ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2015, Vol. 24 ›› Issue (2): 171-175.

• 论文 • 上一篇    下一篇

慢性肾脏病治疗的新靶点和新药物

  

  • 出版日期:2015-04-28 发布日期:2015-04-29

The novel therapeutic targets and treatments for chronic kidney diseases

  • Online:2015-04-28 Published:2015-04-29

摘要:

摘 要:慢性肾脏疾病(CKD)是全球范围内的重要公共健康问题,带来了沉重的经济和社会负担。在探索CKD分子致病机制的基础上,发现新的治疗靶点和药物,对于提高CKD诊治水平,延缓疾病进展,改善患者长期预后,减轻政府卫生经济负担具有极其重要的意义。本文总结了近年来CKD研究中发现的新的分子致病机制,及针对这些新机制的治疗方法和药物,重点关注了作用于TGF-β超家族的抗肾脏纤维化药物,以及血管钙化因子、NADPH过氧化物家族、NF-kb通路等在CKD发生发展中的分子致病机制的最新研究进展。针对这些分子机制的药物或治疗方法将成为未来治疗CKD的新希望。

关键词: 慢性肾脏病, 治疗靶点, 治疗药物

Abstract:

Abstract:Chronic kidney disease (CKD) is becoming a worldwide epidemic. Novel targets and treatments for CKD are, therefore, desperately needed to both mitigate the burden of this disease in the general population and reduce the necessity for renal replacement therapy in individual patients. This review highlights new insights into the mechanisms that contribute to CKD, and approaches that might facilitate the development of disease arresting therapies for CKD. Particular focus is given to therapeutic approaches using antifibrotic agents that target the transforming growth factor β superfamily. In addition, we discuss new insights regarding the roles of vascular calcification, the NADPH oxidase family, and NF-kb pathway in the pathogenesis of CKD.

Key words: chronic kidney diseases, therapeutic target, drugs