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Cell-cell communication in kidney fibrosis

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Tubular cells produce FGF2 via autophagy after acute kidney injury leading to fibroblast activation and renal fibrosis

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Summary: The extracellular matrix (ECM) is a complex network of proteins that controls various cellular processes. In chronic kidney disease (CKD), the ECM undergoes changes that contribute to kidney fibrosis. Using proteomic analysis, this study identified differentially expressed proteins in the ECM of mice with CKD and found that 9 signature proteins are involved in the fibrogenic microenvironment. Furthermore, the depletion of glutathione peroxidase 3 (GPX3), one of the signature proteins, was shown to promote oxidative stress and kidney fibrosis. These findings highlight the importance of oxidative stress in the fibrogenic microenvironment.

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Kidney tubular epithelial cells control interstitial fibroblast fate by releasing TNFAIP8-encapsulated exosomes

Xi Liu et al.

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Oxidatively stressed extracellular microenvironment drives fibroblast activation and kidney fibrosis

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Summary: Macrophages promote fibroblast activation in kidney fibrosis by assembling a vitronectin-enriched extracellular microenvironment.

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Secreted protein acidic and rich in cysteine (SPARC) and a disintegrin and metalloproteinase with thrombospondin type 1 motif (ADAMTS1) increments by the renin-angiotensin system induce renal fibrosis in deoxycorticosterone acetate-salt hypertensive rats

Hiroe Toba et al.

Summary: This study investigated the role of SPARC and ADAMTS1 in renal fibrosis using a rat model. The treatment with DOCA and salt induced kidney damage and fibrosis, and increased the expression of SPARC and ADAMTS1, promoting collagen deposition and fibrosis progression. The angiotensin II type-1 receptor blocker losartan suppressed the overexpression of SPARC and ADAMTS1, thereby slowing down fibrosis development.

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Toll-like receptor 4 mutation protects the kidney from Ang-II-induced hypertensive injury

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CCN2 Binds to Tubular Epithelial Cells in the Kidney

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β-catenin-controlled tubular cell-derived exosomes play a key role in fibroblast activation via the OPN-CD44 axis

Shuangqin Chen et al.

Summary: The activation of beta-catenin in renal tubular cells leads to the release of exosomes containing osteopontin (OPN) that are then taken up by fibroblasts, promoting their proliferation and activation through binding with CD44. Deletion of beta-catenin or CD44 greatly improves renal fibrosis. N-terminal fragment of OPN is secreted into the urine and negatively correlated with kidney function in CKD patients. Urinary exosomes from CKD patients accelerate renal fibrosis, which can be blocked by CD44 deletion.

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Matrix protein Tenascin-C promotes kidney fibrosis via STAT3 activation in response to tubular injury

Qionghong Xie et al.

Summary: Accumulating evidence suggests that the extracellular matrix (ECM) plays a role in both the outcome and progression of fibrosis, offering a profibrotic microenvironment. This study demonstrates that the matrix protein Tenascin-C (TNC) contributes to kidney fibrosis by promoting the proliferation of kidney interstitial cells via STAT3 activation. The findings highlight TNC as a potential therapeutic target for interstitial fibrosis and chronic kidney disease progression.

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The fibrogenic niche in kidney fibrosis: components and mechanisms

Li Li et al.

Summary: Kidney fibrosis, the final outcome of chronic kidney diseases, is characterized by excessive deposition of extracellular matrix (ECM). The fibrogenic niche, a unique tissue microenvironment, plays a crucial role in promoting fibroblast activation and organ fibrosis. Understanding the composition and mechanisms of the fibrogenic niche may lead to the development of non-invasive biomarkers and novel therapies for kidney diseases.

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Jordyn M. Thomas et al.

Summary: Chronic kidney disease (CKD) is an inflammatory condition, and the inflammasome and pro-inflammatory cytokine IL-18 play important roles in its development. Regulating the signaling pathways of the inflammasome and IL-18 may serve as potential targets for CKD treatment.

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Mecp2 protects kidney from ischemia-reperfusion injury through transcriptional repressing IL-6/STAT3 signaling

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Urinary extracellular vesicles: A position paper by the Urine Task Force of the International Society for Extracellular Vesicles

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Fibrillin-1-enriched microenvironment drives endothelial injury and vascular rarefaction in chronic kidney disease

Li Li et al.

Summary: This study demonstrates the crucial role of FBN1 in mediating vascular rarefaction in CKD by orchestrating a hostile microenvironment for endothelial cells. The upregulation of FBN1 in fibrotic kidney tissue was found in animal models and patients, leading to apoptosis and inhibition of proliferation in endothelial cells. RNA sequencing identified the activated integrin alpha(v)beta(6)/transforming growth factor-beta signaling as the key pathway in FBN1-induced endothelial injury, and blocking this pathway ameliorated renal fibrosis and vascular rarefaction in a mouse model of CKD.

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