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Updated: Sep 27, 2025

Visualization and Quantification of TGFβ/BMP/SMAD Signaling under Different Fluid Shear Stress Conditions using Proximity-Ligation-Assay
Published on: September 14, 2021
TGF-β/Smad Signaling Pathway in Tubulointerstitial Fibrosis
Xiao-Yong Yu1, Qian Sun1, Ya-Mei Zhang2
1Department of Nephrology, Shaanxi Traditional Chinese Medicine Hospital, Xi'an, China.
Abstract:
Chronic kidney disease (CKD) was a major public health problem worldwide. Renal fibrosis, especially tubulointerstitial fibrosis, is final manifestation of CKD. Many studies have demonstrated that TGF-β/Smad signaling pathway plays a crucial role in renal fibrosis. Therefore, targeted inhibition of TGF-β/Smad signaling pathway can be used as a potential therapeutic measure for tubulointerstitial fibrosis. At present, a variety of targeting TGF-β1 and its downstream Smad proteins have attracted attention. Natural products used as potential therapeutic strategies for tubulointerstitial fibrosis have the characteristics of acting on multiple targets by multiple components and few side effects. With the continuous research and technique development, more and more molecular mechanisms of natural products have been revealed, and there are many natural products that inhibited tubulointerstitial fibrosis via TGF-β/Smad signaling pathway. This review summarized the role of TGF-β/Smad signaling pathway in tubulointerstitial fibrosis and natural products against tubulointerstitial fibrosis by targeting TGF-β/Smad signaling pathway. Additionally, many challenges and opportunities are presented for inhibiting renal fibrosis in the future.
Insights
Natural products show promise in treating kidney fibrosis by targeting the TGF-β/Smad pathway. This review explores their mechanisms and potential for managing chronic kidney disease (CKD).
Area of Science:
- Nephrology
- Molecular Biology
- Pharmacology
Background:
- Chronic kidney disease (CKD) presents a significant global health challenge, with renal fibrosis, particularly tubulointerstitial fibrosis, being its terminal stage.
- The transforming growth factor-beta (TGF-β)/Smad signaling pathway is a critical mediator in the development of renal fibrosis.
- Targeting this pathway offers a promising therapeutic strategy for mitigating kidney fibrosis.
Approach:
- This review synthesizes current research on the role of the TGF-β/Smad pathway in renal fibrosis.
- It examines natural products that inhibit tubulointerstitial fibrosis by modulating this pathway.
- The review highlights the multi-target, multi-component, and low-side-effect advantages of natural product-based therapies.
Key Points:
- Natural products offer a viable therapeutic avenue for combating renal fibrosis.
- Inhibition of the TGF-β/Smad signaling pathway is a key mechanism by which these natural products exert their effects.
- Understanding the molecular mechanisms of natural products can lead to novel treatments for CKD.
Conclusions:
- Natural products targeting the TGF-β/Smad pathway represent a promising strategy for treating tubulointerstitial fibrosis.
- Further research into these natural products could unlock new therapeutic opportunities for managing chronic kidney disease.
- Addressing the challenges and opportunities in this field is crucial for future advancements in renal fibrosis treatment.
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