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Updated: Jun 3, 2025

Unilateral Ureteral Obstruction Model for Investigating Kidney Interstitial Fibrosis
Published on: April 25, 2025
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.
Abstract:
Renal fibrosis is the common pathological basis for the progressive development of chronic kidney disease (CKD) caused by various etiologies. It is characterized by the persistent deposition of extracellular matrix, leading to renal tissue damage and impaired renal function, and ultimately progressing to kidney failure. Current clinical treatments for CKD mainly focus on managing the primary diseases, with no specific drugs targeting renal fibrosis. The pathogenesis of renal fibrosis is complex, and there are currently no drugs available to reverse it. A comprehensive overview of the pathogenesis of renal fibrosis, alongside a summary of current anti-fibrotic therapies, including some that are already used clinically to slow renal function progression, new drugs in clinical trials, and emerging targeted therapies, could provide new theoretical foundations and perspectives for the treatment of renal fibrosis.
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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