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肾脏疾病中炎症衰老的管理:关注当前的研究性药物。

Management of inflammaging in kidney diseases: focusing on the current investigational drugs.

机构信息

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

Division of Nephrology, Department of Medicine IV, LMU University Hospital, Ludwig Maximilians University Munich, LMU, Munich, Germany.

出版信息

Expert Opin Investig Drugs. 2024 Nov;33(11):1153-1166. doi: 10.1080/13543784.2024.2417755. Epub 2024 Oct 16.

Abstract

INTRODUCTION

To improve kidney disease treatments, it is crucial to understand how inflammaging affects patients´ longevity. We could potentially slow down kidney disease progression and enhance longevity by targeting specific pathways involved in inflammaging with potential drugs.

AREAS OF COVERED

This review offers an updated overview of 'anti-inflammaging' drugs currently in the kidney disease research pipeline, as well as those with potential for future therapeutic use. Furthermore, these drugs are categorized according to their mechanisms, including targeting inflammation, immune and metabolic regulation, oxidative stress, senescence, and autophagy, as demonstrated in preclinical and early clinical trials. Additionally, the review provides insights into key challenges and opinions for future advancements in this field.

EXPERT OPINION

We reviewed recent advancements in applying different therapies to mitigate inflammaging in kidney diseases. We underscore the need for continued research to elucidate the complex pathways underlying inflammaging, which will be essential for the development of more precise and effective treatments. As research in this field advances, several emerging drugs appear promising for future investigation. While current findings are encouraging, further clinical studies are required to validate the therapeutic potential of these agents in kidney diseases, ultimately paving the way for more targeted and efficacious interventions.

摘要

简介

为了改善肾脏疾病的治疗方法,了解炎症衰老如何影响患者的寿命至关重要。通过针对与炎症衰老相关的特定途径,使用潜在药物,我们可能会减缓肾脏疾病的进展并延长寿命。

涵盖领域

本综述提供了目前处于肾脏疾病研究管道中的“抗炎衰老”药物的最新概述,以及未来具有潜在治疗用途的药物。此外,根据它们的作用机制,这些药物被分类,包括靶向炎症、免疫和代谢调节、氧化应激、衰老和自噬,这些在临床前和早期临床试验中得到了证明。此外,该综述还深入探讨了该领域未来发展的关键挑战和观点。

专家意见

我们回顾了应用不同疗法减轻肾脏疾病中炎症衰老的最新进展。我们强调需要继续研究阐明炎症衰老背后的复杂途径,这对于开发更精确和有效的治疗方法至关重要。随着该领域研究的进展,几种新兴药物似乎很有前途,值得进一步研究。虽然目前的研究结果令人鼓舞,但仍需要进一步的临床研究来验证这些药物在肾脏疾病中的治疗潜力,最终为更有针对性和有效的干预措施铺平道路。

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