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Key Genetic Components of Fibrosis in Diabetic Nephropathy: An Updated Systematic Review and Meta-Analysis

  • Maria Tziastoudi
  • , Theoharis C. Theoharides
  • , Evdokia Nikolaou
  • , Maria Efthymiadi
  • , Theodoros Eleftheriadis
  • , Ioannis Stefanidis

    Research output: Contribution to journalReview articlepeer-review

    Abstract

    Renal fibrosis (RF) constitutes the common end-point of all kinds of chronic kidney disease (CKD), regardless of the initial cause of disease. The aim of the present study was to identify the key players of fibrosis in the context of diabetic nephropathy (DN). A systematic review and meta-analysis of all available genetic association studies regarding the genes that are included in signaling pathways related to RF were performed. The evaluated studies were published in English and they were included in PubMed and the GWAS Catalog. After an extensive literature review and search of the Kyoto Encyclopedia of Genes and Genomes (KEGG) database, eight signaling pathways related to RF were selected and all available genetic association studies of these genes were meta-analyzed. ACE, AGT, EDN1, EPO, FLT4, GREM1, IL1B, IL6, IL10, IL12RB1, NOS3, TGFB1, IGF2/INS/TH cluster, and VEGFA were highlighted as the key genetic components driving the fibrosis process in DN. The present systematic review and meta-analysis indicate, as key players of fibrosis in DN, sixteen genes. However, the results should be interpreted with caution because the number of studies was relatively small.

    Original languageEnglish
    Article number15331
    JournalInternational Journal of Molecular Sciences
    Volume23
    Issue number23
    DOIs
    StatePublished - Dec 2022

    Bibliographical note

    Publisher Copyright:
    © 2022 by the authors.

    ASJC Scopus Subject Areas

    • Catalysis
    • Molecular Biology
    • Spectroscopy
    • Computer Science Applications
    • Physical and Theoretical Chemistry
    • Organic Chemistry
    • Inorganic Chemistry

    Keywords

    • diabetic nephropathy
    • genes
    • meta-analysis
    • renal fibrosis
    • review

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