Gong Emma, Perin Laura, Da Sacco Stefano, Sedrakyan Sargis
Division of Urology, GOFARR Laboratory for Organ Regenerative Research and Cell Therapeutics, Children's Hospital Los Angeles, Saban Research Institute, Los Angeles, CA, United States.
Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.
Front Med (Lausanne). 2021 Nov 25;8:772883. doi: 10.3389/fmed.2021.772883. eCollection 2021.
Kidney disease is characterized by loss of glomerular function with clinical manifestation of proteinuria. Identifying the cellular and molecular changes that lead to loss of protein in the urine is challenging due to the complexity of the filtration barrier, constituted by podocytes, glomerular endothelial cells, and glomerular basement membrane. In this review, we will discuss how technologies like single cell RNA sequencing and bioinformatics-based spatial transcriptomics, as well as systems like kidney organoids and the glomerulus-on-a-chip, have contributed to our understanding of glomerular pathophysiology. Knowledge gained from these studies will contribute toward the development of personalized therapeutic approaches for patients affected by proteinuric diseases.
肾脏疾病的特征是肾小球功能丧失,临床表现为蛋白尿。由于由足细胞、肾小球内皮细胞和肾小球基底膜构成的滤过屏障的复杂性,确定导致尿液中蛋白质丢失的细胞和分子变化具有挑战性。在这篇综述中,我们将讨论诸如单细胞RNA测序和基于生物信息学的空间转录组学等技术,以及肾脏类器官和芯片上肾小球等系统,如何有助于我们理解肾小球病理生理学。从这些研究中获得的知识将有助于为受蛋白尿疾病影响的患者开发个性化治疗方法。