Abstract
A kidney is an organ with relatively low basal cellular regenerative potential. However, renal cells have a pronounced ability to proliferate after injury, which undermines that the kidney cells are able to regenerate under induced conditions. The majority of studies explain yielded regeneration either by the dedifferentiation of the mature tubular epithelium or by the presence of a resident pool of progenitor cells in the kidney tissue. Whether cells responsible for the regeneration of the kidney initially have progenitor properties or if they obtain a “progenitor phenotype” during dedifferentiation after an injury, still stays the open question. The major stumbling block in resolving the issue is the lack of specific methods for distinguishing between dedifferentiated cells and resident progenitor cells. Transgenic animals, single-cell transcriptomics, and other recent approaches could be powerful tools to solve this problem. This review examines the main mechanisms of kidney regeneration: dedifferentiation of epithelial cells and activation of progenitor cells with special attention to potential niches of kidney progenitor cells. We attempted to give a detailed description of the most controversial topics in this field and ways to resolve these issues.
Highlights
Despite the fact that the kidney has relatively low basal cellular regenerative potential, tubular epithelial cells have a pronounced ability to proliferate after injury [1]
The majority of studies assign the basis of such regenerative potential either to the dedifferentiation of the mature tubular epithelium or to the presence of a resident pool of progenitor cells in the kidney tissue [3,4]
The hypothesis of dedifferentiation as a mechanism of renal tissue restoration was based on the analysis of proliferation after ischemia/reperfusion (I/R) or exposure to damaging agents showing that more than half of all tubular epithelium becomes positively stained for proliferation markers (PCNA, Ki-67, BrdU) [5,6,7,8]
Summary
Despite the fact that the kidney has relatively low basal cellular regenerative potential, tubular epithelial cells have a pronounced ability to proliferate after injury [1]. There was additional evidence indicating the possible existence of a population of progenitor cells (so-called scattered tubular cells, STCs) in the adult kidney which had a more pronounced regenerative potential than differentiated tubular epithelium [13,14,15]. These cells were initially found in the kidneys of rodents [13] and they were described in humans [16,17]. We considered issues based on defects of techniques involved in the detection of progenitor cells and on the inability of discrimination of tubular epithelium proliferation from progenitor cells preexistence
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