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  • Title: Inflammatory mediators and growth factors in obstructive renal injury.
    Author: Misseri R, Rink RC, Meldrum DR, Meldrum KK.
    Journal: J Surg Res; 2004 Jun 15; 119(2):149-59. PubMed ID: 15145697.
    Abstract:
    Obstruction of the upper urinary tract poses a significant clinical challenge to the urologist, and the cascade of renal cellular and molecular events triggered by upper urinary tract obstruction result in a progressive, and eventually permanent, loss in renal function. These pathological changes include the development of renal fibrosis, tubular atrophy, interstitial inflammation, and apoptotic renal cell death. A myriad of cytokines and growth factors have been identified as major contributors to obstruction-induced renal fibrosis and apoptotic cell death, including transforming growth factor-beta1, angiotensin II, nuclear factor-kappaB, and tumor necrosis factor-alpha. This review examines the role of these mediators in obstruction-induced renal injury.
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