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Targeting TGF-β Signaling in Kidney Fibrosis
1Department of Nephrology, Osaka University Graduate School of Medicine, Suita 565-0871, Japan. isaka@kid.med.osaka-u.ac.jp.
Abstract:
Renal fibrosis is the final common pathway of numerous progressive kidney diseases, and transforming growth factor-β (TGF-β) has an important role in tissue fibrosis by up-regulating matrix protein synthesis, inhibiting matrix degradation, and altering cell-cell interaction. Many strategies targeting TGF-β, including inhibition of production, activation, binding to the receptor, and intracellular signaling, have been developed. Some of them were examined in clinical studies against kidney fibrosis, and some are applied to other fibrotic diseases or cancer. Here, I review the approaches targeting TGF-β signaling in kidney fibrosis.
Insights
Transforming growth factor-β (TGF-β) drives kidney fibrosis. This review explores various strategies targeting TGF-β signaling pathways to combat progressive kidney diseases and their fibrotic effects.
Area of Science:
- Nephrology
- Cell Biology
- Biochemistry
Background:
- Renal fibrosis is a common endpoint for many chronic kidney diseases.
- Transforming growth factor-β (TGF-β) plays a critical role in promoting kidney fibrosis.
- TGF-β signaling influences matrix protein synthesis, degradation, and cell interactions in fibrotic kidneys.
Purpose of the Study:
- To review and summarize therapeutic strategies targeting the TGF-β signaling pathway in the context of kidney fibrosis.
- To provide an overview of approaches investigated for treating fibrotic kidney diseases.
Main Methods:
- Literature review of studies on TGF-β targeting strategies.
- Analysis of approaches applied in kidney fibrosis, other fibrotic diseases, and cancer.
- Examination of clinical studies involving TGF-β inhibitors for kidney fibrosis.
Main Results:
- Multiple strategies targeting TGF-β signaling have been developed, including inhibiting its production, activation, receptor binding, and downstream signaling.
- Some TGF-β targeting strategies have progressed to clinical trials for kidney fibrosis.
- These approaches have also found applications in treating other fibrotic conditions and cancers.
Conclusions:
- Targeting TGF-β signaling represents a promising therapeutic avenue for managing renal fibrosis.
- Further research and clinical evaluation are warranted to optimize these strategies for kidney disease treatment.
- Understanding TGF-β's multifaceted role is key to developing effective anti-fibrotic therapies.
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