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KMID : 0359920120310020094
Korean Journal of Nephrology
2012 Volume.31 No. 2 p.94 ~ p.105
TGF-¥â-activated kinase-1: New insights into the mechanism of TGF-¥â signaling and kidney disease
Kim Sung-Il

Mary E. Choi
Abstract
Transforming growth factor-¥â (TGF-¥â) is a multifunctional cytokine that regulates a wide variety of cellular functions, including cell growth, cellular differentiation, apoptosis, and wound healing. TGF-¥â1, the prototype member of the TGF-¥â superfamily, is well established as a central mediator of renal fibrosis. In chronic kidney disease, dysregulation of expression and activation of TGF-¥â1 results in the relentless synthesis and accumulation of extracellular matrix proteins that lead to the development of glomerulosclerosis and tubulointerstitial fibrosis, and ultimately to end-stage renal disease. Therefore, specific targeting of the TGF-¥â signaling pathway is seemingly an attractive molecular therapeutic strategy in chronic kidney disease. Accumulating evidence demonstrates that the multifunctionality of TGF-¥â1 is connected with the complexity of its cell signaling networks. TGF-¥â1 signals through the interaction of type I and type II receptors to activate distinct intracellular pathways. Although the Smad signaling pathway is known as a canonical pathway induced by TGF-¥â1, and has been the focus of many previous reviews, importantly TGF-¥â1 also induces various Smad-independent signaling pathways. In this review, we describe evidence that supports current insights into the mechanism and function of TGF-¥â-activated kinase 1 (TAK1), which has emerged as a critical signaling molecule in TGF-¥â-induced Smad-independent signaling pathways. We also discuss the functional role of TAK1 in mediating the profibrotic effects of TGF-¥â1.
KEYWORD
Chronic kidney disease, Fibrosis, Intracellular signaling, Transforming growth factor-¥â1, Transforming growth factor-¥â-activated kinase 1
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