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Wnt/β-catenin 调节:慢性肾脏病管理的有前途的前沿领域。

Wnt/beta-catenin modulation: A promising frontier in chronic kidney disease management.

机构信息

Department of Pharmacy, Birla Institute of Technology and Science-Pilani, Pilani Campus, Pilani, Rajasthan, India.

出版信息

Fundam Clin Pharmacol. 2024 Dec;38(6):1020-1030. doi: 10.1111/fcp.13031. Epub 2024 Aug 5.

Abstract

BACKGROUND

Being amongst the leading factors of death and distress, chronic kidney disease (CKD) has affected around 850 million people globally. The Wnt/β-catenin axis is vital for maintaining kidney homeostasis, from nephron generation to overall management. The β-catenin growth factor is typically not expressed in the adult kidney; however, its expression is found to increase under stress and injury conditions. It is categorised as canonical and non-canonical based on β-catenin availability, which mounts promising targets for ameliorating CKD. Hence, modulation of the Wnt/β-catenin signalling for CKD management is of utmost relevance.

OBJECTIVES

The primary aim of this review is to highlight the significance of targeting Wnt/β-catenin signalling for CKD management.

METHODS

The literature review regarding the role of Wnt/β-catenin signalling and therapies modulating it in CKD was conducted using PubMed, Scopus, Science Direct and Google Scholar.

RESULTS

The current review summarises the pharmacological therapies modulating the Wnt/β-catenin axis in CKD, building upon promising preclinical studies to establish a foundation for clinical studies in the future.

CONCLUSION

Wnt/β-catenin signalling is the evolution's most conserved pathway, which plays a pivotal role in CKD progression. Therapies modulating Wnt/β-catenin signalling have emerged as effective means for alleviating CKD.

摘要

背景

慢性肾病(CKD)是导致死亡和痛苦的主要因素之一,目前全球约有 8.5 亿人患有这种疾病。Wnt/β-连环蛋白轴对于维持肾脏内环境稳定至关重要,从肾单位的生成到整体管理都发挥着重要作用。β-连环蛋白生长因子通常不在成人肾脏中表达,但在应激和损伤条件下其表达会增加。根据β-连环蛋白的可用性,Wnt/β-连环蛋白信号通路可分为经典型和非经典型,这为改善 CKD 提供了有希望的治疗靶点。因此,调节 Wnt/β-连环蛋白信号通路对 CKD 的治疗具有重要意义。

目的

本综述的主要目的是强调针对 Wnt/β-连环蛋白信号通路治疗 CKD 的重要性。

方法

使用 PubMed、Scopus、Science Direct 和 Google Scholar 检索关于 Wnt/β-连环蛋白信号通路在 CKD 中的作用及其调节的相关文献,并进行综述。

结果

本综述总结了调节 CKD 中 Wnt/β-连环蛋白轴的药理学治疗方法,基于有前途的临床前研究为未来的临床研究奠定了基础。

结论

Wnt/β-连环蛋白信号通路是进化过程中最保守的途径,在 CKD 进展中起着关键作用。调节 Wnt/β-连环蛋白信号通路的治疗方法已成为缓解 CKD 的有效手段。

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