2014
DOI: 10.1111/jdi.12255
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Cell biology of diabetic nephropathy: Roles of endothelial cells, tubulointerstitial cells and podocytes

Abstract: Diabetic nephropathy is the major cause of end-stage renal failure throughout the world in both developed and developing countries. Diabetes affects all cell types of the kidney, including endothelial cells, tubulointerstitial cells, podocytes and mesangial cells. During the past decade, the importance of podocyte injury in the formation and progression of diabetic nephropathy has been established and emphasized. However, recent findings provide additional perspectives on pathogenesis of diabetic nephropathy. … Show more

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Cited by 165 publications
(141 citation statements)
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References 149 publications
(190 reference statements)
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“…While the glomerulus is widely recognized as the primary site of injury in DN, tubular injury is also prominent. Tubular hypertrophy and interstitial inflammation are seen early in the course of DN [46] and with disease progression tubular atrophy and interstitial fibrosis develop in concert with declining renal function [5,7]. Cross-talk between podocytes and the tubular epithelium is believed to play an important role in the development of tubulointerstitial fibrosis and renal functional decline; however, the mechanisms by which this occurs are not fully understood [810].…”
Section: Introductionmentioning
confidence: 99%
“…While the glomerulus is widely recognized as the primary site of injury in DN, tubular injury is also prominent. Tubular hypertrophy and interstitial inflammation are seen early in the course of DN [46] and with disease progression tubular atrophy and interstitial fibrosis develop in concert with declining renal function [5,7]. Cross-talk between podocytes and the tubular epithelium is believed to play an important role in the development of tubulointerstitial fibrosis and renal functional decline; however, the mechanisms by which this occurs are not fully understood [810].…”
Section: Introductionmentioning
confidence: 99%
“…The glomerular filtration barrier is a composite multilayered structure, and injury in one layer may spread to others and affect the whole function of the barrier [27]. It is well documented that endothelial glycocalyx plays a significant role in the glomerular filtration barrier [27,28].…”
mentioning
confidence: 99%
“…It is well documented that endothelial glycocalyx plays a significant role in the glomerular filtration barrier [27,28]. Dysfunction of the endothelial TJ is a crucial step in the development of endothelial hyperpermeability that contributes to progressive DN [5].…”
mentioning
confidence: 99%
“…The pathogenesis of diabetic nephropathy involve various mechanism and include hyperglycaemic condition, polyol pathway activation, renin-angiotensin system, reactive oxygen species (ROS), activation of protein kinase C (PKC) pathway, increase of advanced glycation end-product (AGE) and glomerular hyperfiltration [1,2]. Interaction of extracellular AGE with Receptor for Advanced Glycation End Products (RAGE) increases angiotensin II on Renin Angiotensin-Aldosterone System (RAAS) and activation of protein kinase c (PKC) which induce alterations in nephrin mRNA expression [3,4].…”
mentioning
confidence: 99%