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Published on: January 18, 2019
Nephronectin expression in nephrotoxic acute tubular necrosis
Chao-Wen Cheng1, Shuk-Man Ka, Shun-Min Yang
1Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Nephronectin (NPNT) is significantly upregulated in regenerating kidney tubules during acute tubular necrosis (ATN) recovery. This protein may serve as a biomarker for acute renal injury and its progression.
Area of Science:
- Nephrology
- Regenerative Medicine
- Molecular Biology
Background:
- Acute tubular necrosis (ATN) involves tubular cell regeneration during recovery.
- Nephronectin (NPNT), a known kidney morphogenetic protein, has an unknown role in ATN.
- Understanding NPNT's function in ATN could reveal new therapeutic targets.
Purpose of the Study:
- To investigate the expression and role of NPNT during the regeneration phase of ATN.
- To determine if NPNT can serve as a biomarker for acute kidney injury.
Main Methods:
- Murine model of ATN.
- cDNA microarray, real-time PCR, in situ hybridization, immunohistochemistry, immuno-electron microscopy.
- Urine and tissue analysis for NPNT expression.
Main Results:
- NPNT expression was significantly enhanced in regenerating tubular cells during ATN recovery.
- NPNT was detected in urine as early as day 1 of ATN.
- NPNT expression preceded markers of cell proliferation in regenerating tubules.
Conclusions:
- Enhanced NPNT expression occurs during tubular regeneration in experimental ATN.
- NPNT may play a critical role in the recovery process of nephrotoxic ATN.
- NPNT shows potential as a biomarker for the development and progression of acute renal injury.
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