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REVIEW article
Front. Pharmacol.
Sec. Renal Pharmacology
Volume 15 - 2024 |
doi: 10.3389/fphar.2024.1403227
Advances in the study of key cells and signaling pathways in renal fibrosis and the interventional role of Chinese medicines
Provisionally accepted- Gansu University of Chinese Medicine, Lanzhou, China
Renal fibrosis (RF) is a pathological process characterized by the excessive accumulation of extracellular matrix (ECM), which triggers a repair cascade in response to stimuli and pathogenic factors, leading to the activation of molecular signaling pathways involved in fibrosis. This article discusses the key cells, molecules, and signaling pathways implicated in the pathogenesis of RF, with a particular focus on tubular epithelial cells(TECs), cellular senescence, ferroptosis, autophagy, epithelialmesenchymal transition (EMT), and transforming growth factor-β (TGF-β )/Smad signaling. These factors are critical in driving the core and regulatory pathways that significantly influence RF. A comprehensive understanding of their roles is essential.Additionally, through a literature review, we explore recent advancements in Traditional Chinese Medicine (TCM) aimed at reducing RF and inhibiting chronic kidney disease (CKD). We summarize, analyze, and elaborate on the important role of Chinese herbs in RF, aiming to provide new directions for their application in prevention and treatment, as well as scientific guidance for clinical practices.
Keywords: renal fibrosis, Chronic Kidney Disease, Pathogenesis, Signaling Pathways, Traditional Chinese Medicine, Treatment
Received: 19 Mar 2024; Accepted: 21 Oct 2024.
Copyright: © 2024 Dai, Liang, Zhou, Yang and Wei. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Enlai Dai, Gansu University of Chinese Medicine, Lanzhou, China
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