Research progress in anti-renal fibrosis drugs

Hanwei Huang1,2, Zhangzhe Peng3,4, Qiongjing Yuan5,6

  • 1Department of Nephrology, Xiangya Hospital, Central South University, Changsha 410008. 238112215@csu.edu.cn.

Insights

Renal fibrosis, a key driver of chronic kidney disease (CKD), lacks specific treatments. This review explores its pathogenesis and summarizes current and emerging anti-fibrotic therapies for potential reversal.

Area of Science:

  • Nephrology
  • Pathology
  • Pharmacology

Background:

  • Renal fibrosis is the common pathological basis for progressive chronic kidney disease (CKD), irrespective of the initial cause.
  • It involves persistent extracellular matrix deposition, leading to kidney damage, impaired function, and eventual kidney failure.
  • Current CKD treatments primarily manage underlying conditions, lacking specific anti-fibrotic strategies.

Purpose of the Study:

  • To provide a comprehensive overview of the complex pathogenesis of renal fibrosis.
  • To summarize existing and novel anti-fibrotic therapies for CKD.
  • To offer new theoretical insights for treating renal fibrosis.

Main Methods:

  • Literature review of renal fibrosis pathogenesis.
  • Analysis of current clinical anti-fibrotic treatments.
  • Evaluation of drugs in clinical trials and emerging targeted therapies.

Main Results:

  • Renal fibrosis pathogenesis is complex with no current drugs to reverse it.
  • Existing therapies aim to slow CKD progression but do not target fibrosis directly.
  • Several new drugs and emerging therapies show promise in clinical trials.

Conclusions:

  • A deeper understanding of renal fibrosis pathogenesis is crucial for developing effective treatments.
  • Targeted anti-fibrotic therapies represent a promising avenue for reversing kidney damage.
  • This review provides a foundation for future research and clinical application in combating renal fibrosis.

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