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Relationship: 1676
Title
Increase, Cytotoxicity (renal tubular cell) leads to Occurrence, Kidney toxicity
Upstream event
Downstream event
AOPs Referencing Relationship
| AOP Name | Adjacency | Weight of Evidence | Quantitative Understanding | Point of Contact | Author Status | OECD Status |
|---|---|---|---|---|---|---|
| Inhibition of mitochondrial DNA polymerase gamma leading to kidney toxicity | adjacent | High | Moderate | Agnes Aggy (send email) | Under development: Not open for comment. Do not cite | Under Development |
| Receptor mediated endocytosis and lysosomal overload leading to kidney toxicity | adjacent | High | Moderate | Allie Always (send email) | Under development: Not open for comment. Do not cite | Under Development |
| Renal protein alkylation leading to kidney toxicity | adjacent | High | Moderate | Evgeniia Kazymova (send email) | Not under active development | Under Development |
| Inhibition of mitochondrial electron transport chain (ETC) complexes leading to kidney toxicity | adjacent | Not Specified | Not Specified | Agnes Aggy (send email) | Under development: Not open for comment. Do not cite | Under Development |
Taxonomic Applicability
Sex Applicability
Life Stage Applicability
Excessive renal tubular cytotoxicity, both apoptotic and necrotic, leads to the eventual failure of the kidneys (Priante et al., 2019). This is because the mass cytotoxicity of renal tubular cells leads to the inability of the nephrons to properly filter nutrients and waste from the blood (Pirante et al., 2019). The kidneys can make compensational adjustments to the nephrons to continue adequate filtration up to the loss of 75% of the nephrons, beyond this amount of nephron loss, the kidneys lose function (Orr and Bridges, 2017).
| ID | Experimental Design | Species | Upstream Observation | Downstream Observation | Citation (first author, year) | Notes |
|---|
| Title | First Author | Biological Plausibility |
Dose Concordance |
Temporal Concordance |
Incidence Concordance |
|---|
Biological Plausibility
Dose Concordance Evidence
Temporal Concordance Evidence
Incidence Concordance Evidence
Uncertainties and Inconsistencies
There are no currently known inconsistencies or uncertainties for this relationship.
There are several known modulating factors of the relationship between renal tubular cytotoxicity and kidney failure. One modulator of this relationship is age.
Response-response Relationship
There is a defined response-response relationship for renal tubule cytotoxicity leading to kidney failure. The loss of 75% of the nephrons to damage is the threshold for kidney failure (Orr and Bridges, 2017). This is due to the ability of the kidneys to make changes in the structure and function of the remaining nephrons at a molecular level to compensate for the lost nephrons (Orr and Bridges, 2017). The kidneys are able to retain adequate functioning until only 25% of the original nephrons remain, at which point the compensatory changes cannot maintain kidney functioning and kidney failure is final (Orr and Bridges, 2017).
Time-scale
Known Feedforward/Feedback loops influencing this KER
There are no known feedforward/feedback loops that influence this relationship.
The domain of applicability only includes vertebrates, as invertebrates and non-animals do not have kidneys (Mahasen, 2016).