Gu Yue-Yu, Dou Jing-Yun, Huang Xiao-Ru, Liu Xu-Sheng, Lan Hui-Yao
Guangdong Provincial Key Laboratory of Clinical Research on Traditional Chinese Medicine Syndrome, Department of Nephrology, Guangdong Provincial Hospital of Chinese Medicine, Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China.
Department of Medicine and Therapeutics, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Front Physiol. 2021 May 13;12:684236. doi: 10.3389/fphys.2021.684236. eCollection 2021.
Renal fibrosis is one of the most characterized pathological features in chronic kidney disease (CKD). Progressive fibrosis eventually leads to renal failure, leaving dialysis or allograft transplantation the only clinical option for CKD patients. Transforming growth factor-β (TGF-β) is the key mediator in renal fibrosis and is an essential regulator for renal inflammation. Therefore, the general blockade of the pro-fibrotic TGF-β may reduce fibrosis but may risk promoting renal inflammation and other side effects due to the diverse role of TGF-β in kidney diseases. Long non-coding RNAs (lncRNAs) are RNA transcripts with more than 200 nucleotides and have been regarded as promising therapeutic targets for many diseases. This review focuses on the importance of TGF-β and lncRNAs in renal inflammation, fibrogenesis, and the potential applications of TGF-β and lncRNAs as the therapeutic targets and biomarkers in renal fibrosis and CKD are highlighted.
肾纤维化是慢性肾脏病(CKD)最典型的病理特征之一。进行性纤维化最终会导致肾衰竭,使透析或同种异体移植成为CKD患者唯一的临床选择。转化生长因子-β(TGF-β)是肾纤维化的关键介质,也是肾炎症的重要调节因子。因此,全面阻断促纤维化的TGF-β可能会减轻纤维化,但由于TGF-β在肾脏疾病中的作用多样,可能会有促进肾脏炎症和其他副作用的风险。长链非编码RNA(lncRNAs)是长度超过200个核苷酸的RNA转录本,已被视为许多疾病有前景的治疗靶点。本综述重点关注TGF-β和lncRNAs在肾脏炎症、纤维化形成中的重要性,并强调了TGF-β和lncRNAs作为肾纤维化和CKD治疗靶点及生物标志物的潜在应用。