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TGF-β1 Signaling: Immune Dynamics of Chronic Kidney Diseases
Philip Chiu-Tsun Tang1, Alex Siu-Wing Chan2, Cai-Bin Zhang1
1State Key Laboratory of Translational Oncology, Department of Anatomical and Cellular Pathology, The Chinese University of Hong Kong, Shatin, Hong Kong.
Insights
Transforming growth factor β1 (TGF-β1) drives chronic kidney disease (CKD) by regulating immune cells and promoting fibrosis through macrophage-myofibroblast transition (MMT). Understanding TGF-β1 signaling offers new therapeutic avenues for CKD.
Area of Science:
- Nephrology
- Immunology
- Cell Biology
Background:
- Chronic kidney disease (CKD) presents a significant global health challenge with limited effective treatments.
- CKD pathogenesis involves progressive inflammation, immune cell dysfunction, and renal fibrosis.
- Transforming growth factor β1 (TGF-β1) is a key regulator of immune responses and fibrosis in CKD.
Purpose of the Study:
- To review the multifaceted roles of TGF-β signaling in renal immunity.
- To elucidate the novel mechanism of TGF-β1-induced macrophage-myofibroblast transition (MMT) in CKD.
- To highlight potential therapeutic targets for CKD based on TGF-β1 pathways.
Main Methods:
- Literature review of studies on TGF-β signaling in CKD.
- Analysis of TGF-β1's canonical and non-canonical pathways in immunocyte regulation.
- Examination of evidence for MMT in renal fibrosis.
Main Results:
- TGF-β1 critically influences immune cell activation, proliferation, and apoptosis in the kidney.
- TGF-β1 promotes CKD progression by fostering an inflammatory microenvironment.
- Macrophage-myofibroblast transition (MMT) is identified as a novel mechanism driven by TGF-β1.
Conclusions:
- TGF-β signaling plays a versatile role in the immune dynamics of CKD.
- Understanding TGF-β1's involvement in MMT is crucial for developing targeted CKD therapies.
- Further research into TGF-β pathways may unlock novel therapeutic strategies for chronic kidney disease.
Abstract:
Chronic kidney disease (CKD) is a major cause of morbidity and mortality worldwide, imposing a great burden on the healthcare system. Regrettably, effective CKD therapeutic strategies are yet available due to their elusive pathogenic mechanisms. CKD is featured by progressive inflammation and fibrosis associated with immune cell dysfunction, leading to the formation of an inflammatory microenvironment, which ultimately exacerbating renal fibrosis. Transforming growth factor β1 (TGF-β1) is an indispensable immunoregulator promoting CKD progression by controlling the activation, proliferation, and apoptosis of immunocytes via both canonical and non-canonical pathways. More importantly, recent studies have uncovered a new mechanism of TGF-β1 for de novo generation of myofibroblast via macrophage-myofibroblast transition (MMT). This review will update the versatile roles of TGF-β signaling in the dynamics of renal immunity, a better understanding may facilitate the discovery of novel therapeutic strategies against CKD.
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