“…More specifically, renal tubular epithelial cells (RTECs) undergo stepwise loss of inherent epithelial markers, such as E-cadherin, and acquire the characteristics of mesenchymal cells including the expression of mesenchymal markers, such as vimentin and a-smooth muscle actin (a-SMA) and enhance mobility. Those cells then traverse the tubular basement membrane (TBM) into the renal interstitium, which causes excessive deposition of ECM, leading to fibrosis (Yang and Liu, 2001;Cruz-Solbes and Youker, 2017). Moreover, a vast variety of stimuli of the renal tubular EMT, such as hypoxia (Higgins et al, 2007), ischemia/reperfusion (Chen et al, 2017b), proteinuria (Efstratiadis et al, 2009), and cytokines-particularly TGF-b (Sutariya et al, 2016) and MMPs (Du et al, 2012), etc.…”