Abstract
The kidney has unique attributes that are related to its complex structure and that affect the nature of fibrogenesis in this organ. It is divided into functional units, called nephrons, that have both a filtering and a reabsorbing component. Sclerosis may initiate in the sites of either of these components but ultimately involves both. The epidemiology and clinical manifestations of renal fibrosis suggest complex genetic and environmental influences on the development of fibrosis. Further, the different structures in the kidney manifest different mechanisms of fibrogenesis. These are determined by a combination of differences in the biology of the affected cells and the physical effects of nephron failure. Although therapy for renal fibrosis remains somewhat problematic, new insights into the mechanisms of the underlying diseases offer the promise of improved approaches to treatment.
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References
United States Renal Data System (2003) 2003 Annual Data Report. Division of Kidney, Urologic and Hematologic Diseases, NIDDK/NIH, Department of Health and Human Services, Bethesda, MD.
Eddy, A. A. (1994) Experimental insights into the tubulointerstitial disease accompanying primary glomerular lesions. J. Am. Soc. Nephrol. 5, 1273–1287.
Schnaper, H. W. (1995) Balance between matrix synthesis and degradation: a determinant of glomerulosclerosis. Pediatr. Nephrol. 9, 104–111.
Baricos, W. H. (2002) Protease mediated tubular injury: a new direction in acute renal failure? Kidney Int. 61, 1174–1175.
Lovett, D. H., Johnson, R. J., Marti, H. P., Martin, J., Davies, M., and Couser, W. G. (1992) Structural characterization of the mesangial cell type IV collagenase and enhanced expression in a model of immune complex-mediated glomerulonephritis. Am. J. Pathol. 141, 85–98.
Schnaper, H. W. (2001) Focal segmental glomerulosclerosis. In: Immunologic Renal Disease, 2nd edition (Neilson, E. G. and Couser, W. G., eds), Lippincott Williams and Willkins, Philadelphia: pp. 1001–1027.
Schnaper, H. W. (2003) Idiopathic focal segmental glomerulosclerosis. Semin. Nephrol. 23, 183–193.
Wehrmann, M., Bohle, A., Held, H., Schumm, G., Kendziorra, H., and Pressler, H. (1990) Long-term prognosis of focal sclerosing glomerulonephritis. An analysis of 250 cases with particular regard to tubulointerstitial changes. Clin. Nephrol. 33, 115–122.
Jones, C. L., Buch, S., Post, M., McCulloch, L., Liu, E., and Eddy, A. A. (1991) Pathogenesis of interstitial fibrosis in chronic purine aminonucleoside nephrosis. Kidney Int. 40, 1020–1031.
Mathis, B. J., Kim, S. H., Calabrese, K., Haas, M., Seidman, J. G., Seidman, C. E., and Pollak, M. R. (1998) A locus for inherited focal segmental glomerulosclerosis maps to cromosome 19q13. Kidney Int. 53, 282–286.
Coppes, M. J., Liefers, G. J., Higuchi, M., Zinn, A. B., Balfe, J. W., and Williams, B. R. (1992) Inherited WT1 mutation in Denys-Drash syndrome. Cancer Res. 52, 6125–6128.
Saylam, K. and Simon, P. (2003) WT1 gene mutation responsible for male sex reversal and renal failure: the Frasier syndrome. Eur. J. Obstet. Gynecol. Reprod. Biol. 110, 111–113.
Heathcott, R. W., Morison, I. M., Gubler, M. C., Corbett, R., and Reeve, A. E. (2002) A review of the phenotypic variation due to the Denys-Drash syndromeassociated germline WT1 mutation R362X. Hum. Mutat. 19, 462.
Kestila, M., Lenkkeri, U., Mannikko, M., et al. (1998) Positionally cloned gene for a novel glomerular protein-nephrin-is mutated in congenital nephrotic syndrome. Mol. Cell 1, 575–582.
Boute, N., Gribouval, O., Roselli, S., et al. (2000) NPHS2, encoding the glomerular protein podocin, is mutated in autosomal recessive steroid-resistant nephritic syndrome. Nat. Genet. 24, 349–354.
Caridi, G., Bertelli, R., Di Duca, M., et al. (2003) Broadening the spectrum of diseases related to podocin mutations. J. Am. Soc. Nephrol. 14, 1278.
Kaplan, J. M., Kim, S.-H., North, K. N., et al. (2000) Mutations in ACTN4, encoding α-actinin-4, cause familial focal segmental glomerulosclerosis. Nat. Genet. 24, 251–256.
Lei, H.-H., Perneger, T. V., Klag, M. J., Whelton, P. K., and Coresh, J. (1998) Familial aggregation of renal disease in a population-based case-control study. J. Am. Soc. Nephrol. 9, 1270–1276.
Freedman, B. I., Isakander, S. S., and Appel, R. G. (1995) The link between hypertension and nephrosis. Am. J. Kidney Dis. 25, 207–221.
Ingulli, E. and Tejani, A. (1991) Racial differences in the incidence and renal outcome of idiopathic focal segmental glomerulosclerosis in children. Pediatr. Nephrol. 5, 393–397.
Pettitt, D. J., Saad, M. F., Bennett, P. H., Nelson, R. G., and Knowler, W. C. (1990) Familial predisposition to renal disease in two generations of Pima Indians with type-2 (non-insulin dependent) diabetes mellitus. Diabetologia 33, 438–443.
Roy, L. P., Vernier, R. L., and Michael, A. F. (1972) Effect of protein-load proteinuria on glomerular polyanion. Proc. Soc. Exp. Biol. Med. 141, 870–874.
Eddy, A. A., Kim, H., Lopez-Guisa, J., Oda, T., and Soloway, P. D. (2000) Interstitial fibrosis in mice with overload proteinuria: deficiency of TIMP-1 is not protective. Kidney Int. 58, 618–628.
Deen, W. M., Maddox, D. A., Robertson, C. R., and Brenner, B. M. (1974) Dynamics of glomerular ultrafiltration in the rat. VII. Response to reduced renal mass. Am. J. Physiol. 227, 556–562.
Lan, H. Y., Mu, W., Tomita, N., et al. (2003) Inhibition of renal fibrosis by gene transfer of inducible Smad7 using ultrasound-microbubble system in rat UUO model. J. Am. Soc. Nephrol. 14, 1535–1548.
Nakamura, T., Fukui, M., Ebihara, I., Tomino, Y., and Koide, H. (1994) Low protein diet blunts the rise in glomerular gene expression in focal glomerulosclerosis. Kidney Int. 45, 1593–1605.
Glasser, R. J., Velosa, J. A., and Michael, A. F. (1977) Experimental model of focal sclerosis. I. Relationship to protein excretion in aminonucleoside nephrosis. Lab. Invest. 36, 519–526.
Schulze, M., Pruchno, C. J., Burns, M., Baker, P. J., Johnson, R. J., and Couser, W. G. (1993) Glomerular C3c localization indicates ongoing immune deposit formation and complement activation in experimental glomerulonephritis. Am. J. Pathol. 142, 179–187.
Studer, R. K., Craven, P. A., and DeRubertis, F. R. (1993) Role for protein kinase C in the mediation of increased fibronectin accumulation by mesangial cells grown in high-glucose medium. Diabetes 42, 118–126.
Tolins, J. P., Stone, B. G., and Raij, L. (1992) Interactions of hypercholesterolemia and hypertension in initiation of glomerular injury. Kidney Int. 41, 1254–1261.
Kamanna, V. S. and Kirschenbaum, M. A. (1993) Association between verylow-density lipoprotein and glomerular injury in obese Zucker rats. Am. J. Nephrol. 13, 53–58.
Simons, J. L., Provoost, A. P., Anderson, S., et al. (1993) Pathogenesis of glomerular injury in the fawn-hooded rat: early glomerular capillary hypertension predicts glomerular sclerosis. J. Am. Soc. Nephrol. 3, 1775–1782.
Esposito, C., He, C. J., Striker, G. E., Zalups, R. K., and Striker, L. J. (1999) Nature and severity of the glomerular response to nephron reduction is straindependent in mice. Am. J. Pathol. 154, 891–897.
Kos, C. H., Le, T. C., Sinha, S., et al. (2003) Mice deficient in alpha-actinin-4 have severe glomerular disease. J. Clin. Invest. 111, 1683–1690.
Rantanen, M., Palmen, T., Patari, A., et al. (2002) Nephrin TRAP mice lack slit diaphragms and show fibrotic glomeruli and cystic tubular lesions. J. Am. Soc. Nephrol. 13, 1586–1594.
Shih, N.-Y., Li, J., Karpitskii, V., et al. (1999) Congenital nephrotic syndrome in mice lacking CD2-associated protein. Science 286, 312–315.
Schnaper, H. W. and Kopp, J. B. (2003) Renal fibrosis. Frontiers in Bioscience (online) 8, e68–86.
Clozel, M., Hess, P., Fischli, W., et al. (1999) Age-dependent hypertension in Mpv17-deficient mice, a transgenic model of glomerulosclerosis and inner ear disease. Exp. Gerontol. 34, 1007–1015.
Ljutic, D. and Kes, P. (2003) The role of arterial hypertension in the progression of non-diabetic glomerular diseases. Nephrol. Dial. Transplant. 18(Suppl 5), v28–30.
Velosa, J. A., Torres, V. E., Donadio, J. V., et al. (1985) Treatment of severe nephrotic syndrome with meclofenamate: an uncontrolled pilot study. Mayo Clin. Proc. 60, 586–592.
Robson, A. M., Mor, J., Root, E. R., et al. (1979) Mechanism of proteinuria in nonglomerular renal disease. Kidney Int. 16, 416–429.
Narkun-Burgess, D. M., Nolan, C. R., Norman, J. E., et al. (1993) Forty-five year follow-up after uninephrectomy. Kidney Int. 43, 1110–1115.
Yoshida, Y., Fogo, A., and Ichikawa, I. (1989) Glomerular hemodynamic changes vs. hypertrophy in experimental glomerular sclerosis. Kidney Int. 35, 654–660.
Fogo, A., Hawkins, E. P., Berry, P. L., et al. (1990) Glomerular hypertrophy in minimal change disease predicts subsequent progression to focal glomerular sclerosis. Kidney Int. 38, 115–123.
Kees-Folts, D., Sadow, J. L., and Schreiner, G. F. (1994) Tubular catabolism of albumin is associated with the release of an inflammatory lipid. Kidney Int. 45, 1697–1709.
Kriz, W., Hosser, H., Hahnel, B., Simons, J. L., and Provoost, A. P. (1998) Development of vascular pole-associated glomerulosclerosis in the Fawn-hooded rat. J. Am. Soc. Nephrol. 9, 381–396.
Doublier, S., Seurin, D., Fouqueray, B., et al. (2000) Glomerulosclerosis in mice transgenic for human insulin-like growth factor-binding protein-1. Kidney Int. 57, 2299–2307.
Border, W. A. and Noble, N. A. (1997) TGF-β in kidney fibrosis: a target for gene therapy. Kidney Int. 51, 1388–1396.
Gupta, S., Clarkson, M. R., Duggan, J., and Brady, H. R. (2000) Connective tissue growth factor: potential role in glomerulosclerosis and tubulointerstitial fibross. Kidney Int. 58, 1389–1399.
Floege, J., Kriz, W., Schulze, M., et al. (1995) Basic fibroblast growth factor augments podocyte injury and induces glomerulosclerosis in rats with experimental membranous nephropathy. J. Clin. Invest. 96, 2809–2819.
Haseley, L. A., Hugo, C., Reidy, M. A., and Johnson, R. J. (1999) Dissociation of mesangial cell migration and proliferation in experimental glomerulonephritis. Kidney Int. 56, 964–972.
Uchiyama-Tanaka, Y., Matsubara, H., Mori, Y., et al. (2002) Involvement of HBEGF and EGF receptor transactivation in TGF-β-mediated fibronectin expression in mesangial cells. Kidney International 62, 799–808.
Iida, H., Seifert, R., Alpers, C. E., et al. (1991) Platet-derived growth factor (PDGF) and PDGF receptor are induced in mesangial proliferative nephritis in the rat. Proc. Natl. Acad. Sci. USA 88, 6560–6564.
Hocher, B., Thone-Reineke, C., Rohmeiss, P., et al. (1997) Endothelin-1 transgenic mice develop glomerulosclerosis, interstitial fibrosis, and renal cysts but not hypertension. J. Clin. Invest. 99, 1380–1389.
Guo, G., Morrissey, J., McCracken, R., Tolley, T., Liapis, H., and Klahr, S. (2001) Contributions of angiotensin II and tumor necrosis factor-alpha to the development of renal fibrosis. Am. J. Physiol. Renal Fluid Elect. 280, F777–F785.
Ophascharoensuk, V., Giachelli, C. M., Gordon, K., et al. (1999) Obstructive uropathy in the mouse: role of osteopontin in interstitial fibrosis and apoptosis. Kidney Int. 56, 571–580.
Wolf, G., Chen, S., Han, D. C., and Ziyadeh, F. N. (2002) Leptin and renal disease. Am. J. Kidney Dis. 39, 1–11.
Yang, J. and Liu, Y. (2002) Dissection of key events in tubular epithelial to myofibroblast transition and its implications in renal interstitial fibrosis. Am. J. Pathol. 159, 1465–1475.
Patel, K., Harding, P., Haney, L. B., and Glass, W. F., 2nd. (2003) Regulation of the mesangial cell myofibroblast phenotype by actin polymerization. J. Cell Physiol. 195, 435–445.
Hubchak, S. C., Runyan, C. E., Kreisberg, J. I., and Schnaper, H. W. (2003) Cytoskeletal rearrangement and signal transduction in TGF-β1-stimulated mesangial cell collagen accumulation. J. Am. Soc. Nephrol. 14, 1968–1980.
Hudson, B. G., Kalluri, R., Gunwar, S., et al. (1992) The pathogenesis of Alport syndrome involves type IV collagen molecules containing the alpha 3(IV) chain: evidence from anti-GBM nephritis after renal transplantation. Kidney Int. 42, 179–187.
Hansen, K. M., Berfield, A. K., Spicer, D., and Abrass, C. K. (1998) Rat mesangial cells express two unique isoforms of laminin which modulate mesangial cell phenotype. Matrix Biol. 17, 117–130.
Kalluri, R., Shield, C. F., Todd, P., Hudson, B. G., and Neilson, E. G. (1997) Isoform switching of type IV collagen is developmentally arrested in X-linked Alport syndrome leading to increased susceptibility of renal basement membranes to endoproteolysis. J. Clin. Invest. 99, 2470–2478.
Kashtan, C. E. (1999) Alport syndrome. An inherited disorder of renal, ocular, and cochlear basement membranes. Medicine (Baltimore) 78, 338–360.
Kikkawa, Y., Virtanen, I., and Miner, J. H. (2003) Mesangial cells organize the glomerular capillaries by adhering to the G domain of laminin alpha5 in the glomerular basement membrane. J. Cell Biol. 161, 187–196.
Marti, H.-P., McNeil, L., Davies, M., Martin, J., and Lovett, D. H. (1993) Homology cloning of rat 72 kDa type IV collagenase: cytokine and second messenger inducibility in glomerular mesangial cells. Biochem. J. 291, 441–446.
Carmago, S., Shah, S. V., and Walker, P. D. (2002) Meprin, a brush-border enzyme, plays an important role in hypoxic/ischemic acute renal tubular injury in rats. Kidney Int. 61, 959–966.
Carome, M. A., Striker, L. J., Peten, E. P., et al. (1993) Human glomeruli express TIMP-1 mRNA and TIMP-2 protein and mRNA. Am. J. Physiol. 264, F923–F929.
Tomooka, S., Border, W. A., Marshall, B. C., and Noble, N. A. (1992) Glomerular matrix accumulation is linked to inhibition of the plasmin protease system. Kidney Int. 42, 1462–1469.
Davies, M., Martin, J., Thomas, G. T., and Lovett, D. H. (1992) Proteinases and glomerular matrix turnover. Kidney Int. 41, 671–678.
Eddy, A. A. (2000) Molecular basis of renal fibrosis. Pediatr Nephrol 15, 290–301.
Gaedeke, J., Peters, H., Noble, N. A., and Border, W. A. (2001) Angiotensin II, TGF-β and renal fibrosis. Contrib. Nephrol. 153–160.
Schnaper, H. W., Hayashida, T., Hubchak, S. C., and Poncelet, A.-C. (2003) TGF-β signal transduction and mesangial cell fibrogenesis. Am. J. Physiol. Rena Physiol. 284, F243–F252.
Hayashida, T., de Caestecker, M. P., and Schnaper, H. W. (2003) Cross-talk between ERK MAP kinase and Smad-signaling pathways enhances TGF-β-dependent responses in human mesangial cells. FASEB J. 17, 1576–1578.
Runyan, C. E., Schnaper, H. W., and Poncelet, A.-C. (2003) Smad3 and PKCδ mediate TGF-β1-induced type I collagen expression in human mesangial cells. Am. J. Physiol. Renal Physiol. 285, F413–F422.
Runyan, C. E., Schnaper, H. W., and Poncelet, A.-C. (2004) The phosphatidylinositol 3-kinase Akt pathway enhances Smad3-stimulated mesangial cell collagen I expression in response to TGF-β1. J. Biol. Chem. 279, 2632–2639.
McGowan, T. A., Madesh, M., Zhu, Y., et al. (2002) TGF-b-induced Ca2+ influx involves the type III IP3 receptor and regulates actin cytskeleton. Am. J. Physiol. Renal Physiol. 282, F910–F920.
Poncelet, A.-C. and Schnaper, H. W. (2001) Sp1 and Smad proteins cooperate to mediate TGF-β1-induced α2(I) collagen expression in human glomerular mesangial cells. J. Biol. Chem. 276, 6983–6992.
Cheng, J. and Grande, J. P. (2002) Transforming growth factor-β signal transduction and progressive renal disease. Exp. Biol. Med. (Maywood) 227, 943–956.
Kawata, Y., Suzuki, H., Higaki, Y., et al. (2002) bcn-1 element-dependent activation of the laminin γ1 chain gene by the cooperative action of transcription factor E2 (TFE3) and Smad proteins. J. Biol. Chem. 277, 11,375–11,384.
Higaki, Y., Schullery, D., Kawata, Y., Shnyreva, M., Abrass, C. K., and Bomsztyk, K. (2002) Synergistic activation of the rat laminin γ1 chain promoter by the gut-enriched Kruppel-like factor (GKLF/KLF4) and Sp1. Nucl. Acids Res. 30, 2270–2279.
Yang, J., Dai, C., and Liu, Y. (2003) Hepatocyte growth factor suppresses renal interstitial myofibroblast activation and intercepts Smad signal transduction. Am. J. Pathol. 163, 621–632.
Yang, J. and Liu, Y. (2002) Blockage of tubular epithelial to myofibroblast tran sition by hepatcyte growth factor prevents renal interstitial fibrosis. J. Am. Soc. Nephrol. 13, 96–107.
Isono, M., Chen, S., Hong, S. W., Iglesias-de la Cruz, M. C., and Ziyadeh, F. N. (2002) Smad pathway is activated in the diabetic mouse kidney and Smad3 mediates TGF-β-induced fibronectin in mesangial cells. Biochem. Biophys. Res. Commun. 296, 1356–1365.
Fujimoto, M., Maezawa, Y., Yokote, K., et al. (2003) Mice lacking Smad3 are protected against streptozotocin-induced diabetic glomerulopathy. Biochem. Biophys. Res. Commun. 305, 1002–1007.
Sato, M., Muragaki, Y., Saika, S., Roberts, A. B., and Ooshima, A. (2003) Targeted disruption of TGF-β1/Smad3 signaling protects against renal tubulointerstitial fibrosis induced by unilateral ureteral obstruction. J. Clin. Invest. 112, 1486–1494.
Wang, X., Shaw, S., Amiri, F., Eaton, D. C., and Marrero, M. B. (2002) Inhibition of the Jak/STAT signaling pathway prevents the high glucose-induced increase in TGF-β and fibronectin synthesis in mesangial cells. Diabetes 51, 3505–3509.
Amiri, F., Shaw, S., Wang, X., Tang, J., Waller, J. L., Eaton, D. C., and Marrero, M. B. (2002) Angiotensin II activation of the JAK/STAT pathway in mesangial cells is altered by high glucose. Kidney Int. 61, 1605–1616.
Bhandari, B. K., Feliers, D., Duraisamy, S., et al. (2001) Insulin regulation of protein translation repressor 4E-BP1, and eIF4E-binding protein, in renal epithelial cells. Kidney Int. 59, 866–875.
Guan, Y. and Breyer, M. D. (2001) Peroxisome proliferator-activated receptors (PPARs): novel therapeutic targets in renal disease. Kidney Int. 60, 14–30.
Routh, R. E., Johnson, J. H., and McCarthy, K. J. (2002) Troglitazone suppresses the secretion of type I collagen by mesangial cells in vitro. Kidney Int. 61, 1365–1376.
Ma, L. J., Marcantoni, C., Linton, M. F., Fazio, S., and Fogo, A. B. (2001) Peroxisome proliferator-activated receptor-gamma agonist troglitazone protects against nondiabetic glomerulosclerosis in rats. Kidney Int. 59, 1899–1910.
Yorgin, P. D., Krasher, J., and Al-Uzri, A. Y. (2001) Pulse methylprednisolone treatment of idiopathic steroid-resistant nephrotic syndrome. Pediatr. Nephrol. 16, 245–250.
Rydel, J. J., Korbet, S. M., Borok, R. Z., and Schwartz, M. M. (1995) Focal segmental glomerulosclerosis in adults: presentation, course and response to treatment. Am. J. Kid. Dis. 25, 534–542.
Ingulli, E., Baqi, N., Ahmad, H., Moazami, S., and Tejani, A. (1995) Aggressive, long-term cyclosporine therapy for steroid-resistant focal segmental glomerulosclerosis. J. Am. Soc. Nephrol. 5, 1820–1825.
Cattran, D. C. and Rao, P. (1998) Long-term outcome in children and adults with classic focal segmental glomerulosclerosis. Am. J. Kidney Dis. 32, 72–79.
Rossing, K., Jacobsen, P., Pietraszek, L., and Parving, H. H. (2003) Renoprotective effects of adding angiotensin II receptor blocker to maximal recommended doses of ACE inhibitor in diabetic nephropathy: a randomized doubleblind crossover trial. Diabetes Care 26, 2268–2274.
Levey, A. S., Adler, S., Caggiula, A. W., et al. (1996) Effects of dietary protein restriction on the progression of advanced renal disease in the Modification of Diet in Renal Disease Study. Am. J. Kidney Dis. 27, 652–663.
Hansen, H. P., Tauber-Lassen, E., Jensen, B. R., and Parving, H. H. (2002) Effect of dietary protein restriction on prognosis in patients with diabetic nephropathy. Kidney Int. 62, 220–228.
Chan, M. K., Kwan, S. Y., Chan, K. W., and Yeung, C. K. (1987) Controlled trial of antiplatelet agents in mesangial IgA glomerulonephritis. Am. J. Kidney Dis. 9, 417–421.
Wolf, G., Ziyadeh, F. N., Zahner, G., and Stahl, R. A. (1995) Angiotensin IIstimulated expression of transforming growth factor b in renal proximal tubular cells: attenuation after stable transfection with the c-mas oncogene. Kidney Int. 48, 1818–1827.
Iyer, S. N., Gurujeyalakshmi, G., and Giri, S. N. (1999) Effects of pirfenidone on transforming growth factor-b gene expression at the transcriptional level in bleomycin hamster model of lung fibrosis. J. Pharmacol. Exp. Ther. 291, 367–373.
Bobadilla, N. A., Tack, I., Tapia, E., et al. (2001) Pentosan polysulfate prevents glomerular hypertension and structural injury despite persisting hypertension in 5/6 nephrectomy rats. J. Am. Soc. Nephrol. 12, 2080–2087.
Mishra-Gorur, K., Singer, H. A., and Castellot, J. J., Jr. (2002) Heparin inhibits phosphorylation and autonomous activity of Ca(2+)/calmodulin-dependent protein kinase II in vascular smooth muscle cells. Am. J. Pathol. 161, 1893–1901.
Poncelet, A.-C. and Schnaper, H. W. (1998) Regulation of mesangial cell collagen turnover by transforming growth factor-β1. Am. J. Physiol. Renal Physiol 275, F458–F466.
Ganta, D. R., McCarthy, M. B., and Gronowicz, G. A. (1997) Ascorbic acid alters collagen integrins in bone culture. Endocrinology 138, 3606–3612.
Mott, J. D., Khalifah, R. G., Nagase, H., Shield, C. F., 3rd, Hudson, J. K., and Hudson, B. G. (1997) Nonenzymatic glycation of type IV collagen and matrix metalloproteinase susceptibility. Kidney Int. 52, 1302–1312.
Zeisberg, M., Hanai, J., Sugimoto, H., Mammoto, T., Charytan, D., Strutz, F., and Kalluri, R. (2003) BMP-7 counteracts TGF-β1-induced epithelial-to-mesenchymal transition and reverses chronic renal injury. Nat. Med. 9, 964–968.
Shi, Y. and Massague, J. (2003) Mechanisms of TGF-β signaling from cell membrane to the nucleus. Cell 113, 685–700.
Cochrane, A. L. and Ricardo, S. D. (2003) Oxidant stress and regulation of chemokines in the development of renal interstitial fibrosis. Contrib. Nephrol. 139, 102–119s
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Supported in part by Grant R01-DK49362 from the National Institute of Diabetes, Digestive, and Kidney Diseases.
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Schnaper, H.W. (2005). Renal Fibrosis. In: Varga, J., Brenner, D.A., Phan, S.H. (eds) Fibrosis Research. Methods in Molecular Medicine, vol 117. Humana Press. https://doi.org/10.1385/1-59259-940-0:045
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