核因子κB信号通路是肾纤维化的主要调节因子。

The nuclear factor kappa B signaling pathway is a master regulator of renal fibrosis.

作者信息

Ren Na, Wang Wen-Feng, Zou Liang, Zhao Yan-Long, Miao Hua, Zhao Ying-Yong

机构信息

The First School of Clinical Medicine, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, China.

School of Pharmacy, Heilongjiang University of Chinese Medicine, Harbin, China.

出版信息

Front Pharmacol. 2024 Jan 16;14:1335094. doi: 10.3389/fphar.2023.1335094. eCollection 2023.

Abstract

Renal fibrosis is increasingly recognized as a global public health problem. Acute kidney injury (AKI) and chronic kidney disease (CKD) both result in renal fibrosis. Oxidative stress and inflammation play central roles in progressive renal fibrosis. Oxidative stress and inflammation are closely linked and form a vicious cycle in which oxidative stress induces inflammation through various molecular mechanisms. Ample evidence has indicated that a hyperactive nuclear factor kappa B (NF-ƙB) signaling pathway plays a pivotal role in renal fibrosis. Hyperactive NF-ƙB causes the activation and recruitment of immune cells. Inflammation, in turn, triggers oxidative stress through the production of reactive oxygen species and nitrogen species by activating leukocytes and resident cells. These events mediate organ injury through apoptosis, necrosis, and fibrosis. Therefore, developing a strategy to target the NF-ƙB signaling pathway is important for the effective treatment of renal fibrosis. This Review summarizes the effect of the NF-ƙB signaling pathway on renal fibrosis in the context of AKI and CKD (immunoglobulin A nephropathy, membranous nephropathy, diabetic nephropathy, hypertensive nephropathy, and kidney transplantation). Therapies targeting the NF-ƙB signaling pathway, including natural products, are also discussed. In addition, NF-ƙB-dependent non-coding RNAs are involved in renal inflammation and fibrosis and are crucial targets in the development of effective treatments for kidney disease. This Review provides a clear pathophysiological rationale and specific concept-driven therapeutic strategy for the treatment of renal fibrosis by targeting the NF-ƙB signaling pathway.

摘要

肾纤维化日益被视为一个全球性的公共卫生问题。急性肾损伤(AKI)和慢性肾脏病(CKD)都会导致肾纤维化。氧化应激和炎症在进行性肾纤维化中起核心作用。氧化应激和炎症密切相关,并形成一个恶性循环,其中氧化应激通过各种分子机制诱导炎症。大量证据表明,过度活跃的核因子κB(NF-κB)信号通路在肾纤维化中起关键作用。过度活跃的NF-κB会导致免疫细胞的激活和募集。反过来,炎症通过激活白细胞和驻留细胞产生活性氧和活性氮来触发氧化应激。这些事件通过凋亡、坏死和纤维化介导器官损伤。因此,制定针对NF-κB信号通路的策略对于有效治疗肾纤维化很重要。本综述总结了在AKI和CKD(免疫球蛋白A肾病、膜性肾病、糖尿病肾病、高血压肾病和肾移植)背景下NF-κB信号通路对肾纤维化的影响。还讨论了针对NF-κB信号通路的疗法,包括天然产物。此外,NF-κB依赖性非编码RNA参与肾炎症和纤维化,是开发有效肾脏疾病治疗方法的关键靶点。本综述为通过靶向NF-κB信号通路治疗肾纤维化提供了明确的病理生理原理和特定的概念驱动治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4634/10824958/66652230580f/fphar-14-1335094-g001.jpg

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