Interstitial fibrosis: tubular hypothesis versus glomerular hypothesis

被引:25
作者
Christensen, Erik I. [1 ]
Verroust, Pierre J. [1 ]
机构
[1] Aarhus Univ, Inst Anat, Dept Cell Biol, DK-8000 Aarhus C, Denmark
关键词
D O I
10.1038/ki.2008.421
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The pathogenesis of renal interstitial fibrosis leading eventually to renal failure is highly debatable. Whereas the so-called tubular hypothesis, involving an increased tubular uptake of potentially toxic substances that induce a variety of cytokines, growth factors, and profibrogenic factors, is based to a large extent on cell-culture studies, the glomerular hypothesis is based mainly on careful morphological observations. Unraveling the pathways appears to be extremely complex, but in vivo studies appear to offer the most reliable results.
引用
收藏
页码:1233 / 1236
页数:5
相关论文
共 10 条
[1]   Complement-mediated dysfunction of glomerular filtration barrier accelerates progressive renal injury [J].
Abbate, Mauro ;
Zoja, Carla ;
Corna, Daniela ;
Rottoli, Daniela ;
Zanchi, Cristina ;
Azzollini, Nadia ;
Tomasoni, Susanna ;
Berlingeri, Silvia ;
Noris, Marina ;
Morigi, Marina ;
Remuzzi, Giuseppe .
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2008, 19 (06) :1158-1167
[2]   How does proteinuria cause progressive renal damage? [J].
Abbate, Mauro ;
Zoja, Carla ;
Remuzzi, Giuseppe .
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2006, 17 (11) :2974-2984
[3]   Chronic progression of tubulointerstitial damage in proteinuric renal disease is mediated by complement activation: A therapeutic role for complement inhibitors? [J].
Hsu, SIH ;
Couser, WG .
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2003, 14 (07) :S186-S191
[4]   Heme oxygenase-1 deficiency promotes epithelial-mesenchymal transition and renal fibrosis [J].
Kie, Jeong-Hae ;
Kapturczak, Matthias H. ;
Traylor, Amie ;
Agarwal, Anupam ;
Hill-Kapturczak, Nathalie .
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2008, 19 (09) :1681-1691
[5]   Pathways to nephron loss starting from glomerular diseases - Insights from animal models [J].
Kriz, W ;
LeHir, M .
KIDNEY INTERNATIONAL, 2005, 67 (02) :404-419
[6]  
Kriz W, 2001, J AM SOC NEPHROL, V12, P496, DOI 10.1681/ASN.V123496
[7]   Genetic engineering of glomerular sclerosis in the mouse via control of onset and severity of podocyte-specific injury [J].
Matsusaka, T ;
Xin, J ;
Niwa, S ;
Kobayashi, K ;
Akatsuka, A ;
Hashizume, H ;
Wang, QC ;
Pastan, I ;
Fogo, AB ;
Ichikawa, I .
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2005, 16 (04) :1013-1023
[8]   Megalin contributes to the early injury of proximal tubule cells during nonselective proteinuria [J].
Motoyoshi, Yaeko ;
Matsusaka, Taiji ;
Saito, Akihiko ;
Pastan, Ira ;
Willnow, Thomas E. ;
Mizutani, Shuki ;
Ichikawa, Iekuni .
KIDNEY INTERNATIONAL, 2008, 74 (10) :1262-1269
[9]  
RISDON RA, 1968, LANCET, V2, P363
[10]   Abrogation of protein uptake through megalin-deficient proximal tubules does not safeguard against tubulointerstitial injury [J].
Theilig, Franziska ;
Kriz, Wilhelm ;
Jerichow, Timo ;
Schrade, Petra ;
Haehnel, Brunhilde ;
Willnow, Thomas ;
Le Hir, Michel ;
Bachmann, Sebastian .
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2007, 18 (06) :1824-1834