PMID- 26015167 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1440-1797 (Electronic) IS - 1320-5358 (Linking) VI - 20 IP - 10 DP - 2015 Oct TI - Epigenetic regulation in the acute kidney injury to chronic kidney disease transition. PG - 736-743 LID - 10.1111/nep.12521 [doi] AB - Epigenetic modifications have emerged as a new, important contributor to gene expression regulation in both normal and pathophysiological conditions. Epigenetics have been studied in many diseases and conditions such as acute kidney injury (AKI), a syndrome with a high prevalence that carries a poor prognosis with increased morbidity and mortality. In addition, it has recently been shown that AKI increases the risk for the development of chronic kidney disease (CKD). The specific molecular mechanisms by which AKI increases the risk of CKD and end stage renal disease (ESRD) remain unknown, although there is new evidence supporting a role of epigenetic changes. The most studied epigenetic regulations in AKI are chromatin compaction, DNA methylation, and histone acetylation/deacetylation. These modifications predominantly increase the production of pro-inflammatory and profibrotic cytokines such as: monocyte chemoattractant protein-1 (MCP-1), complement protein 3 (C3), transforming growth factor beta (TGF-beta) that have been shown for perpetuating inflammation, promoting epithelial-to-mesenchymal transition (EMT) and ultimately causing renal fibrosis. A review of epigenetic mechanisms, the pathophysiology of AKI and recent studies that implicate epigenetic modifications in AKI and in the transition to CKD are discussed below. CI - (c) 2015 Asian Pacific Society of Nephrology. FAU - Rodriguez-Romo, Roxana AU - Rodriguez-Romo R AD - Molecular Physiology Unit, Instituto de Investigaciones Biomedicas, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico. AD - Department of Nephrology, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico. FAU - Berman, Nathan AU - Berman N AD - Molecular Physiology Unit, Instituto de Investigaciones Biomedicas, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico. AD - Department of Nephrology, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico. FAU - Gomez, Arturo AU - Gomez A AD - Molecular Physiology Unit, Instituto de Investigaciones Biomedicas, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico. AD - Department of Nephrology, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico. FAU - Bobadilla, Norma A AU - Bobadilla NA AD - Molecular Physiology Unit, Instituto de Investigaciones Biomedicas, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico. AD - Department of Nephrology, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico. LA - eng PT - Journal Article PT - Review PL - Australia TA - Nephrology (Carlton) JT - Nephrology (Carlton, Vic.) JID - 9615568 OTO - NOTNLM OT - DNA condensation OT - histone acetylation/deacetylation OT - histones OT - methylation EDAT- 2015/05/28 06:00 MHDA- 2015/05/28 06:01 CRDT- 2015/05/28 06:00 PHST- 2015/05/20 00:00 [accepted] PHST- 2015/05/28 06:00 [pubmed] PHST- 2015/05/28 06:01 [medline] PHST- 2015/05/28 06:00 [entrez] AID - 10.1111/nep.12521 [doi] PST - ppublish SO - Nephrology (Carlton). 2015 Oct;20(10):736-743. doi: 10.1111/nep.12521.