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Data · dataset · 2025

In vivo expression of VCAM1 precedes nephron loss following kidney tubular necrosis

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Nephron loss is a key event during the onset and progression of chronic kidney disease, yet the mechanisms determining whether tubules undergo successful repair or progress to atrophy remain poorly understood.

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While fibrosis has been proposed to drive progressive organ damage, antifibrotic therapies have failed in clinical trials. Here, we reveal that tubular VCAM1-expression precedes nephron loss, fibrosis, and long-term kidney dysfunction.

Using serial intravital microscopy in transgenic mice, we track tubulointerstitial remodeling between injured and intact tissue over 3 weeks. VCAM1 is rapidly induced in a distinct subset of injured tubules, preceding atrophy with sustained fibroblast recruitment. However, fibroblasts remain confined to injury sites and do not cause secondary damage in uninjured tubules.

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Finally, in human kidney transplant biopsies, tubular VCAM1 expression - but not KIM1 - correlates negatively with early and 12-month graft function, underscoring its potential as a biomarker of adverse outcomes. These findings position VCAM1 as an early indicator of tubular fate and nephron loss.

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Basic medicine
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Disease 75% · Microscopy 75%
Provenance · 1 source records, 11 field assertions
SourceKeyLast seenRaw
DataCite10.5061/dryad.9zw3r22tn14 d agoJSON v1
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