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Decoding fibrosis: Mechanisms and translational aspects
1Pharmazentrum Frankfurt, Institut für Allgemeine Pharmakologie und Toxikologie, Klinikum der Goethe-Universität Frankfurt am Main, Frankfurt am Main 60590, Germany.
Abstract:
Fibrosis, a complex process of abnormal tissue healing which inevitably leads to loss of physiological organ structure and function, is a worldwide leading cause of death. Despite a large body of research over the last two decades, antifibrotic approaches are mainly limited to organ replacement therapy generating high costs of medical care. In this translational issue, a unique group of basic and clinical researchers provide meaningful answers to a desperate call of society for effective antifibrotic treatments. Fortunately, a plethora of novel fibrogenic factors and biomarkers has been identified. Noninvasive diagnostic methods and drug delivery systems have been recently developed for the management of fibrosis. Consequently, a large number of exciting clinical trials addressing comprehensive, organ and stage-specific mechanisms of fibrogenesis are ongoing. By critically addressing previously unsuccessful and novel promising therapeutic strategies, we aim to spread hope for future treatments of the various forms of organ fibrosis.
Insights
Fibrosis causes organ damage and death worldwide, with treatments limited to organ replacement. This research explores novel antifibrotic therapies and diagnostic tools, offering hope for effective treatments.
Area of Science:
- Biomedical Research
- Translational Medicine
- Pathology
Background:
- Fibrosis, a pathological tissue healing process, leads to organ dysfunction and is a major global cause of mortality.
- Current antifibrotic strategies are largely restricted to organ transplantation, highlighting an unmet clinical need.
- Significant advancements in understanding fibrogenesis have been made over the past two decades.
Discussion:
- Novel fibrogenic factors and biomarkers have been identified, advancing diagnostic capabilities.
- Development of noninvasive diagnostic methods and targeted drug delivery systems are crucial for fibrosis management.
- Ongoing clinical trials are investigating organ-specific and stage-specific antifibrotic mechanisms.
Key Insights:
- Identification of new fibrogenic factors and biomarkers.
- Advancements in noninvasive diagnostics and drug delivery systems for fibrosis.
- Progress in clinical trials targeting diverse fibrotic conditions.
Outlook:
- Critically evaluating past and present therapeutic strategies for fibrosis.
- Potential for novel, effective antifibrotic treatments across various organ systems.
- Translational research bridging basic science and clinical application to combat organ fibrosis.
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