Evidence mapPaperPMID 41654911Full record

ReviewJournal of translational medicine2026

Emerging therapeutic pipelines on kidney fibrosis: challenges in translational research.

Simona Granata, Laura Barberio, Rossana D'Agostino, Francesca Sorace, Francesca Leone, Daniela Pellegrino, Giovanni Stallone, Michele Provenzano, Gianluigi Zaza

Abstract readReview
In one paragraph

Review in Journal of translational medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Simona Granata *Department of Biology, Ecology and Earth Sciences, University of Calabria, 87036, Rende, Italy.
Laura Barberio *Department of Biology, Ecology and Earth Sciences, University of Calabria, 87036, Rende, Italy.
Rossana D'AgostinoDepartment of Biology, Ecology and Earth Sciences, University of Calabria, 87036, Rende, Italy.
Francesca SoraceDepartment of Biology, Ecology and Earth Sciences, University of Calabria, 87036, Rende, Italy.
Francesca LeoneDivision of Nephrology, Dialysis and Transplantation, Annunziata Hospital, Cosenza, Italy.
Daniela PellegrinoDepartment of Biology, Ecology and Earth Sciences, University of Calabria, 87036, Rende, Italy.
Giovanni StalloneNephrology, Dialysis and Transplantation Unit, Policlinico Riuniti University Hospital, Foggia, Italy.
Michele ProvenzanoDivision of Nephrology, Dialysis and Transplantation, Annunziata Hospital, Cosenza, Italy.
Gianluigi ZazaDepartment of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036, Rende, Italy. gianluigi.zaza@unical.it.ORCID http://orcid.org/0000-0002-6004-6196

Funding

Ministero della Salute PNRR-MR1-2022-12375880Ministero dell'Università e della Ricerca 2022FH7889
6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is estimated that by 2040, it will be the 5th highest cause of years of life lost globally due to the aging population and the rising prevalence of age-related diseases such as hypertension and diabetes. Therefore, a deep comprehension of the biological and molecular mechanisms underlying kidney fibrosis is urgently needed to facilitate the development of new therapeutic strategies that can hinder disease progression and simultaneously address the comorbidities associated with CKD. MAIN BODY: In the last years numerous studies have elucidated the complex interplay of various cellular and molecular pathways that contribute to the progression of kidney fibrosis. As a result, several promising therapeutic targets have been identified, paving the way for innovative treatment strategies. These include endogenous (Dickkopf-1, Klotho, and secreted frizzled-related proteins) and exogenous (ICG-001 and relaxin) modulators of the WNT/β-catenin pathway; inhibitors of TGF-β (BMP-7, ncRNA, fresolimumab); sphingosine analogs (fingolimod). In addition to these indirect approaches, therapies with direct antifibrotic activity have also gained significant attention in the field. Among these alternatives, SGLT2 inhibitors and finerenone have emerged as particularly promising options due to the favorable outcomes observed in large-scale clinical trials. These studies have highlighted their effectiveness in slowing disease progression and improving patient outcomes.

conclusionsDespite the encouraging results, additional research is necessary to fully assess the protective roles of these treatments in various clinical contexts. This review aims to synthesize the available data and current insights into this important issue.

Indexed as

KidneyTranslational Research, BiomedicalAnimalsFibrosisHumansFinerenoneKidney fibrosisMineralocorticoid receptor antagonistsSGLT2 inhibitorsShh pathwaySphingosine analogsTGF-betaWNT/beta catenin

Identifiers

PMID41654911
PMCPMC12977584

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.