IIS-Fundacion Jimenez Diaz, Department of Medicine, School of Medicine, Universidad Autonoma de Madrid, Madrid, Spain.
Fundacion Renal Iñigo Alvarez de Toledo-IRSIN and REDINREN, Madrid, Spain.
EMBO Mol Med. 2020 Mar 6;12(3):e11729. doi: 10.15252/emmm.201911729. Epub 2020 Feb 18.
Chronic kidney disease (CKD) is one of the fastest growing global causes of death, estimated to rank among the top five by 2040 (Foreman et al, 2018). This illustrates current pitfalls in diagnosis and management of CKD. Advanced CKD requires renal function replacement by dialysis or transplantation. However, earlier CKD stages, even when renal function is still normal, are already associated with an increased risk of premature death (Perez-Gomez et al, 2019). Thus, novel approaches to diagnose and treat CKD are needed. The histopathological hallmark of CKD is kidney fibrosis, which is closely associated with local inflammation and loss of kidney parenchymal cells. Thus, kidney fibrosis is an attractive process to develop tests allowing an earlier diagnosis of CKD and represents a potential therapeutic target to slow CKD progression or promote regression.
慢性肾脏病(CKD)是全球增长最快的死亡原因之一,预计到 2040 年将跻身前五位(Foreman 等人,2018 年)。这说明了目前在 CKD 的诊断和管理方面存在的缺陷。晚期 CKD 需要通过透析或移植来替代肾功能。然而,即使肾功能仍然正常,早期 CKD 阶段也已经与过早死亡的风险增加相关(Perez-Gomez 等人,2019 年)。因此,需要新的方法来诊断和治疗 CKD。CKD 的组织病理学标志是肾脏纤维化,它与局部炎症和肾脏实质细胞丢失密切相关。因此,肾脏纤维化是开发能够更早诊断 CKD 的测试的一个有吸引力的过程,并且代表了一个减缓 CKD 进展或促进其消退的潜在治疗靶点。