29 This model is used to evaluate the pathophysiology of diabetic nephropathy. In this experimental model of diabetic nephropathy,24 the expression of renal hL-FABP and urinary excretion of hL-FABP increase significantly in STZ-induced diabetic hL-FABP Tg mice as compared to control Tg mice at 8 and 14 weeks after STZ injection. The dynamics of hL-FABP in this model may reflect its dynamics under similar pathological conditions in humans. With regard to the role of hL-FABP in diabetic nephropathy, the production

of oxidative stress is strongly suppressed in the diabetic Tg mice and thus, the production of inflammatory cytokines such as monocyte chemoattractant protein (MCP)-1 and MCP-3, the production of fibrosis-accelerating factors such as transforming growth factor-β (TGF-β) and procollagen, and the degree of tubulointerstitial inflammation and fibrosis are significantly inhibited in the diabetic learn more Tg mice as compared to the diabetic wild type (WT) mice.24 Therefore, hL-FABP has an effective antioxidant function and attenuates tubulointerstitial damage in diabetic mice. The factors that upregulate the expression of renal hL-FABP in the proximal tubules could serve as

important therapeutic targets for the prevention of tubulointerstitial damage in diabetic nephropathy. Unilateral ureteral obstruction CH5424802 (UUO) is a well established model to evaluate the pathophysiology of hydronephrosis or progressive tubulointerstitial damage observed in CKD, in which the left ureter is ligated with sutures at two locations and cut between the ligatures to prevent retrograde urinary tract infection, thereby inducing the production of inflammatory cytokines, invasion of inflammatory cells, tubular dilatation and tubulointerstitial fibrosis. The interstitium in the setting of UUO is under Evodiamine continuous

oxidative stress produced by tension or hypoxia induced by marked decline in renal plasma flow. In this model, the expression of renal hL-FABP is upregulated, and the development of tubulointerstitial damage in the hL-FABP Tg mice with UUO is suppressed.22 In the UUO as well as diabetic nephropathy models, the factors that upregulate the expression of renal hL-FABP have been proposed as new strategies for inhibiting the progression of kidney disease. This model is used frequently to evaluate the pathophysiology of the transplanted kidney. The experimental model involves induction of renal ischemia by clamping the renal arteries with microclips, and after 30–60 min, the clamps are removed and the renal arteries are subsequently allowed to reperfuse followed by collection of kidney specimens 0–72 hours after clamp release. The initial pathogenic factor for progression of the tubulointerstitial damage in this model is considered to be oxidative stress induced by reperfusion after ischemia. The pathological analysis of this model shows tubular cell death, in the form of necrosis or apoptosis.