Roxadustat: Not just for anemia

Roxadustat is a recently approved hypoxia-inducible factor prolyl hydroxylase inhibitor that has demonstrated favorable safety and efficacy in the treatment of renal anemia. Recent studies found it also has potential for the treatment of other hypoxia-related diseases. Although clinical studies have...

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Main Authors: Xiaoyu Zhu, Lili Jiang, Xuejiao Wei, Mengtuan Long, Yujun Du
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.971795/full
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author Xiaoyu Zhu
Lili Jiang
Xuejiao Wei
Mengtuan Long
Yujun Du
author_facet Xiaoyu Zhu
Lili Jiang
Xuejiao Wei
Mengtuan Long
Yujun Du
author_sort Xiaoyu Zhu
collection DOAJ
description Roxadustat is a recently approved hypoxia-inducible factor prolyl hydroxylase inhibitor that has demonstrated favorable safety and efficacy in the treatment of renal anemia. Recent studies found it also has potential for the treatment of other hypoxia-related diseases. Although clinical studies have not yet found significant adverse or off-target effects of roxadustat, clinicians must be vigilant about these possible effects. Hypoxia-inducible factor regulates the expression of many genes and physiological processes in response to a decreased level of oxygen, but its role in the pathogenesis of different diseases is complex and controversial. In addition to increasing the expression of hypoxia-inducible factor, roxadustat also has some effects that may be HIF-independent, indicating some potential off-target effects. This article reviews the pharmacological characteristics of roxadustat, its current status in the treatment of renal anemia, and its possible effects on other pathological mechanisms.
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spelling doaj.art-75412d6dc6f740cbbb46573c3f800b512022-12-22T04:31:08ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-08-011310.3389/fphar.2022.971795971795Roxadustat: Not just for anemiaXiaoyu Zhu0Lili Jiang1Xuejiao Wei2Mengtuan Long3Yujun Du4Department of Nephrology, The First Hospital of Jilin University, Changchun, Jilin, ChinaPhysical Examination Center, The First Hospital of Jilin University, Changchun, Jilin, ChinaDepartment of Nephrology, The First Hospital of Jilin University, Changchun, Jilin, ChinaDepartment of Nephrology, The First Hospital of Jilin University, Changchun, Jilin, ChinaDepartment of Nephrology, The First Hospital of Jilin University, Changchun, Jilin, ChinaRoxadustat is a recently approved hypoxia-inducible factor prolyl hydroxylase inhibitor that has demonstrated favorable safety and efficacy in the treatment of renal anemia. Recent studies found it also has potential for the treatment of other hypoxia-related diseases. Although clinical studies have not yet found significant adverse or off-target effects of roxadustat, clinicians must be vigilant about these possible effects. Hypoxia-inducible factor regulates the expression of many genes and physiological processes in response to a decreased level of oxygen, but its role in the pathogenesis of different diseases is complex and controversial. In addition to increasing the expression of hypoxia-inducible factor, roxadustat also has some effects that may be HIF-independent, indicating some potential off-target effects. This article reviews the pharmacological characteristics of roxadustat, its current status in the treatment of renal anemia, and its possible effects on other pathological mechanisms.https://www.frontiersin.org/articles/10.3389/fphar.2022.971795/fullroxadustathypoxia-inducible factorrenal anemiafibrosismetabolisminflammation
spellingShingle Xiaoyu Zhu
Lili Jiang
Xuejiao Wei
Mengtuan Long
Yujun Du
Roxadustat: Not just for anemia
Frontiers in Pharmacology
roxadustat
hypoxia-inducible factor
renal anemia
fibrosis
metabolism
inflammation
title Roxadustat: Not just for anemia
title_full Roxadustat: Not just for anemia
title_fullStr Roxadustat: Not just for anemia
title_full_unstemmed Roxadustat: Not just for anemia
title_short Roxadustat: Not just for anemia
title_sort roxadustat not just for anemia
topic roxadustat
hypoxia-inducible factor
renal anemia
fibrosis
metabolism
inflammation
url https://www.frontiersin.org/articles/10.3389/fphar.2022.971795/full
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AT mengtuanlong roxadustatnotjustforanemia
AT yujundu roxadustatnotjustforanemia