Regeneration Processes in the Kidney after Acute Injury: Role of Infiltrating Cells

作者: Manuela Ghielli , Walter A Verstrepen , Etienne J. Nouwen , Marc E. De Broe

DOI: 10.1159/000020564

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摘要: The transient presence of infiltrated leukocytes in the kidney during acute renal failure as well location these cells within interstitium suggest their association with tubular injury and/or regeneration. To date, however, neither a positive nor negative contribution to pathophysiology this disease could be unambiguously demonstrated. Ill-defined methods for identifying interstitial have added controversy concerning role inflammatory current literature survey presents qualitative description accumulation observed some models, special attention those displaying necrosis particular nephron subsegments. We conclude that lethal or sublethal epithelial following toxic ischemic insults leads manifestation an mononuclear cell infiltrate. Whereas macrophages and T lymphocytes almost invariably take part, former being dominant population respect both magnitude over time, polymorphonuclear seem significantly increased only case pyelonephritis. Infiltrating often been regarded rather harmful tissue, mainly due quite understood injuring capacity latter. On other hand, we speculate through potential producing different cytokines growth factors (FGF, TGF-α, EGF-like, IL-2, etc.) might play initiating mediating regeneration after necrosis. Therefore, infiltrating injury/regeneration process remains highly controversial should further elucidated.

参考文章(23)
F. E. Cuppage, A. Tate, Repair of the nephron following injury with mercuric chloride. American Journal of Pathology. ,vol. 51, pp. 405- 429 ,(1967)
A. A. Eddy, Interstitial nephritis induced by protein-overload proteinuria. American Journal of Pathology. ,vol. 135, pp. 719- 733 ,(1989)
Eric G. Neilson, Pathogenesis and therapy of interstitial nephritis Kidney International. ,vol. 35, pp. 1257- 1270 ,(1989) , 10.1038/KI.1989.118
F. Gary Toback, Regeneration after acute tubular necrosis Kidney International. ,vol. 41, pp. 226- 246 ,(1992) , 10.1038/KI.1992.32
R M Zwacka, Y Zhang, J Halldorson, H Schlossberg, L Dudus, J F Engelhardt, CD4(+) T-lymphocytes mediate ischemia/reperfusion-induced inflammatory responses in mouse liver. Journal of Clinical Investigation. ,vol. 100, pp. 279- 289 ,(1997) , 10.1172/JCI119533
Manuela Ghielli, Walter Verstrepen, Etienne Nouwen, Marc De Broe, Inflammatory cells in renal regeneration. Renal Failure. ,vol. 18, pp. 355- 375 ,(1996) , 10.3109/08860229609052806
George F Schreiner, Kevin PG Harris, Mabel L Purkerson, Saulo Klahr, None, Immunological aspects of acute ureteral obstruction: Immune cell infiltrate in the kidney Kidney International. ,vol. 34, pp. 487- 493 ,(1988) , 10.1038/KI.1988.207
Robert Safirstein, Peter M. Price, Subodh J. Saggi, Raymond C. Harris, Changes in gene expression after temporary renal ischemia. Kidney International. ,vol. 37, pp. 1515- 1521 ,(1990) , 10.1038/KI.1990.143
Carla Duymelinck, Simonne E.H. Dauwe, Etienne J. Nouwen, Marc E. De Broe, Gert A. Verpooten, Cholesterol feeding accentuates the cyclosporine-induced elevation of renal plasminogen activator inhibitor type 1 Kidney International. ,vol. 51, pp. 1818- 1830 ,(1997) , 10.1038/KI.1997.249
K. J. Kelly, W. W. Williams, R. B. Colvin, J. V. Bonventre, Antibody to intercellular adhesion molecule 1 protects the kidney against ischemic injury. Proceedings of the National Academy of Sciences of the United States of America. ,vol. 91, pp. 812- 816 ,(1994) , 10.1073/PNAS.91.2.812