1998
DOI: 10.1046/j.1523-1755.1998.00076.x
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Tubular epithelial-myofibroblast transdifferentiation in progressive tubulointerstitial fibrosis in 5/6 nephrectomized rats

Abstract: This study provides phenotypic and morphological evidence to support the hypothesis that TEC are pro-fibrogenitor cells capable of tubular epithelial-myofibroblast transdifferentiation in progressive renal fibrosis. In addition, we postulate that disruption of the TBM, which facilitates epithelial cell contact with the interstitial matrix, promotes this process of transdifferentiation.

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Cited by 364 publications
(265 citation statements)
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“…35 Although these myofibroblasts are generally presumed to derive from local activation of residential fibroblasts under diseased conditions, evidence suggests that these cells may also derive from tubular epithelial cells via a process known as epithelial to mesenchymal transition. 36,37 Consistent with this view, our preliminary results show that TGF-␤1 can induce ␣SMA expression in both cultured renal interstitial fibroblasts and tubular epithelial cells in vitro (unpublished data). Regardless of the mechanisms, the fact that exogenous HGF inhibits myofibroblast activation in the obstructed kidneys underscores that exogenous HGF precisely targets a key event, the activation of principal matrix-producing cells, during renal fibrogenesis.…”
Section: Figure 7 Exogenous Hgf Inhibits Tgf-␤1 and Tgf-␤ Type I Recesupporting
confidence: 73%
“…35 Although these myofibroblasts are generally presumed to derive from local activation of residential fibroblasts under diseased conditions, evidence suggests that these cells may also derive from tubular epithelial cells via a process known as epithelial to mesenchymal transition. 36,37 Consistent with this view, our preliminary results show that TGF-␤1 can induce ␣SMA expression in both cultured renal interstitial fibroblasts and tubular epithelial cells in vitro (unpublished data). Regardless of the mechanisms, the fact that exogenous HGF inhibits myofibroblast activation in the obstructed kidneys underscores that exogenous HGF precisely targets a key event, the activation of principal matrix-producing cells, during renal fibrogenesis.…”
Section: Figure 7 Exogenous Hgf Inhibits Tgf-␤1 and Tgf-␤ Type I Recesupporting
confidence: 73%
“…However, transitions do occur particularly during oncogenesis [31] and fibrogenesis [32,33]. This process has been particularly studied in renal fibrosis.…”
Section: Discussionmentioning
confidence: 99%
“…This process has been particularly studied in renal fibrosis. It has been hypothesized that when basement membrane is injured by matrix metaroproteinase, epithelial cells that detach from their basement membrane may enter into epithelial-mesenchymal transition, express HSP47 and other mesenchymal markers and divide as fibroblasts [33][34][35]. Whether this process takes place in the lung in IPF or in other forms of pulmonary fibrosis is largely unknown, but urgent evaluation in vitro and in vivo would be necessary.…”
Section: Discussionmentioning
confidence: 99%
“…The authors demonstrated that of those matrix producing cells resident within the tubulointerstitial space, 36% were of epithelial origin and thus derived from renal tubular epithelium through EMT [10]. The underlying pathology of EMT has since been observed in renal biopsies from diseased kidney where the proportion of cells undergoing transition correlated to both the level of serum creatinine and the degree of interstitial fibrosis [88]. Evidence for EMT in vivo has since been described in various forms of of CKD, including diabetic nephropathy [89] [90].…”
Section: Tgf-β1 Emt and Fibrosis In Diabetic Nephropathymentioning
confidence: 99%