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Publication : Longitudinal tracking of acute kidney injury reveals injury propagation along the nephron.

First Author  Bordoni L Year  2023
Journal  Nat Commun Volume  14
Issue  1 Pages  4407
PubMed ID  37479698 Mgi Jnum  J:338565
Mgi Id  MGI:7513392 Doi  10.1038/s41467-023-40037-y
Citation  Bordoni L, et al. (2023) Longitudinal tracking of acute kidney injury reveals injury propagation along the nephron. Nat Commun 14(1):4407
abstractText  Acute kidney injury (AKI) is an important risk factor for chronic kidney disease (CKD), but the underlying mechanisms of failed tubule repair and AKI-CKD transition are incompletely understood. In this study, we aimed for dynamic tracking of tubule injury and remodeling to understand if focal injury upon AKI may spread over time. Here, we present a model of AKI, in which we rendered only half of the kidney ischemic. Using serial intravital 2-photon microscopy and genetic identification of cycling cells, we tracked dynamic tissue remodeling in post- and non-ischemic kidney regions simultaneously and over 3 weeks. Spatial and temporal analysis of cycling cells relative to initial necrotic cell death demonstrated pronounced injury propagation and expansion into non-necrotic tissue regions, which predicted tubule atrophy with epithelial VCAM1 expression. In summary, our longitudinal analyses of tubule injury, remodeling, and fate provide important insights into AKI pathology.
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