The next generation of therapeutics for chronic kidney disease.

The next generation of therapeutics for chronic kidney disease.
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DOI:
10.1038/nrd.2016.67
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发表时间:
2016-08
期刊:
Nature reviews. Drug discovery
影响因子:
--
通讯作者:
Susztak K
Susztak K
中科院分区:
其他
文献类型:
--
作者:
Breyer MD;Susztak K

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慢性肾脏病(CKD)是美国的主要死因。该疾病无法治愈,目前的治疗策略依赖于通过阻断肾素血管紧张素系统和血糖控制来控制血压。这些方法仅延迟终末期肾病的发展,并且可能与显著的副作用相关。最近发现的几种有助于CKD发展的新机制-包括血管变化、足细胞和肾上皮细胞损失、基质沉积、炎症和代谢失调-揭示了CKD的新的潜在治疗方法。本综述将评估CKD治疗的新兴策略和药物,强调其临床开发中的相关挑战。
Chronic kidney disease (CKD) represents a leading cause of death in the United States. There is no cure for the disease, with current treatment strategies relying on blood pressure control through blockade of the renin angiotensin system and glycemic control. Such approaches only delay end stage kidney disease development, and can be associated with significant side effects. Recent identification of several novel mechanisms contributing to CKD development - including vascular changes, loss of podocytes and renal epithelial cells, matrix deposition, inflammation and metabolic dysregulation – has revealed new potential therapeutic approaches for CKD. This review will assess emerging strategies and agents for CKD treatment, highlighting associated challenges in their clinical development.
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