Collagen V deficiency plays a key role in susceptibility to injury-related kidney scarring and is a target for treatment
This mouse kidney exhibits abundant scarring, or fibrosis (red and green). Scar formation is an important response to injury in the kidney, or indeed any other part of the body. But, if the fibrosis is excessive, then kidney function can be severely reduced, which can ultimately lead to the organ’s failure. Scientists have recently discovered that deficiency in the production of a certain form of collagen (collagen V) – a key component of scar tissue – can cause mice to be especially prone to kidney fibrosis and failure. Similarly, humans with low levels of collagen V are also more likely to develop chronic kidney disease (CKD) than people with normal levels of the protein. Lack of collagen V seems to weaken the scar, prompting the body to increase fibrosis to compensate. Importantly, pharmacologically targeting this collagen V pathway promoted kidney repair in the mice, suggesting it might work in CKD patients too.
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