Sunday, October 19, 2025

Uremic Toxins Induce Kidney Fibrosis by Activating Intrarenal Renin–Angiotensin–Aldosterone System Associated Epithelial-to-Mesenchymal Transition

Authors: Chiao-Yin Sun, Shih-Chung Chang, Mai-Szu Wu

DOI: 10.1371/journal.pone.0034026

Abstract Summary

Uremic toxins indoxyl sulfate and p-cresol sulfate drive chronic kidney disease progression by activating the renal renin-angiotensin system and TGF-β pathway, triggering epithelial-to-mesenchymal transition in kidney tubules. Studies in mice showed losartan treatment significantly reduced kidney fibrosis, suggesting RAAS blockade as a potential therapeutic strategy.

Why Brain? 🧠

Uremic toxins indoxyl sulfate and p-cresol sulfate worsen chronic kidney disease by activating the kidney’s renin-angiotensin system, triggering cell transformation and fibrosis that losartan can block.


The image is AI-generated for illustrative purposes only. Courtesy of Midjourney.

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