
The concept of reversing chronic kidney disease (CKD) has been intensively researched over the past decade. Indeed, as the prevalence of end-stage renal disease is constantly on the rise, the lack of established antifibrotic therapies is a considerable unmet need in clinical practice. Now, the possibility of effective antifibrotic treatment has been established in experimental models of CKD and multiple antifibrotic compounds-in kidney disease, as well as in fibrotic diseases of the skin, liver and lung-are being assessed in clinical trials. These strategies target various components of the fibrotic pathway, from signalling molecules that include transforming growth factor-β, phosphatidylinositide 3-kinase and chemokines to microRNAs. Here, we discuss therapeutic concepts to inhibit or even reverse chronic kidney injury and review the leading candidate antifibrotic drugs to be introduced to clinical use.
Insights
Researchers are exploring ways to reverse chronic kidney disease (CKD) by targeting fibrosis. Promising antifibrotic therapies are being tested in clinical trials for kidney disease and other fibrotic conditions.
Area of Science:
- Nephrology
- Fibrosis Research
- Translational Medicine
Background:
- Chronic kidney disease (CKD) prevalence is increasing globally.
- A significant unmet need exists for effective antifibrotic therapies in clinical practice.
- Fibrosis is a common pathway in CKD progression and other organ damage.
Purpose of the Study:
- To discuss therapeutic concepts for inhibiting or reversing chronic kidney injury.
- To review leading candidate antifibrotic drugs for clinical use.
Main Methods:
- Review of experimental models of CKD with antifibrotic potential.
- Analysis of clinical trials assessing antifibrotic compounds.
- Identification of targeted pathways including TGF-β, PI3K, chemokines, and microRNAs.
Main Results:
- Experimental models show promise for effective antifibrotic treatment in CKD.
- Multiple antifibrotic compounds are under investigation in clinical trials.
- Targeting various fibrotic pathways offers therapeutic potential.
Conclusions:
- Therapeutic strategies targeting fibrotic pathways are emerging for CKD.
- Antifibrotic drug development is advancing towards clinical application.
- Inhibiting or reversing kidney fibrosis is a key goal in nephrology research.
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