Kidney fibrosis: Emerging diagnostic and therapeutic strategies

IF 8.7 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Molecular Aspects of Medicine Pub Date : 2023-10-01 DOI:10.1016/j.mam.2023.101206
Barbara Mara Klinkhammer , Peter Boor
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Abstract

An increasing number of patients worldwide suffers from chronic kidney disease (CKD). CKD is accompanied by kidney fibrosis, which affects all compartments of the kidney, i.e., the glomeruli, tubulointerstitium, and vasculature. Fibrosis is the best predictor of progression of kidney diseases. Currently, there is no specific anti-fibrotic therapy for kidney patients and invasive renal biopsy remains the only option for specific detection and quantification of kidney fibrosis. Here we review emerging diagnostic approaches and potential therapeutic options for fibrosis. We discuss how translational research could help to establish fibrosis-specific endpoints for clinical trials, leading to improved patient stratification and potentially companion diagnostics, and facilitating and optimizing development of novel anti-fibrotic therapies for kidney patients.

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肾脏纤维化:新兴的诊断和治疗策略
全世界越来越多的患者患有慢性肾脏疾病(CKD)。CKD伴有肾纤维化,影响肾脏的所有分区,即肾小球、肾小管间质和血管系统。纤维化是肾脏疾病进展的最佳预测因素。目前,还没有针对肾脏患者的特异性抗纤维化治疗,侵入性肾活检仍然是特异性检测和定量肾纤维化的唯一选择。在这里,我们回顾了新出现的纤维化诊断方法和潜在的治疗选择。我们讨论了转化研究如何有助于为临床试验建立纤维化特异性终点,从而改善患者分层和潜在的伴随诊断,并促进和优化肾脏患者新型抗纤维化疗法的开发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Molecular Aspects of Medicine
Molecular Aspects of Medicine 医学-生化与分子生物学
CiteScore
18.20
自引率
0.00%
发文量
85
审稿时长
55 days
期刊介绍: Molecular Aspects of Medicine is a review journal that serves as an official publication of the International Union of Biochemistry and Molecular Biology. It caters to physicians and biomedical scientists and aims to bridge the gap between these two fields. The journal encourages practicing clinical scientists to contribute by providing extended reviews on the molecular aspects of a specific medical field. These articles are written in a way that appeals to both doctors who may struggle with basic science and basic scientists who may have limited awareness of clinical practice issues. The journal covers a wide range of medical topics to showcase the molecular insights gained from basic science and highlight the challenging problems that medicine presents to the scientific community.
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