Department of Urology, University of Florida School of Medicine, Gainesville, Florida 32610, USA.
J Surg Res. 2012 Nov;178(1):339-45. doi: 10.1016/j.jss.2012.06.050. Epub 2012 Jul 17.
Over the past several years, a number of cytokines and growth factors including transforming growth factor β1, tumor necrosis factor α, and angiotensin II have been shown to play a crucial role in renal fibrosis. The Janus kinase family (JAK) and signal transducers and activators of transcription (STATs) constitute one of the primary signaling pathways that regulate cytokine expression, and the JAK/STAT signaling pathway has increasingly been implicated in the pathophysiology of renal disease. This review examines the role of the JAK/STAT signaling pathway in fibrotic renal disease. The JAK/STAT signaling pathway is activated in a variety of renal diseases and has been implicated in the pathophysiology of renal fibrosis. Experimental evidence suggests that inhibition of the JAK/STAT signaling pathway, in particular JAK2 and STAT3, may suppress renal fibrosis and protect renal function. However, it is incompletely understood which cells activate the JAK/STAT signaling pathway and which JAK/STAT signaling pathway is activated in each renal disease. Research regarding JAK/STAT signaling and its contribution to renal disease is still ongoing in humans. Future studies are required to elucidate the potential role of JAK/STAT signaling inhibition as a therapeutic strategy in the attenuation of renal fibrosis.
在过去的几年中,许多细胞因子和生长因子,包括转化生长因子β1、肿瘤坏死因子α和血管紧张素 II,已被证明在肾纤维化中起着至关重要的作用。Janus 激酶家族(JAK)和信号转导子和转录激活子(STATs)构成了调节细胞因子表达的主要信号通路之一,JAK/STAT 信号通路越来越多地与肾脏疾病的病理生理学有关。这篇综述探讨了 JAK/STAT 信号通路在纤维化性肾脏疾病中的作用。JAK/STAT 信号通路在多种肾脏疾病中被激活,并与肾纤维化的病理生理学有关。实验证据表明,抑制 JAK/STAT 信号通路,特别是 JAK2 和 STAT3,可能抑制肾纤维化并保护肾功能。然而,尚不完全清楚是哪些细胞激活了 JAK/STAT 信号通路,以及在每种肾脏疾病中激活了哪种 JAK/STAT 信号通路。关于 JAK/STAT 信号及其对肾脏疾病的贡献的研究在人类中仍在进行中。需要进一步的研究来阐明抑制 JAK/STAT 信号作为减轻肾纤维化的治疗策略的潜在作用。