Abstract
The platelet-derived growth factor (PDGF) family plays an important role in embryonic development, malignancy, wound healing, atherosclerosis, and fibrosis in multiple organs. It belongs to the best-characterized growth factor systems in normal and diseased kidneys, and there is accumulating evidence that members of the PDGF family are key players in the development of renal fibrosis independent of the underlying kidney disease. All components of the PDGF system, consisting of four isoforms (PDGF-A, -B, -C, -D) and two receptor chains (PDGFR-α and –β), are constitutively or inducibly expressed in most renal cells. They regulate multiple pathophysiologic events, ranging from cell proliferation and migration, extracellular matrix accumulation and production of pro- and anti-inflammatory mediators, to tissue permeability and hemodynamics. This review focuses on advances in defining the roles of different PDGF isoforms in the development of glomerulosclerosis and tubulointerstitial fibrosis. The recent identification of endogenous PDGF inhibitors offers additional novel therapeutic strategies.
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Acknowledgments
We apologize to all authors whose important work we could not cite due to space limitations. For more detailed aspects of PDGF biology, the reader is referred to original studies and other reviews, some of which are cited here. This study was supported by grants from the Deutsche Forschungsgemeinschaft [SFB/TRR 57, projects P14 (FE, TO) , P17 and P19 (JF); SFB542, project C7 (TO, JF)].
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Ostendorf, T., Eitner, F. & Floege, J. The PDGF family in renal fibrosis. Pediatr Nephrol 27, 1041–1050 (2012). https://doi.org/10.1007/s00467-011-1892-z
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DOI: https://doi.org/10.1007/s00467-011-1892-z