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Updated: Jan 8, 2026

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Modeling Hypoxia/Reoxygenation Injury in Proximal Tubular Epithelial Cells
Published on: November 21, 2025
221
TGF-β/LAMB3 axis drives ROS-dependent renal fibrosis under hypoxic conditions
Zhibin Wu1, Zheng Kuang1, Lixia Liang2
1Department of Occupational Health and Occupational Medicine, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, 510515, China.
Free Radical Biology & Medicine
|December 18, 2025
Summary
Hypoxia drives kidney fibrosis via excessive reactive oxygen species (ROS). The antioxidant N-acetylcysteine (NAC) and targeting LAMB3 protein show promise in treating fibrotic kidney diseases.
Area of Science:
- Nephrology
- Molecular Biology
- Pathology
Background:
- Hypoxia is a known cause of renal fibrosis, but its mechanisms are not fully understood.
- Reactive oxygen species (ROS) are implicated in kidney disease progression.
- The role of LAMB3 in hypoxic renal fibrosis requires further elucidation.
Purpose of the Study:
- To investigate the role of ROS in hypoxia-induced renal fibrosis.
- To explore the TGF-β/LAMB3 signaling axis in the context of kidney fibrosis.
- To evaluate the therapeutic potential of ROS scavenging and LAMB3 inhibition.
Main Methods:
- Utilized integrated ATAC-seq and RNA-seq analysis.
- Employed a mouse model of hypoxic renal fibrosis.
- Investigated the effects of N-acetylcysteine (NAC) and kidney-targeted LAMB3 knockdown.
Main Results:
- Hypoxia-induced ROS in renal tubular epithelial cells promote partial epithelial-mesenchymal transition (pEMT) and TGF-β secretion.
- TGF-β upregulates LAMB3 in fibroblasts via enhanced chromatin accessibility.
- Knockdown of LAMB3 ameliorates hypoxia-induced renal fibrosis, and NAC treatment disrupts the TGF-β/LAMB3 axis.
Conclusions:
- The TGF-β/LAMB3 axis drives ROS-dependent renal fibrosis under hypoxic conditions.
- LAMB3 and ROS are identified as potential therapeutic targets for fibrotic kidney diseases.
- Targeting ROS and LAMB3 offers a promising therapeutic strategy for kidney fibrosis.
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