2016
DOI: 10.1155/2016/3543678
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Molecular Mechanisms Underlying Peritoneal EMT and Fibrosis

Abstract: Peritoneal dialysis is a form of renal replacement alternative to the hemodialysis. During this treatment, the peritoneal membrane acts as a permeable barrier for exchange of solutes and water. Continual exposure to dialysis solutions, as well as episodes of peritonitis and hemoperitoneum, can cause acute/chronic inflammation and injury to the peritoneal membrane, which undergoes progressive fibrosis, angiogenesis, and vasculopathy, eventually leading to discontinuation of the peritoneal dialysis. Among the di… Show more

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Cited by 104 publications
(122 citation statements)
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References 112 publications
(157 reference statements)
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“…It has been reported that several signaling pathways or growth factors (TGFβ1/Smads, Wnt/β-catenin, and Notch) participate in EMT [27], among which TGF-β1 is the well-recognized induced factor of EMT and subsequent fibrosis [28]. Our previous studies also revealed that TGF-β1 was highly upregulated in EMT of peritoneum in vivo and HMrSV5 cells underwent EMT after treatment by TGF-β1 [29,30].…”
Section: Cell Physiolmentioning
confidence: 89%
“…It has been reported that several signaling pathways or growth factors (TGFβ1/Smads, Wnt/β-catenin, and Notch) participate in EMT [27], among which TGF-β1 is the well-recognized induced factor of EMT and subsequent fibrosis [28]. Our previous studies also revealed that TGF-β1 was highly upregulated in EMT of peritoneum in vivo and HMrSV5 cells underwent EMT after treatment by TGF-β1 [29,30].…”
Section: Cell Physiolmentioning
confidence: 89%
“…miRNAs are indispensable for fibrosis, and a large number of miRNA families have been shown to modulate fibrosis [73]. Indeed, miRNAs are incorporated into exosomes, wherein they are more stable than in the cellular compartment.…”
Section: Exosomes Affect Fibrosis and Angiogenesis Via Exosomal Mirnasmentioning
confidence: 99%
“…EMT is a reversible process by which epithelial cells are able to transform into cells with mesenchymal characteristics. Peritoneal mesothelial cells (PMCs) coexpress epithelial and mesenchymal markers under basal conditions, due to their mesodermal origin, which explains their enhanced plasticity [3]. PMCs that have undergone EMT exhibit an augmented ability to detach from basement membranes and invade into the submesothelial zone, leading to extracellular matrix (ECM) deposition and collagen formation.…”
Section: Introductionmentioning
confidence: 99%