A short review of experimental peritoneal sclerosis: from mice to men

L Gotloib1, V Wajsbrot, A Shostak

  • 1Department of Nephrology, Hypertension and the Research Center for Experimental Nephrology, Ha'Emek Medical Center, Afula 18101, Israel. gotloib@012.net.il

Insights

Peritoneal sclerosis in rodents is often caused by oxidative stress to the peritoneal membrane. Loss of the mesothelial cell layer is the initial event leading to this serious complication.

Area of Science:

  • Nephrology
  • Cell Biology
  • Toxicology

Background:

  • Peritoneal sclerosis is a serious complication of peritoneal dialysis.
  • Experimental models are crucial for understanding its pathogenesis.

Purpose of the Study:

  • To review experimental interventions inducing peritoneal sclerosis in rodents.
  • To elucidate the role of oxidative stress in mesothelial cell injury and sclerosis.

Main Methods:

  • Induction of peritoneal sclerosis in rodents using various agents (asbestos, chlorexidine, iron dextran, etc.).
  • Assessment of mesothelial monolayer integrity and peritoneal membrane function.
  • Evaluation of long-term effects of injury (30 days) and regeneration models.

Main Results:

  • Multiple agents, primarily those causing oxidative stress, induced peritoneal sclerosis.
  • Acute injury led to increased peritoneal permeability and albumin loss.
  • Sustained injury and impaired regeneration resulted in fibrosis and sclerosis.

Conclusions:

  • Sustained oxidative injury to the peritoneal membrane is the primary cause of peritoneal sclerosis.
  • Loss of the mesothelial monolayer is the initiating event in sclerosis development.

Related Concept Videos