PMID- 17628388 OWN - NLM STAT- MEDLINE DCOM- 20080225 LR - 20161209 IS - 0755-4982 (Print) IS - 0755-4982 (Linking) VI - 36 IP - 12 Pt 2 DP - 2007 Dec TI - [Strategies to reverse fibrotic lesions of the kidney]. PG - 1857-64 AB - The deterioration of renal function in chronic kidney disease is related to the progression of renal fibrosis, which was long considered unavoidable. Today, the reversibility of renal fibrotic lesions is a reality, although still clinically rare. Because angiotensin II is highly profibrotic, blocking its action effectively protects the kidney, as numerous clinical trials have shown. The development of interstitial fibrosis is secondary to the epithelial-to-mesenchymal transition induced by transforming growth factor (TGF)-beta. Bone morphogenic protein-7 (BMP-7) and hepatocyte growth factor (HGF) induce the reverse transition and thus open up perspectives for treatment. Degradation of the extracellular matrix by matrix metalloproteinases or other enzymes is another therapeutic pathway. Renal regeneration may be promoted by modulation of hypoxia-inducible factor-1 (HIF-1) and vascular endothelial growth factor (VEGF). FAU - Boffa, Jean-Jacques AU - Boffa JJ AD - Service nephrologie et dialyses, Hopital Tenon, AP-HP, Paris. jean-jacques.boffa@tnn.aphp.fr FAU - Ronco, Pierre AU - Ronco P LA - fre PT - English Abstract PT - Journal Article PT - Review TT - Strategies pour faire regresser les lesions de fibrose renale. DEP - 20070712 PL - France TA - Presse Med JT - Presse medicale (Paris, France : 1983) JID - 8302490 RN - 0 (Angiotensin II Type 1 Receptor Blockers) RN - 0 (Bone Morphogenetic Proteins) RN - 0 (Transforming Growth Factor beta) RN - 67256-21-7 (Hepatocyte Growth Factor) SB - IM MH - Angiotensin II Type 1 Receptor Blockers/therapeutic use MH - Bone Morphogenetic Proteins/physiology MH - Disease Progression MH - Epithelial Cells/cytology MH - Extracellular Matrix/metabolism MH - Fibrosis/metabolism/*therapy MH - Hepatocyte Growth Factor/physiology MH - Humans MH - Kidney/*pathology/physiology MH - Mesoderm/cytology MH - Regeneration MH - Transforming Growth Factor beta/metabolism RF - 55 EDAT- 2007/07/14 09:00 MHDA- 2008/02/26 09:00 CRDT- 2007/07/14 09:00 PHST- 2007/04/24 00:00 [received] PHST- 2007/04/26 00:00 [accepted] PHST- 2007/07/14 09:00 [pubmed] PHST- 2008/02/26 09:00 [medline] PHST- 2007/07/14 09:00 [entrez] AID - S0755-4982(07)00479-4 [pii] AID - 10.1016/j.lpm.2007.04.033 [doi] PST - ppublish SO - Presse Med. 2007 Dec;36(12 Pt 2):1857-64. doi: 10.1016/j.lpm.2007.04.033. Epub 2007 Jul 12.