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Epithelial-mesenchymal transition and its implications for fibrosis

Journal of Clinical Investigation · 2003 · Vol. 112(12) · pp. 1776–1784
Raghu KalluriEric G. Neilson

Abstract

Epithelial to mesenchymal transition (EMT) is a central mechanism for diversifying the cells found in complex tissues. This dynamic process helps organize the formation of the body plan, and while EMT is well studied in the context of embryonic development, it also plays a role in the genesis of fibroblasts during organ fibrosis in adult tissues. Emerging evidence from studies of renal fibrosis suggests that more than a third of all disease-related fibroblasts originate from tubular epithelia at the site of injury. This review highlights recent advances in the process of EMT signaling in health and disease and how it may be attenuated or reversed by selective cytokines and growth factors.

Renal and related cancersNeonatal Respiratory Health ResearchDigestive system and related healthEpithelial–mesenchymal transitionFibrosisMesenchymal stem cellContext (archaeology)BiologyDiseaseMechanism (biology)Cancer researchCell biologyPathology

MeSH terms

AnimalsEpitheliumFibroblastsFibrosisGrowth SubstancesHumansKidneyKidney DiseasesMesodermModels, BiologicalCytokinesProteome

Funding

  • National Institutes of Health
Citations
2,289
FWCI
19.93
field-weighted impact
References
163
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100%
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The EMBO Journal · 1997 · 2,503 citations
Mechanisms of Myofibroblast Activity and Phenotypic Modulation
Experimental Cell Research · 1999 · 590 citations
A molecular signature of metastasis in primary solid tumors
Nature Genetics · 2002 · 2,483 citations
Early role of Fsp1 in epithelial-mesenchymal transformation
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