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Papers of The 4th Japan Scar Workshop |
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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