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针对肾脏的靶向治疗策略。

Targeted therapeutic strategies for the kidney.

作者信息

Yuan Fei, Lerman Lilach O

机构信息

Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.

Department of Urology, National Children's Medical Center, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Expert Opin Ther Targets. 2024 Nov;28(11):979-989. doi: 10.1080/14728222.2024.2421756. Epub 2024 Nov 3.

DOI:10.1080/14728222.2024.2421756
PMID:39491501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11617265/
Abstract

INTRODUCTION

Kidney diseases impose a significant burden with high incidence and mortality rates. Current treatment options for kidney diseases are limited, necessitating urgent development of novel and effective therapeutic strategies to delay or reverse disease progression. Targeted therapies for the kidney hold promise in significantly enhancing treatment outcomes, offering hope to patients afflicted with renal disorders.

AREAS COVERED

This review summarized advances in kidney-targeted therapies including genes, peptides and proteins, cell-based, nanoparticles, and localized delivery routes. We also explored the potential clinical applications, prospects, and challenges of targeted therapies for renal disorders.

EXPERT OPINION

Advances in targeted therapies for renal conditions have enhanced therapeutic outcomes. Clinical application of kidney-targeted therapies is currently limited by renal structure and the scarcity of robust biomarkers. Bridging the gap from basic and pre-clinical research targeting the kidney to achieving clinical translation remains a formidable challenge.

摘要

引言

肾脏疾病负担沉重,发病率和死亡率都很高。目前肾脏疾病的治疗选择有限,迫切需要开发新的有效治疗策略来延缓或逆转疾病进展。肾脏靶向治疗有望显著提高治疗效果,为患有肾脏疾病的患者带来希望。

涵盖领域

本综述总结了肾脏靶向治疗的进展,包括基因、肽和蛋白质、基于细胞的、纳米颗粒以及局部递送途径。我们还探讨了肾脏疾病靶向治疗的潜在临床应用、前景和挑战。

专家观点

肾脏疾病靶向治疗的进展提高了治疗效果。目前,肾脏靶向治疗的临床应用受到肾脏结构和可靠生物标志物稀缺的限制。从针对肾脏的基础和临床前研究到实现临床转化,缩小这一差距仍然是一项艰巨的挑战。

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Int Urol Nephrol. 2025 Feb;57(2):479-510. doi: 10.1007/s11255-024-04212-4. Epub 2024 Sep 23.
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Therapeutic Efficacy of Extract and Silver Nanoparticles Synthesized from the Extract against Cadmium-Induced Renal Nephrotoxicity in Wistar Rats.提取物及从提取物中合成的银纳米颗粒对镉诱导的Wistar大鼠肾毒性的治疗效果
Pharmaceuticals (Basel). 2024 Jul 25;17(8):982. doi: 10.3390/ph17080982.
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Charge barriers in the kidney elimination of engineered nanoparticles.
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Proc Natl Acad Sci U S A. 2024 Jun 4;121(23):e2403131121. doi: 10.1073/pnas.2403131121. Epub 2024 May 28.
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Enriched human embryonic stem cells-derived CD133, CD24 renal progenitors engraft and restore function in a gentamicin-induced kidney injury in mice.富集的人胚胎干细胞来源的CD133、CD24肾祖细胞在庆大霉素诱导的小鼠肾损伤中植入并恢复功能。
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Genetics of cystogenesis in base-edited human organoids reveal therapeutic strategies for polycystic kidney disease.碱基编辑人类类器官中的囊发生遗传学揭示了多囊肾病的治疗策略。
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Safety evaluation of PEGylated MNPs and p-PEGylated MNPs in SD rats.聚乙二醇化 MNPs 和 p-聚乙二醇化 MNPs 在 SD 大鼠中的安全性评价。
Sci Rep. 2023 Dec 6;13(1):21501. doi: 10.1038/s41598-023-48742-w.
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