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Updated: Mar 8, 2026

Isolation of Primary Human Proximal Tubule Epithelial Cells and Their Use in Creating a Microphysiological Model of the Renal Proximal Tubule
Published on: May 9, 2025
Xenobiotic transporters and kidney injury
Blessy George1, Dahea You1, Melanie S Joy2
1Department of Pharmacology and Toxicology, Rutgers University Ernest Mario School of Pharmacy, 170 Frelinghuysen Road, Piscataway, NJ 08854, USA.
Abstract:
Renal proximal tubules are targets for toxicity due in part to the expression of transporters that mediate the secretion and reabsorption of xenobiotics. Alterations in transporter expression and/or function can enhance the accumulation of toxicants and sensitize the kidneys to injury. This can be observed when xenobiotic uptake by carrier proteins is increased or efflux of toxicants and their metabolites is reduced. Nephrotoxic chemicals include environmental contaminants (halogenated hydrocarbon solvents, the herbicide paraquat, the fungal toxin ochratoxin, and heavy metals) as well as pharmaceuticals (certain beta-lactam antibiotics, antiviral drugs, and chemotherapeutic drugs). This review explores the mechanisms by which transporters mediate the entry and exit of toxicants from renal tubule cells and influence the degree of kidney injury. Delineating how transport proteins regulate the renal accumulation of toxicants is critical for understanding the likelihood of nephrotoxicity resulting from competition for excretion or genetic polymorphisms that affect transporter function.
Insights
Kidney proximal tubule transporters handle toxic substances, influencing chemical accumulation and kidney injury. Understanding these transport mechanisms is key to predicting and preventing nephrotoxicity.
Area of Science:
- Nephrology
- Toxicology
- Molecular Biology
Background:
- Renal proximal tubules are susceptible to toxic injury due to xenobiotic transport.
- Transporter alterations can increase toxicant accumulation and kidney damage.
- Nephrotoxicants include environmental chemicals and pharmaceuticals.
Purpose of the Study:
- To review the mechanisms of xenobiotic transport in renal tubule cells.
- To explore how transporters influence toxicant entry and exit.
- To understand the role of transport proteins in mediating kidney injury.
Main Methods:
- Literature review of studies on renal transporters and nephrotoxicity.
- Analysis of mechanisms of xenobiotic uptake and efflux.
- Examination of factors influencing toxicant accumulation in kidney cells.
Main Results:
- Transporters mediate both the uptake and efflux of xenobiotics in renal tubules.
- Dysfunctional or altered transporter expression can lead to increased toxicant levels.
- Competition for excretion and genetic variations in transporters affect nephrotoxicity risk.
Conclusions:
- Transport proteins critically regulate xenobiotic accumulation in the kidneys.
- Understanding transporter roles is essential for predicting and mitigating nephrotoxicity.
- This knowledge aids in assessing risks from environmental and pharmaceutical exposures.
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