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Cited by 280

The DOI matches its Crossref record; 145 of the 145 references it cites were found in a registry or an index.

Hypoxia as a key player in the AKI-to-CKD transition

Tanaka, Shinji, Tanaka, Tetsuhiro, Nangaku, Masaomi·2014·American Journal of Physiology-Renal Physiology

Abstract

Recent clinical and animal studies have shown that acute kidney injury (AKI), even if followed by complete recovery of renal function, can eventually result in chronic kidney disease (CKD). Renal hypoxia is emerging as a key player in the pathophysiology of the AKI-to-CKD transition. Capillary rarefaction after AKI episodes induces renal hypoxia, which can in turn profoundly affect tubular epithelial cells, (myo)fibroblasts, and inflammatory cells, culminating in tubulointerstitial fibrosis, i.e., progression to CKD. Damaged tubular epithelial cells that fail to redifferentiate might supply a decreased amount of vascular endothelial growth factor and contribute to capillary rarefaction, thus aggravating hypoxia and forming a vicious cycle. Mounting evidence also shows that epigenetic changes are closely related to renal hypoxia in the pathophysiology of CKD progression. Animal experiments suggest that targeting hypoxia is a promising strategy to block the transition from AKI to CKD. However, the precise mechanisms by which hypoxia induces the AKI-to-CKD transition and by which hypoxia-inducible factor activation can exert a protective effect in this context should be clarified in further studies.

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Metadata

Authors
Tanaka, S., Tanaka, T., & Nangaku, M.
Venue
American Journal of Physiology-Renal Physiology
Published
2014-12-01
Volume
307
Issue
11
Pages
F1187-F1195
ISSN
  • 1522-1466 (ISSN-L)
  • 1931-857X
OpenAlex
W1969312511
Cited by
280
References
145
FWCI
10.27
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Hypoxia as a key player in the AKI-to-CKD transition. https://app.cochat.ai/papers/10.1152/ajprenal.00425.2014
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Tanaka, S., Tanaka, T., & Nangaku, M. (2014). Hypoxia as a key player in the AKI-to-CKD transition. American Journal of Physiology-Renal Physiology. https://doi.org/10.1152/ajprenal.00425.2014

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