Journal of the American Society of Nephrology,
Journal Year:
2023,
Volume and Issue:
34(4), P. 619 - 640
Published: Feb. 9, 2023
Significance
Statement
Loss
of
function
the
2Cl
−
/H
+
antiporter
ClC-5
in
Dent
disease
causes
an
unknown
impairment
endocytic
traffic,
leading
to
tubular
proteinuria.
The
authors
integrated
data
from
biochemical
and
quantitative
imaging
studies
proximal
tubule
cells
into
a
mathematical
model
determine
that
loss
impairs
endosome
acidification
delays
early
maturation
cells,
resulting
reduced
megalin
recycling,
surface
expression,
half-life.
Studies
mouse
also
revealed
subsegment-specific
differences
effects
knockout
on
subsegments.
approach
provides
template
dissect
mutations
or
perturbations
alter
recovery
filtered
proteins
level
individual
entire
axis.
Background
uptake
by
kidney
tubule,
Reduced
posttranslational
stability
cubilin,
receptors
bind
recover
proteins,
is
believed
underlie
defect.
How
leads
receptor
expression
remains
unknown.
Methods
We
used
adapt
traffic
control
cells.
mice
were
performed
describe
effect
S1
segment
along
Results
predicts
have
rates
exit
endosomes,
decreased
Early
endosomes
had
lower
[Cl
]
higher
pH.
observed
more
profound
expressing
pathogenic
E211G
mutant.
Alterations
cellular
distribution
consistent
with
delayed
recycling.
Greater
reductions
S2
compared
S1,
consequences
profile
protein
retrieval
Conclusions
Delayed
due
impaired
accumulation
primary
mediator
proteinuria
disease.
Rapid
critical
for
efficient
proteins.
Nature,
Journal Year:
2023,
Volume and Issue:
619(7970), P. 585 - 594
Published: July 19, 2023
Abstract
Understanding
kidney
disease
relies
on
defining
the
complexity
of
cell
types
and
states,
their
associated
molecular
profiles
interactions
within
tissue
neighbourhoods
1
.
Here
we
applied
multiple
single-cell
single-nucleus
assays
(>400,000
nuclei
or
cells)
spatial
imaging
technologies
to
a
broad
spectrum
healthy
reference
kidneys
(45
donors)
diseased
(48
patients).
This
has
provided
high-resolution
cellular
atlas
51
main
types,
which
include
rare
previously
undescribed
populations.
The
multi-omic
approach
provides
detailed
transcriptomic
profiles,
regulatory
factors
localizations
spanning
entire
kidney.
We
also
define
28
states
across
nephron
segments
interstitium
that
were
altered
in
injury,
encompassing
cycling,
adaptive
(successful
maladaptive
repair),
transitioning
degenerative
states.
Molecular
signatures
permitted
localization
these
injury
using
transcriptomics,
while
large-scale
3D
analysis
(around
1.2
million
neighbourhoods)
corresponding
linkages
active
immune
responses.
These
analyses
defined
biological
pathways
are
relevant
time-course
niches,
including
underlying
epithelial
repair
predicted
with
decline
function.
integrated
multimodal
human
represents
comprehensive
benchmark
neighbourhoods,
outcome-associated
publicly
available
interactive
visualizations.
Physiological Reviews,
Journal Year:
2022,
Volume and Issue:
102(4), P. 1625 - 1667
Published: April 4, 2022
For
nearly
50
years
the
proximal
tubule
(PT)
has
been
known
to
reabsorb,
process,
and
either
catabolize
or
transcytose
albumin
from
glomerular
filtrate.
Innovative
techniques
approaches
have
provided
insights
into
these
processes.
Several
genetic
diseases,
nonselective
PT
cell
defects,
chronic
kidney
disease
(CKD),
acute
injury
lead
significant
albuminuria,
reaching
nephrotic
range.
Albumin
is
also
stimulate
cascades.
Thus,
mechanisms
of
reabsorption,
catabolism,
transcytosis
are
being
reexamined
with
use
that
allow
for
novel
molecular
cellular
discoveries.
Megalin,
a
scavenger
receptor,
cubilin,
amnionless,
Dab2
form
multireceptor
complex
mediates
binding
uptake
directs
proteins
lysosomal
degradation
after
endocytosis.
mediated
by
pH-dependent
affinity
neonatal
Fc
receptor
(FcRn)
in
endosomal
compartments.
This
reclamation
pathway
rescues
urinary
losses
extending
its
serum
half-life.
altered
oxidation,
glycation,
carbamylation
because
other
bound
ligands
do
not
bind
FcRn
traffics
lysosome.
sorting
mechanism
reclaims
physiological
eliminates
potentially
toxic
albumin.
The
clinical
importance
metabolism
increased
as
now
used
therapeutic
agents
extend
their
half-life
minimize
filtration
injury.
purpose
this
review
update
integrate
evolving
information
regarding
reabsorption
processing
cells
including
discussion
disorders
considerations.
Circulation,
Journal Year:
2023,
Volume and Issue:
149(11), P. 860 - 884
Published: Dec. 28, 2023
BACKGROUND:
SGLT2
(sodium-glucose
cotransporter
2)
inhibitors
(SGLT2i)
can
protect
the
kidneys
and
heart,
but
underlying
mechanism
remains
poorly
understood.
METHODS:
To
gain
insights
on
primary
effects
of
SGLT2i
that
are
not
confounded
by
pathophysiologic
processes
or
secondary
to
improvement
SGLT2i,
we
performed
an
in-depth
proteomics,
phosphoproteomics,
metabolomics
analysis
integrating
signatures
from
multiple
metabolic
organs
body
fluids
after
1
week
treatment
nondiabetic
as
well
diabetic
mice
with
early
uncomplicated
hyperglycemia.
RESULTS:
Kidneys
reacted
most
strongly
in
terms
proteomic
reconfiguration,
including
evidence
for
less
proximal
tubule
glucotoxicity
a
broad
downregulation
apical
uptake
transport
machinery
(including
sodium,
glucose,
urate,
purine
bases,
amino
acids),
supported
mouse
human
interactome
studies.
affected
heart
liver
signaling,
more
reactive
included
white
adipose
tissue,
showing
lipolysis,
and,
particularly,
gut
microbiome,
lower
relative
abundance
bacteria
taxa
capable
fermenting
phenylalanine
tryptophan
cardiovascular
uremic
toxins,
resulting
plasma
levels
these
compounds
p-cresol
sulfate).
was
detectable
murine
stool
samples
its
addition
microbiota
fermentation
recapitulated
some
microbiome
findings,
suggesting
direct
inhibition
aromatic
acids
tryptophan.
In
lacking
patients
decompensated
failure
diabetes,
likewise
reduced
circulating
sulfate,
impaired
contractility
rhythm
induced
pluripotent
stem
cell–derived
engineered
tissue.
CONCLUSIONS:
formation
toxins
such
sulfate
thereby
their
exposure
need
renal
detoxification,
which,
combined
kidney
transporters
acid,
urate
uptake),
provides
foundation
protection.
Journal of the American Society of Nephrology,
Journal Year:
2021,
Volume and Issue:
32(4), P. 886 - 896
Published: March 4, 2021
Proximal
tubule
cells
dominate
the
kidney
parenchyma
numerically,
although
less
abundant
cell
types
of
distal
nephron
have
disproportionate
roles
in
water
and
electrolyte
balance.Coupling
a
FACS-based
enrichment
protocol
with
single-cell
RNA-seq
profiled
transcriptomes
9099
from
thick
ascending
limb
(CTAL)/distal
convoluted
(DCT)
region
mouse
nephron.Unsupervised
clustering
revealed
Slc12a3+/Pvalb+
Slc12a3+/Pvalb-
cells,
identified
as
DCT1
DCT2
respectively.
appear
to
be
heterogeneous,
orthogonally
variable
expression
Slc8a1,
Calb1,
Ckb.
An
additional
subcluster
showed
marked
cycle-/cell
proliferation-associated
mRNAs
(e.g.,
Mki67,
Stmn1,
Top2a),
which
fit
known
plasticity
DCT
cells.
No
DCT2-specific
transcripts
were
found.
contrast
by
epithelial
sodium
channel
β-
γ-subunits
much
stronger
associated
calcium
transport
(Trpv5,
S100g,
Slc8a1).
Additionally,
scRNA-seq
three
distinct
CTAL
(Slc12a1+)
subtypes.
One
these
expressed
Nos1
Avpr1a,
consistent
macula
densa
The
other
two
clusters
distinguished
Cldn10
Ptger3
one
Cldn16
Foxq1
other.
These
also
alternative
Iroquois
homeobox
transcription
factors,
Irx1
Irx2
Cldn10+
Irx3
Cldn16+
cells.Single-cell
transcriptomics
unexpected
diversity
among
mouse.
Web-based
data
resources
are
provided
for
data.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2021,
Volume and Issue:
unknown
Published: July 29, 2021
Abstract
Understanding
kidney
disease
relies
upon
defining
the
complexity
of
cell
types
and
states,
their
associated
molecular
profiles,
interactions
within
tissue
neighborhoods.
We
have
applied
multiple
single-cell
or
-nucleus
assays
(>400,000
nuclei/cells)
spatial
imaging
technologies
to
a
broad
spectrum
healthy
reference
(n
=
42)
kidneys.
This
has
provided
high
resolution
cellular
atlas
100
that
include
rare
novel
populations.
The
multi-omic
approach
provides
detailed
transcriptomic
epigenomic
regulatory
factors,
localizations
for
major
spanning
entire
kidney.
further
identify
define
states
altered
in
injury,
encompassing
cycling,
adaptive
maladaptive
repair,
transitioning
degenerative
affecting
several
segments.
Molecular
signatures
these
permitted
localization
injury
neighborhoods
using
transcriptomics,
large-scale
3D
analysis
∼1.2
million
linkages
active
immune
responses.
These
analyses
defined
biological
pathways
relevant
niches,
including
underlying
transition
from
predicted
were
with
decline
function
during
chronic
disease.
human
atlas,
neighborhoods,
will
be
valuable
resource
future
studies.
Nature Communications,
Journal Year:
2022,
Volume and Issue:
13(1)
Published: Dec. 10, 2022
Abstract
Knowledge
of
the
transcriptional
programs
underpinning
functions
human
kidney
cell
populations
at
homeostasis
is
limited.
We
present
a
single-cell
perspective
healthy
from
19
living
donors,
with
equal
contribution
males
and
females,
profiling
transcriptome
27677
cells
to
map
high
resolution.
Sex-based
differences
in
gene
expression
within
proximal
tubular
were
observed,
specifically,
increased
anti-oxidant
metallothionein
genes
females
aerobic
metabolism-related
males.
Functional
metabolism
confirmed
cells,
male
exhibiting
higher
oxidative
phosphorylation
levels
energy
precursor
metabolites.
identified
kidney-specific
lymphocyte
unique
profiles
indicative
kidney-adapted
functions.
Significant
heterogeneity
myeloid
was
MRC1
+
LYVE1
FOLR2
C1QC
population
representing
predominant
kidney.
This
study
provides
detailed
cellular
kidney,
explores
complexity
parenchymal
kidney-resident
immune
cells.
Nature Communications,
Journal Year:
2023,
Volume and Issue:
14(1)
Published: July 19, 2023
Kidney
stone
disease
causes
significant
morbidity
and
increases
health
care
utilization.
In
this
work,
we
decipher
the
cellular
molecular
niche
of
human
renal
papilla
in
patients
with
calcium
oxalate
(CaOx)
healthy
subjects.
addition
to
identifying
cell
types
important
papillary
physiology,
characterize
collecting
duct
subtypes
an
undifferentiated
epithelial
type
that
was
more
prevalent
patients.
Despite
focal
nature
mineral
deposition
nephrolithiasis,
uncover
a
global
injury
signature
characterized
by
immune
activation,
oxidative
stress
extracellular
matrix
remodeling.
We
also
identify
association
MMP7
MMP9
expression
deposition,
respectively.
are
significantly
increased
urine
CaOx
disease,
their
levels
correlate
activity.
Our
results
define
spatial
landscape
specific
pathways
contributing
stone-mediated
associated
urinary
biomarkers.
Experimental & Molecular Medicine,
Journal Year:
2023,
Volume and Issue:
55(2), P. 304 - 312
Published: Feb. 3, 2023
Abstract
The
prevalence
of
kidney
diseases
has
been
increasing
worldwide
due
to
the
aging
population
and
results
in
an
increased
socioeconomic
burden
as
well
morbidity
mortality.
A
deep
understanding
mechanisms
underlying
physiological
regulation
pathogenesis
related
can
help
identify
potential
therapeutic
targets.
farnesoid
X
receptor
(FXR,
NR1H4)
is
a
primary
nuclear
bile
acid
that
transcriptionally
regulates
homeostasis
glucose
lipid
metabolism
multiple
tissues.
roles
FXR
tissues
other
than
hepatic
intestinal
are
poorly
understood.
In
studies
over
past
decade,
demonstrated
have
protective
effect
against
through
its
anti-inflammatory
antifibrotic
effects;
it
also
plays
kidney.
this
review,
we
discuss
role
pathophysiological
various
diseases,
including
acute
injury
chronic
diabetic
nephropathy,
fibrosis.
Therefore,
regulatory
involving
receptors,
such
FXR,
physiology
pathophysiology
development
agonists
antagonists
for
modulating
expression
activation
should
be
elucidated
targets
treatment
diseases.