“…In vitro studies show that such stimuli include hypoxia/reoxygenation [ 31 , 32 , 50 , 51 , 52 ], oxidants [ 33 , 53 , 54 ], UV light [ 38 , 39 , 55 ], heat stress [ 56 ], oxalate [ 54 , 57 ], P-fimbriae of E. coli [ 58 , 59 ], nephrotoxins, including cadmium [ 60 , 61 ], isoflurane [ 62 ], microcystin [ 63 ], nickel [ 64 ], and radiocontrast [ 65 ], Shiga-toxin B [ 58 ], staphylococcal enterotoxin B [ 66 ], interleukin (IL)-1β [ 59 ] and TNF-α [ 54 , 59 ]. In vivo studies show that ceramide is accumulated in kidneys exposed to anti-glomerular membrane (GBM) antibody [ 52 ], nephrotoxins such as carbon tetrachloride [ 67 ] and isoflurane [ 62 ], developing kidney [ 68 , 69 ], ischemia/reperfusion (I/R) injury [ 51 , 52 ], glycerol-induced myohemoglobinuria [ 52 ], and obstructive nephropathy [ 70 ]. These stimuli can induce apoptosis, and an apoptogenic role of ceramide is further supported by the ability of exogenous ceramide to induce apoptosis in RTCs [ 50 , 63 , 68 , 71 ].…”