Summary
Endothelial responses to stressors are nonuniform and follow the rules of stress-induced
hormesis. Responses to the same stressor, depending on its intensity, can range from
pro-regenerative to pro-lethal. Exposure to sublethal stressors induces a programmed
response that results in stress resistance, whereas a lethal level of a stressor accelerates
cell demise. Diverse stressors turn on several default programs within the cells;
such programs tend to induce anti-oxidative defenses and anti-inflammatory and pro-survival
systems, whereas others tend to switch on pro-apoptotic systems. The response of the
kidney endothelium to various forms of acute kidney injury follows these general principles.
It is characterized by a proinflammatory pattern that includes up-regulation of different
adhesion molecules promoting endothelial–leukocyte interactions, generation of reactive
oxygen species, with formation of oxidative and nitrosative stress and mitochondrial
damage. Simultaneously, a series of adaptive mechanisms, both local and systemic,
are ignited. Stressed endothelial cells broadcast distress signals systemically; these
signals can be directed toward the restoration of homeostasis or aggravation of the
original insult.
Keywords
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Article info
Footnotes
Financial support: Supported in part by National Institutes of Health grants DK54602, DK052783, and DK45462 (M.S.G.), the Westchester Artificial Kidney Foundation (M.S.G.), and the start-up fund from the Department of Pathology, The Ohio State University (S.V.B.).
Conflict of interest statement: none.
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© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.