“…116 Although data in humans are limited, levels of proinflammatory factors are higher in patients with advanced CKD 117,118 as well as mice, 119 and a cascade of chemokine production and activation of proinflammatory factors likely lead to interstitial fibrosis, CKD, and distant-organ injury. 112,113,120 Reactive oxygen species (ROS) and advanced glycation end products (AGEs) increase with age, and levels of the antiinflammatory AGE receptor AGER1, which binds and quenches excess AGEs and ROS and inactivates the proinflammatory receptor RAGE, 121,122 are reduced under chronic oxidative conditions such as aging, CKD, or type 2 diabetes. 122 In mouse studies, RAGE induces ROS and superoxide in diabetic mitochondria, 123 and the severity of AKI depends on a functioning endoplasmic reticulum stress pathway and preexisting levels of ROS.…”