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        Papers of The 4th Japan Scar Workshop  | 
       
      
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        9. Fibrosis of the Kidney: Mechanisms of Progression and Its 
        Regulation 
                
        Takashi Wada 
        Division of Blood Purification, Kanazawa University Hospital, Kanazawa, 
        Japan 
         
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        Progressive fibrosis is a common pathological finding in various organs, 
        resulting in organ failure. Recently, bone marrow-derived fibrocytes, 
        which express leukocyte markers as well as mesenchymal markers, have 
        been shown to rapidly enter sites of tissue injury and contribute to the 
        pathogenesis of various fibrotic diseases. We have uncovered that 
        fibrocytes migrate into the kidney in response to chemokine system and 
        contribute to kidney fibrosis in mice. In addition, the blockade 
        chemokine system, such as CCL21/CCR7 signaling pathways reduced kidney 
        fibrosis. Furthermore, fibrocytes may be involved in the progression of 
        human kidney diseases, especially in fibrosis. Receptor signaling for 
        angiotensin II, AT1 receptor/AT2 receptor may contribute to the 
        pathogenesis of kidney fibrosis by at least two mechanisms: (1) by 
        regulating the number of fibrocytes in bone marrow, and (2) by 
        activation of fibrocytes. Thus, these findings suggest that fibrocytes 
        contribute to the pathogenesis of kidney fibrosis, indicating that 
        regulating fibrocytes may provide a novel therapeutic benefit for kidney 
        fibrosis. | 
       
      
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