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Epithelial tight junction is a critical intestinal barrier, and its disruption could leak toxic substances from the gut into blood circulation and cause systemic injury

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Increased expression of the transcription factor krppel-like transcription factor4 (KLF4) promotes the expression of the E3 enzyme itchy E3 ubiquitin-protein ligase (ITCH).ITCH activates YAP by promoting the ubiquitination of the phosphatase large tumor suppressor 1 (LATS1).YAP can promote renal fibrosis after AKI by promoting the expression of transforming growth factor- (TGF-) and connective tissue growth factor (CTGF)[28]

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