2008
DOI: 10.1152/ajprenal.00576.2007
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Exploring mechanisms involved in renal tubular sensing of mechanical stretch following ureteric obstruction

Abstract: Tubular mechanical stretch is the key primary insult in obstructive nephropathy. This review addresses how the renal tubular epithelium senses and responds to mechanical stretch. Using data from renal and nonrenal systems, we describe how sensing of stretch initially occurs via the activation of ion channels and subsequent increases in intracellular calcium levels. Calcium influxes activate a number of adaptive and proinjury responses. Key among these are 1) the activation of Rho, consequent cytoskeletal rearr… Show more

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Cited by 47 publications
(48 citation statements)
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“…Epithelial stretch is responsible for a wide range of physiologic responses in kidney tubules, including the proliferation of cyst-lining epithelia in polycystic kidney disease (52). Epithelial cell stretch can lead to increased local intracellular calcium concentrations, activation of integrins, focal adhesion kinase, and integrin-linked kinase, signaling an adaptive, strengthening reorganization of the actin cytoskeleton along with thickening of tubular basement membranes (53). Intracellular calcium signaling, as well as cAMP signaling, has also been implicated in acute responses regulating cilia beat rate (22,54).…”
Section: Discussionmentioning
confidence: 99%
“…Epithelial stretch is responsible for a wide range of physiologic responses in kidney tubules, including the proliferation of cyst-lining epithelia in polycystic kidney disease (52). Epithelial cell stretch can lead to increased local intracellular calcium concentrations, activation of integrins, focal adhesion kinase, and integrin-linked kinase, signaling an adaptive, strengthening reorganization of the actin cytoskeleton along with thickening of tubular basement membranes (53). Intracellular calcium signaling, as well as cAMP signaling, has also been implicated in acute responses regulating cilia beat rate (22,54).…”
Section: Discussionmentioning
confidence: 99%
“…One attractive candidate is mechanical force. After UUO there is a sudden rise in ureteric and intrarenal pressure, which translates into tubular mechanical stretch (50). Although very little is known about the effects of mechanical stretch on collecting duct epithelial cells, mechanical stretch is known to profoundly affect the function in various cell types (51).…”
Section: Figure 11mentioning
confidence: 99%
“…Mechanical stretch, implicated in the oncoming nephropathy, leads to tubular responses via the activation of ion channels, increases in intracellular calcium levels and cellular apoptosis [53]. …”
Section: Causes Underlying a Reduction In Nephron Numbermentioning
confidence: 99%