The role of tubulointerstitial injury in chronic renal failure

被引:148
作者
Becker, GJ [1 ]
Hewitson, TD [1 ]
机构
[1] Royal Melbourne Hosp, Dept Nephrol, Parkville, Vic 3050, Australia
关键词
D O I
10.1097/00041552-200003000-00006
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
Progressive renal failure results from a triad of glomerulosclerosis, tubulointerstitial fibrosis and vascular sclerosis. The mechanisms by which tubules are injured, and by which the tubular epithelial cell then excites interstitial inflammation culminating in fibroblast activation and fibrosis have become increasingly understood. Most current methods to prevent progressive glomerulosclerosis would inherently prevent tubular injury and interstitial fibrosis. The behaviour and control of the renal fibroblast is being investigated, with the potential for direct interference with its functions. Curr Opin Nephrol Hypertens 9:133-138. (C) 2000 Lippincott Williams & Wilkins.
引用
收藏
页码:133 / 138
页数:6
相关论文
共 66 条
[1]   Nephrotoxicity of increased glomerular protein traffic [J].
Abbate, M ;
Benigni, A ;
Bertani, T ;
Remuzzi, G .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 1999, 14 (02) :304-312
[2]  
Abbate M, 1998, J AM SOC NEPHROL, V9, P1213
[3]   The interstitium in renal disease [J].
Backer, GJ ;
Hewitson, TD .
JOURNAL OF INTERNAL MEDICINE, 1997, 242 (02) :93-97
[4]   The transforming growth factor beta system in kidney disease and repair: recent progress and future directions [J].
Basile, DP .
CURRENT OPINION IN NEPHROLOGY AND HYPERTENSION, 1999, 8 (01) :21-30
[5]   Endothelin receptor antagonists: which are the therapeutic perspectives in renal diseases? [J].
Benigni, A ;
Remuzzi, G .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 1998, 13 (01) :5-7
[6]   Cell-specific regulation of α1(III) and α2(V) collagen by TGF-β1 in tubulointerstitial cell models [J].
Bertelli, R ;
Vaienti, F ;
Oleggini, R ;
Caridi, G ;
Altieri, P ;
Coviello, DA ;
Botti, G ;
Ravazzolo, R ;
Ghiggeri, GM .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 1998, 13 (03) :573-579
[7]   Secretion of chemokines and cytokines by human tubular epithelial cells in response to proteins [J].
Burton, CJ ;
Combe, C ;
Walls, J ;
Harris, KPG .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 1999, 14 (11) :2628-2633
[8]  
Clayton A, 1997, J AM SOC NEPHROL, V8, P604
[9]  
Cordonnier DJ, 1999, J AM SOC NEPHROL, V10, P1253
[10]   Rat fibroblasts cultured from various organs exhibit differences in α-smooth muscle actin expression cytoskeletal pattern, and adhesive structure organization [J].
Dugina, V ;
Alexandrova, A ;
Chaponnier, C ;
Vasiliev, J ;
Gabbiani, G .
EXPERIMENTAL CELL RESEARCH, 1998, 238 (02) :481-490