Tubulo-interstitial nephritis antigen (TINagTubulointerstitial compartment of the kidney includes tubules, extraglomerular vasculature, and interstitium. The latter includes a number of extracellular (ECM) 2 matrix proteins, including collagen I, III, V, and VII, fibronectin, osteopontin, and proteoglycans, that are expressed normally in very minute amounts in this compartment (1, 2). In apposition with the interstitium are the tubular basement membranes (TBMs) that are made up of another set of integral ECM proteins, including collagen IV, laminin, entactin, proteoglycans, and tubulointerstitial nephritis antigen (TINag) (1, 2). Some of these ECM constituents are common to glomerular basement membranes, which apparently modulate the ultrafiltration in the kidney (3). The TBMs, however, basically serve as ECM scaffolds for the lining of tubular cells, suggesting that the pathobiology of interstitium and tubules is intertwined. In various forms of renal diseases, the tubulointerstitium compartment may be a direct target of injury or secondarily affected due to a given glomerular disease, such as lupus, IgA, or diabetic nephropathy (4). A number of different mechanisms have been proposed for the involvement of tubulointerstitium secondary to a glomerular disease (5, 6). Nevertheless, there are a number of disease processes that directly induce an injury to this compartment, and notably they include antibodies, immune complexes, and cytokines that induce an influx of inflammatory cytokines, such as in infection and allograft rejection. Collectively, the resulting state is referred to as tubulointerstitial nephritis (7).Another common mechanism by which this compartment gets readily affected is by ischemia, drugs, and toxic substances, such as antibiotics and cisplatin (CDDP), which are commonly used as therapies given to hospitalized patients with infection or cancer (8, 9). As a result, the cells undergo ATP depletion or free oxygen radical damage that ultimately leads to acute tubular necrosis (8). During acute tubular necrosis, the necrosed cells are sloughed off, leaving behind the acellular ECM scaffolds. However, the residual cells migrate and re-epithelialize the acellular scaffolds with signals conceivably stemming from the integral ECM glycoproteins of the TBMs. In this regard,