From acute injury to chronic disease: pathophysiological hypothesis of an epithelial/mesenchymal crosstalk alteration in CKD
Author(s) -
Marco Prunotto,
David C. Budd,
Matthias Meier,
Ivan Formentini,
Guido Hartmann,
Silvia Pomposiello,
Solange Moll
Publication year - 2012
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/gfs283
Subject(s) - medicine , kidney disease , mesenchymal stem cell , pathophysiology , crosstalk , fibrosis , acute kidney injury , pathology , kidney , bioinformatics , biology , physics , optics
Observational clinical studies link acute kidney injury to chronic kidney disease (CKD) progression. The pathophysiological mechanisms that underlie this process are currently unknown but recently published papers suggest that tubular epithelial cells and interstitial mesenchymal cells emerge as a single unit, and their integrity alteration as a whole might lead to renal fibrosis and CKD. The present article reviews the biological findings supporting the hypothesis of an altered epithelial/mesenchymal crosstalk in fibrosis development and progression toward CKD.
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