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Other factors include increased serum matrix metalloproteinases (Li et al., 2013), decreased collagen type ratio, dysregulated expression of skin neuropeptides (Nowak et al., 2021), lack of thrombin activated fibrinolytic inhibitor (Bryk-Wizania and Undas, 2021), reduced platelet growth factor and modification of late phase three advanced glycation end products (Nass et al., 2010), decreased number of epidermal nerves (Alavi et al., 2014), and the increase of extracellular matrix components and the matrix metalloproteinase reconstitution are imbalanced (Alavi et al., 2014)

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Moreover, the observation that urinary IL-11 excretion directly correlated with proteinuria in patients with IgA nephropathy and lupus nephritis (98), raises the possibility that IL-11 signaling may be of relevance also in other proteinuric chronic kidney diseases