2003
DOI: 10.1172/jci200320530
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Epithelial-mesenchymal transition and its implications for fibrosis

Abstract: Epithelial to mesenchymal transition (EMT) is a central mechanism for diversifying the cells found in complex tissues. This dynamic process helps organize the formation of the body plan, and while EMT is well studied in the context of embryonic development, it also plays a role in the genesis of fibroblasts during organ fibrosis in adult tissues. Emerging evidence from studies of renal fibrosis suggests that more than a third of all disease-related fibroblasts originate from tubular epithelia at the site of in… Show more

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Cited by 2,049 publications
(961 citation statements)
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References 146 publications
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“…TGF-␤ is one of the cytokines released during the inflammatory response which activates fibroblasts to transform into myofibroblasts to produce ECM. Excessive production of TGF-␤1 was linked to tissue fibrosis during aging and pathological changes in many organs, including liver, lung, kidney, heart, skeletal muscle, and uterus (58)(59)(60). However, the molecular basis of this increased synthesis of TGF-␤ was unknown.…”
Section: Sirt3 Activates Gsk3␤mentioning
confidence: 99%
“…TGF-␤ is one of the cytokines released during the inflammatory response which activates fibroblasts to transform into myofibroblasts to produce ECM. Excessive production of TGF-␤1 was linked to tissue fibrosis during aging and pathological changes in many organs, including liver, lung, kidney, heart, skeletal muscle, and uterus (58)(59)(60). However, the molecular basis of this increased synthesis of TGF-␤ was unknown.…”
Section: Sirt3 Activates Gsk3␤mentioning
confidence: 99%
“…EMT is also found to be associated with fibrosis in kidney, liver, lung and intestine. The lineage-tagging experiments demonstrated that during the course of kidney fibrosis in mice, about 30% are derived from the tubular epithelial cells of the kidney via EMT [23]. Indeed, EMT in chemotactic factors (CCL4)-induced liver fibrosis has taken place in hepatocytes, which has been revealed in transgenic mice [24], so do the alveolar epithelial cells during the pulmonary fibrosis induced by transforming growth factor β (TGF-β) [25].…”
Section: Overview Of the Epithelial-mesenchymal Transition (Emt)mentioning
confidence: 99%
“…Myofibroblasts in the tubular interstitium are responsible for the fibrosis and are derived from several sources, including endogenous renal fibroblasts, stem cells, and epithelial-to-mesenchymal transition (EMT) of renal tubular cells [1, 2]. The latter is stimulated by mediators released from infiltrating inflammatory cells and can be induced in vitro by treating tubular epithelial cells with medium conditioned by activated peripheral blood mononuclear cells (aPBMC-CM) [3,4,5].…”
Section: Introductionmentioning
confidence: 99%