FIGURE 4.
G2/M phase arrest of TECs mediates renal fibrosis by secreting profibrotic cytokines. Injuries result in the activation of ATM/ATR, which could promote the activation of Chk1/Chk2 and p53. p53 and Chk1/Chk2 could induce downregulation of Cdk1/cyclin B kinase activity by affecting p21 and Cdc25, respectively. The downregulation of Cdk1/cyclin B kinase activity results in TECs G2/M phase arrest; the arrested cells undergo senescence and manifest senescence-associated secretory phenotype (SASP), causing renal fibrosis by secreting profibrotic cytokines, such as TGF-β1 and CTGF.