2014
DOI: 10.1073/pnas.1413970111
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Mathematical model of renal interstitial fibrosis

Abstract: Significance This paper deals with fibrosis of the kidney, a disease caused by inflammation, and so far there has been no way to diagnose and monitor the disease’s progression with noninvasive methods (the only way to determine the disease state is by biopsy, which cannot be frequently repeated). For this reason we developed a mathematical model of progression of renal fibrosis and validated it with biomarkers that were obtained from patients’ urine samples. We then used the model to show how antifib… Show more

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Cited by 45 publications
(72 citation statements)
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“…They satisfy a flux condition on the boundary of the blood vessels, where n is the outward normal, M 0 is the density of the monocytes in the brain capillaries, and is a function which depends on the concentration of MCP-1. By averaging these fluxes from blood vessels, we can represent (as in [56]) the immigration of macrophages into the brain tissue by a term . We assume that the incoming macrophages divide into and phenotype depending on the relative concentrations of TNF- α and IL-10 [47].…”
Section: Methodsmentioning
confidence: 99%
“…They satisfy a flux condition on the boundary of the blood vessels, where n is the outward normal, M 0 is the density of the monocytes in the brain capillaries, and is a function which depends on the concentration of MCP-1. By averaging these fluxes from blood vessels, we can represent (as in [56]) the immigration of macrophages into the brain tissue by a term . We assume that the incoming macrophages divide into and phenotype depending on the relative concentrations of TNF- α and IL-10 [47].…”
Section: Methodsmentioning
confidence: 99%
“…This framework clarifies how the interactions between the relevant cell types provide multi-stability: the dynamics can flow to the different physiological states of fibrosis or healing, depending on the severity and duration of the immune response. This approach builds on previous theoretical work regarding fibroblast activation (Hao et al, 2014), and adds to it the critical component of the fibroblast interaction with macrophages. The circuit predicts the existence of three steady-states: a state of healing associated with modest ECM production, and two fibrosis states associated with high cellularity and excessive ECM production, consistent with histopathological observations.…”
Section: Introductionmentioning
confidence: 99%
“…Recently a mathematical model of renal interstitial fibrosis have been proposed in [161]. The model aims at monitoring the effect of treatment by anti-fibrotic drugs that are currently being used, or undergoing clinical trials, in non-renal fibrosis.…”
Section: Models With Internal Structurementioning
confidence: 99%