Transforming growth factor-beta: a clinical target for the treatment of diabetic nephropathy.
Transforming growth factor-beta: a clinical target for the treatment of diabetic nephropathy.
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DOI:
10.1007/s11892-004-0055-z
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发表时间:
2004-12-01
影响因子:
4.2
通讯作者:
Sharma, Kumar
中科院分区:
文献类型:
--
作者:
McGowan, Tracy A;Zhu, Yanqing;Sharma, Kumar
Diabetic nephropathy is continuing to rise in incidence, despite awareness of tight glycemic control and blood pressure. The identification that matrix accumulation is driven by transforming growth factor-beta (TGF-beta) has led to a concerted effort to apply antifibrotic strategies for this disorder. Recent studies have not only demonstrated the beneficial effects of blocking TGF-beta on matrix accumulation but have also found that blocking TGF-beta may have important hemodynamic effects that are relevant to diabetic complications. In this article, we review the latest knowledge regarding the role of TGF-beta in diabetic kidney disease and discuss available and novel therapeutic approaches. The role of a novel antifibrotic drug, pirfenidone, may have important clinical relevance to diabetic nephropathy.