Table 3.
Overview of the differential expression of EMT-related molecules and possible signaling pathways in human renal fibrogenesis
| Case No. | Epithelial biomarker | Mesenchymal biomarkers | Signaling molecules (Inducers and mediators) | Pathway involved in type II EMT | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
|
|
||||||||||
| E-cadherin | Vimentin | Fibronectin | TGF-β1 | p-Smad2/3 | β1-integrin | p38 MAPK | WNT5B | β-catenin | ||
| 1* | + | - | - | - | - | - | - | - | - | - |
| 2* | + | - | - | - | - | - | - | - | - | - |
| 3* | + | - | - | - | - | - | - | - | - | - |
| 4* | + | - | - | - | - | - | - | - | - | - |
| 5 | - | +++ | + | ++ | ++ | + | - | ++ | ++ | 1, 2, 3 |
| 6 | - | ++ | - | - | - | - | - | +++ | ++ | 3 |
| 7 | - | ++ | + | + | + | + | - | - | + | 1, 2 |
| 8 | - | +++ | - | + | + | + | - | + | + | 1, 2, 3 |
| 9 | - | ++ | - | - | - | - | - | ++ | + | 3 |
| 10 | - | ++ | - | + | + | + | - | +++ | ++ | 1, 2, 3 |
| 11 | - | ++ | - | + | + | ++ | - | + | + | 1, 2, 3 |
| 12 | - | +++ | - | + | ++ | ++ | - | + | + | 1, 2, 3 |
| 13 | - | ++ | - | + | + | + | - | + | + | 1, 2, 3 |
| 14 | - | ++ | - | + | + | + | - | + | + | 1, 2, 3 |
| 15 | - | +++ | ++ | ++ | ++ | ++ | - | - | + | 1, 2 |
| 16 | - | +++ | - | + | + | + | - | + | + | 1, 2, 3 |
| 17 | - | ++ | - | - | - | - | - | + | + | 3 |
| 18 | - | ++ | - | + | + | + | - | + | + | 1, 2, 3 |
| 19 | - | +++ | - | - | - | - | - | + | + | 3 |
| 20 | - | ++ | - | + | + | + | - | ++ | + | 1, 2, 3 |
| 21 | - | + | - | - | - | - | - | + | + | 3 |
| 22 | - | ++ | - | - | - | - | - | ++ | + | 3 |
| 23 | - | ++ | - | + | + | + | - | + | + | 1, 2, 3 |
No, number;
control;
TGF-β1, transforming growth factor-β1; p-Smad2/3, phosphorylated-Smad2/3; MAPK, mitogen-activated protein kinase; EMT, epithelial to mesenchymal transition. In cases of E-cadherin stain, positive (+), preserved membrane expression of E-cadherin; negative (–), loss or reduced membrane expression of E-cadherin in tubular epithelial cells. In cases of vimentin, fibronectin, TGF-β1, p-Smad2/3, β1 integrin, p38 MAPK, and WNT5B stains, -, no immunostaining; +, less than 10% immunostaining; ++, 10% to 25% immunostaining; +++, 25% to 50% immunostaining, and ++++, greater than 50% immunostaining. For β-catenin, the same scale for nuclear staining was applied. In cases of involved pathway, 1, TGF-β/Smad; 2, integrin/ILK; 3, wnt/β-catenin signaling pathway.