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Published on: June 23, 2015
Novel therapeutic approaches to autosomal dominant polycystic kidney disease
Wells B LaRiviere1, Maria V Irazabal1, Vicente E Torres1
1Division of Nephrology and Hypertension, Mayo Clinic, Rochester, Minn.
Insights
Autosomal dominant polycystic kidney disease (ADPKD) is a genetic disorder causing kidney failure. New molecular therapies targeting disease pathways show promise in slowing cyst growth and preserving kidney function.
Area of Science:
- Nephrology
- Genetics
- Pharmacology
Background:
- Autosomal dominant polycystic kidney disease (ADPKD) is a prevalent inherited disorder leading to progressive renal cyst development and kidney failure.
- Currently, no FDA-approved treatments exist, with care being mainly supportive.
- ADPKD is a leading global cause of end-stage renal disease.
Purpose of the Study:
- To review the molecular biology underlying ADPKD.
- To examine the rationale for developing targeted molecular therapies.
- To assess the clinical evidence for novel ADPKD treatments.
Main Methods:
- Literature review of preclinical models and clinical trials.
- Analysis of molecular pathways implicated in ADPKD.
- Examination of drug classes such as vasopressin receptor antagonists and somatostatin analogs.
Main Results:
- Advances in understanding ADPKD molecular mechanisms.
- Promising preclinical and clinical trial data for novel therapies.
- Identification of specific drug candidates with potential to slow disease progression.
Conclusions:
- Molecular therapies offer a promising new avenue for ADPKD treatment.
- Vasopressin receptor antagonists and somatostatin analogs are key drug classes under investigation.
- Further clinical evidence is needed to establish efficacy and safety in human patients.
Abstract:
Autosomal dominant polycystic kidney disease (ADPKD) is an inherited disorder characterized by the progressive growth of renal cysts that, over time, destroy the architecture of the renal parenchyma and typically lead to kidney failure by the sixth decade of life. ADPKD is common and represents a leading cause of renal failure worldwide. Currently, there are no Food and Drug Administration-approved treatments for the disease, and the existing standard of care is primarily supportive in nature. However, significant advances in the understanding of the molecular biology of the disease have inspired investigation into potential new therapies. Several drugs designed to slow or arrest the progression of ADPKD have shown promise in preclinical models and clinical trials, including vasopressin receptor antagonists and somatostatin analogs. This article examines the literature underlying the rationale for molecular therapies for ADPKD and reviews the existing clinical evidence for their indication for human patients with the disease.
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