# Preclinical approaches to studying liver and kidney fibrosis: models and methodologies

**Authors:** Abhilasha Tiwari, Shivam Singh, Rajesh Kumar Sharma, Sandeep Kumar

PMC · DOI: 10.3389/fphar.2026.1718048 · Frontiers in Pharmacology · 2026-02-16

## TL;DR

This review explores models and methods for studying liver and kidney fibrosis, focusing on their causes and potential treatments.

## Contribution

The paper provides a comprehensive overview of preclinical models and methodologies for liver and kidney fibrosis research.

## Key findings

- Liver fibrosis involves activation of hepatic stellate cells and extracellular matrix accumulation.
- Renal fibrosis is driven by myofibroblast activation and redox-mediated signaling pathways.
- In vivo models like UUO and bile duct ligation are widely used to study fibrosis progression.

## Abstract

Organ fibrosis, notably affecting the liver and kidneys, remains a major contributor to global morbidity. This review examines the pathophysiology, molecular mechanisms, and preclinical models used to study hepatic and renal fibrosis. In liver fibrosis, hepatic stellate cell activation, chronic inflammation, and extracellular matrix accumulation are central features, while renal fibrosis involves myofibroblast activation and redox-mediated signaling pathways. The present review highlights both in vitro and in vivo models such as the carbon tetrachloride, bile duct ligation, and dimethylnitrosamine-induced liver fibrosis models, as well as renal fibrosis models like unilateral ureteral obstruction (UUO), subtotal nephrectomy, and adriamycin nephropathy. It also emphasizes advanced experimental platforms including liver slice systems and stem cell transplantation techniques. All these above-mentioned models of hepatic and renal fibrosis involve immune cells directly or indirectly, e.g., cytokines, chemokines, and growth-promoting factors in renal fibrosis UUO model. By integrating molecular insights and experimental techniques, this review provides a comprehensive guide for future therapeutic strategies aimed at mitigating fibrosis in chronic liver and kidney diseases.

## Linked entities

- **Chemicals:** carbon tetrachloride (PubChem CID 5943), dimethylnitrosamine (PubChem CID 6124), adriamycin (PubChem CID 31703)
- **Diseases:** renal fibrosis (MONDO:0000494)

## Full-text entities

- **Genes:** Smad2 (SMAD family member 2) [NCBI Gene 29357] {aka Madh2}, Tnf (tumor necrosis factor) [NCBI Gene 24835] {aka RATTNF, TNF-alpha, Tnfa}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, Agt (angiotensinogen) [NCBI Gene 24179] {aka ANRT, Ang, AngII, PAT}, NOX4 (NADPH oxidase 4) [NCBI Gene 50507] {aka KOX, KOX-1, RENOX}, FN1 (fibronectin 1) [NCBI Gene 2335] {aka CIG, ED-B, FINC, FN, FNZ, GFND}, Atp6ap2 (ATPase, H+ transporting, lysosomal accessory protein 2) [NCBI Gene 70495] {aka (P)RR, 5730403E06Rik, APT6M8-9, ATP6M8-9, Atp6ip2, M8-9}, TIMP1 (TIMP metallopeptidase inhibitor 1) [NCBI Gene 7076] {aka CLGI, EPA, EPO, HCI, TIMP, TIMP-1}, CYBB (cytochrome b-245 beta chain) [NCBI Gene 1536] {aka AMCBX2, CGD, CGDX, GP91-1, GP91-PHOX, GP91PHOX}, Tgfb1 (transforming growth factor, beta 1) [NCBI Gene 21803] {aka TGF-beta1, TGFbeta1, Tgfb, Tgfb-1}, Fn1 (fibronectin 1) [NCBI Gene 25661] {aka FIBNEC, fn-1}, BCHE (butyrylcholinesterase) [NCBI Gene 590] {aka BCHED, CHE1, CHE2, E1}, Mapk14 (mitogen-activated protein kinase 14) [NCBI Gene 26416] {aka CSBP2, Crk1, Csbp1, Mxi2, PRKM14, PRKM15}, MMP9 (matrix metallopeptidase 9) [NCBI Gene 4318] {aka CLG4B, GELB, MANDP2, MMP-9}, VIM (vimentin) [NCBI Gene 7431], Thy1 (thymus cell antigen 1, theta) [NCBI Gene 21838] {aka CD90, T25, Thy-1, Thy-1.2, Thy1.1, Thy1.2}, Fstl1 (follistatin-like 1) [NCBI Gene 14314] {aka Fstl, TSC-36}, Abcb4 (ATP-binding cassette, sub-family B member 4) [NCBI Gene 18670] {aka Mdr2, Pgy-2, Pgy2, mdr-2}, GFAP (glial fibrillary acidic protein) [NCBI Gene 2670] {aka ALXDRD}, Alb (albumin) [NCBI Gene 11657] {aka Alb-1, Alb1, BCL001, BCL002, BPL001}, FGF2 (fibroblast growth factor 2) [NCBI Gene 2247] {aka BFGF, FGF-2, FGFB, HBGF-2}, TGFB1 (transforming growth factor beta 1) [NCBI Gene 7040] {aka CAEND1, CED, DPD1, IBDIMDE, LAP, TGF-beta1}, SERPINA1 (serpin family A member 1) [NCBI Gene 5265] {aka A1A, A1AT, AAT, PI, PI1, PRO2275}, ELANE (elastase, neutrophil expressed) [NCBI Gene 1991] {aka ELA2, GE, HLE, HNE, NE, PMN-E}, MMP2 (matrix metallopeptidase 2) [NCBI Gene 4313] {aka CLG4, CLG4A, MMP-2, MMP-II, MONA, TBE-1}, Tgfb1 (transforming growth factor, beta 1) [NCBI Gene 59086] {aka Tgfb}, Bdkrb2 (bradykinin receptor, beta 2) [NCBI Gene 12062] {aka B(2), B2, B2R, BK-2, BK2, BK2R}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}, ACTA1 (actin alpha 1, skeletal muscle) [NCBI Gene 58] {aka ACTA, ASMA, CFTD, CFTD1, CFTDM, CMYO2A}, Thy1 (Thy-1 cell surface antigen) [NCBI Gene 24832] {aka CD7}, Gpt (glutamic pyruvic transaminase, soluble) [NCBI Gene 76282] {aka 1300007J06Rik, 2310022B03Rik, ALT, ALT1, Gpt-1, Gpt1}, Adgre5 (adhesion G protein-coupled receptor E5) [NCBI Gene 26364] {aka Cd97, TM7LN1}, TIMP2 (TIMP metallopeptidase inhibitor 2) [NCBI Gene 7077] {aka CSC-21K, DDC8}, VEGFA (vascular endothelial growth factor A) [NCBI Gene 7422] {aka L-VEGF, MVCD1, VEGF, VPF}, Map3k7 (mitogen-activated protein kinase kinase kinase 7) [NCBI Gene 26409] {aka B430101B05, Tak1}, HGF (hepatocyte growth factor) [NCBI Gene 3082] {aka DFNB39, F-TCF, HGFB, HPTA, SF}, Sdc4 (syndecan 4) [NCBI Gene 20971] {aka S4, Synd4, ryudocan, syndecan-4}, CDH1 (cadherin 1) [NCBI Gene 999] {aka Arc-1, BCDS1, CD324, CDHE, ECAD, LCAM}, ROMO1 (reactive oxygen species modulator 1) [NCBI Gene 140823] {aka C20orf52, MTGM, MTGMP, bA353C18.2}, Smad3 (SMAD family member 3) [NCBI Gene 25631] {aka Madh3, Smad 3, mad3}, CCN2 (cellular communication network factor 2) [NCBI Gene 1490] {aka CTGF, HCS24, IBP-8, IGFBP8, KMD, NOV2}, TGFBR1 (transforming growth factor beta receptor 1) [NCBI Gene 7046] {aka AAT5, ACVRLK4, ALK-5, ALK5, ESS1, LDS1}, Cyp21a1 (cytochrome P450, family 21, subfamily a, polypeptide 1) [NCBI Gene 13079] {aka 21-OH, 21OH, 21OHA, 21OHB, CYP21OH-A, Cyp21}, Slc17a5 (solute carrier family 17 (anion/sugar transporter), member 5) [NCBI Gene 235504] {aka 4631416G20Rik, 4732491M05, AST, ISSD, NSD, SD}, Map2k3 (mitogen-activated protein kinase kinase 3) [NCBI Gene 26397] {aka MAPKK 3, MEK3, MKK3, MKK3b, Prkmk3}, THY1 (Thy-1 cell surface antigen) [NCBI Gene 7070] {aka CD90, CDw90}, Trpc6 (transient receptor potential cation channel, subfamily C, member 6) [NCBI Gene 22068] {aka LLHWJM002, LLHWJM003, LLHWJM004, TRP-6, Trrp6, mtrp6}, Ace (angiotensin I converting enzyme) [NCBI Gene 11421] {aka CD143}, Bhlhe22 (basic helix-loop-helix family, member e22) [NCBI Gene 59058] {aka Beta3, Beta3a, Bhlhb5}, Ren (renin) [NCBI Gene 24715] {aka RATRENAA, RENAA, Ren1}
- **Diseases:** Diabetes complications (MESH:D048909), death (MESH:D003643), hypertension (MESH:D006973), diabetic cardiomyopathy (MESH:D058065), mitochondrial malfunction (MESH:D028361), bile leakage (MESH:D003763), cGS (MESH:D002819), viral hepatitis (MESH:D014777), cardiorenal syndromes (MESH:D059347), portal hypertension (MESH:D006975), liver and kidney diseases (MESH:D008107), fatty degeneration (MESH:D008067), inflammation (MESH:D007249), glomerulonephritis (MESH:D005921), Injury (MESH:D014947), vasculitis (MESH:D014657), hyperglycemia (MESH:D006943), acute and chronic liver failure (MESH:D065290), ischemia/reperfusion injury (MESH:D015427), cholestatic fibrosis (MESH:D005355), haemorrhagic necrosis (MESH:D006474), toxicity (MESH:D064420), Liver Fibrosis (MESH:D008103), AAT deficiency (MESH:D019896), glomerular basement membrane (GBM) nephritis (MESH:D019867), atrophy (MESH:D001284), insulin resistance (MESH:D007333), tubulointerstitial disease (MESH:C536137), HBV and HCV infections (MESH:D006509), CKD (MESH:D051436), infection (MESH:D007239), diabetic neuropathy (MESH:D003929), NAFLD (MESH:D065626), cardiovascular (MESH:D002318), kidney failure (MESH:D051437), arteriosclerosis (MESH:D001161), hemolytic uremic syndrome (MESH:D006463), MI (MESH:D009203), peritonitis (MESH:D010538), diabetic retinopathy (MESH:D003930), tubular damage (MESH:D000230), lupus nephritis (MESH:D008181), chronic viral hepatitis (MESH:D006525), Diabetes (MESH:D003920), cholestasis (MESH:D002779), renal hypertrophy (MESH:D006984), necrotic damage (MESH:D047508), end-stage renal disease (MESH:D007676), ischemic damage (MESH:D017202), lung damage (MESH:D008171), poisoning (MESH:D011041), Liver damage (MESH:D056486), scarring (MESH:D002921), cardiac dysfunction (MESH:D006331), cholestatic liver harm (MESH:D017093), acute kidney damage (MESH:D058186), ALD (MESH:D008108), Hepatotoxic drugs (MESH:D000081015), fatty liver disease (MESH:D005234), diastolic dysfunction (MESH:D018487)
- **Chemicals:** ADR (MESH:D004317), acids (MESH:D000143), fisetin (MESH:C017875), polyunsaturated fatty acid (MESH:D005231), linagliptin (MESH:D000069476), haematoxylin (MESH:D006416), oxygen (MESH:D010100), paraffin (MESH:D010232), adenosine (MESH:D000241), superoxide anion (MESH:D013481), BDL (-), H2O2 (MESH:D006861), OP (MESH:D010755), bile acid (MESH:D001647), H&amp;E (MESH:D006371), curcumin (MESH:D003474), CCl4 (MESH:D002251), ROOH (MESH:D008054), bilirubin (MESH:D001663), Chlorpyrifos (MESH:D004390), losartan (MESH:D019808), NO2 (MESH:D009585), captopril (MESH:D002216), nitrogen (MESH:D009584), mitoTEMPO (MESH:C555916), urea (MESH:D014508), lipid (MESH:D008055), DMN (MESH:D004128), lipopolysaccharide (MESH:D008070), Imatinib (MESH:D000068877), vitamin A. (MESH:D014801), mitoQ (MESH:C429014), trichloromethylperoxy radicals (MESH:C029952), Trizol (MESH:C411644), OH (MESH:C031356), epicatechin (MESH:D002392), water (MESH:D014867), ATP (MESH:D000255), AGEs (MESH:D017127), glycosylphosphatidylinositol (MESH:D017261), peroxynitrite (MESH:D030421), SYBR Green (MESH:C098022), CO2 (MESH:D002245), flavonoids (MESH:D005419), NO (MESH:D009569), ether (MESH:D004986), formalin (MESH:D005557), ethanol (MESH:D000431), calcium (MESH:D002118), Periodic Acid (MESH:D010504), ROS (MESH:D017382), hydroxyl radical (MESH:D017665), PB (MESH:D007854), luteolin (MESH:D047311), eosin (MESH:D004801), N-acetylcysteine (MESH:D000111), alcohol (MESH:D000438)
- **Species:** hepatitis C [taxon 11103], Viruses (acellular root) [taxon 10239], Rodentia (rodent, order) [taxon 9989], Canis lupus familiaris (dog, subspecies) [taxon 9615], Homo sapiens (human, species) [taxon 9606], Rattus norvegicus (brown rat, species) [taxon 10116], Mus musculus (house mouse, species) [taxon 10090]
- **Mutations:** A3 adenosine, rs 2571598, rs 10823108, rs 7943316, rs 3495, rs 1695
- **Cell lines:** C57BL/6 — Mus musculus (Mouse), Transformed cell line (CVCL_C0MU), /6 — Homo sapiens (Human), Tongue squamous cell carcinoma, Cancer cell line (CVCL_5985), NRK49F — Rattus norvegicus (Rat), Spontaneously immortalized cell line (CVCL_2144)

## Full text

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## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12950736/full.md

## References

158 references — full list in the complete paper: https://tomesphere.com/paper/PMC12950736/full.md

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Source: https://tomesphere.com/paper/PMC12950736