From acute injury to chronic disease: pathophysiological hypothesis of an epithelial/mesenchymal crosstalk alteration in CKD

M. Prunotto, D. C. Budd, M. Meier, I. Formentini, G. Hartmann, S. Pomposiello, S. Moll
2012 Nephrology, Dialysis and Transplantation  
Observational clinical studies link acute kidney injury to chronic kidney disease (CKD) progression. The pathophysiological mechanisms that underlie this process are currently unknown but recently published papers suggest that tubular epithelial cells and interstitial mesenchymal cells emerge as a single unit, and their integrity alteration as a whole might lead to renal fibrosis and CKD. The present article reviews the biological findings supporting the hypothesis of an altered
more » ... chymal crosstalk in fibrosis development and progression toward CKD.
doi:10.1093/ndt/gfs283 pmid:22785113 fatcat:z6y7ramqjrajpahjv6elfqbfom