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Updated: May 28, 2026

Development of Human Renal Tubular Epithelial Cell Primary Cultures in Monolayers and Three-Dimensional Conditions
Published on: June 13, 2025
Shiga toxin pathogenesis: kidney complications and renal failure
1Department of Microbiology and Immunology, University of Maryland, School of Medicine, 685 West Baltimore Street, HSF-I Suite 380, Baltimore, MD 21201, USA. tobrig@som.umaryland.edu
Abstract:
The kidneys are the major organs affected in diarrhea-associated hemolytic uremic syndrome (D(+)HUS). The pathophysiology of renal disease in D(+)HUS is largely the result of the interaction between bacterial virulence factors such as Shiga toxin and lipopolysaccharide and host cells in the kidney and in the blood circulation. This chapter describes in detail the current knowledge of how these bacterial toxins may lead to kidney disease and renal failure. The toxin receptors expressed by specific blood and resident renal cell types are also discussed as are the actions of the toxins on these cells.
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