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用于临床应用的肾类器官的研究进展与挑战。

Advances and challenges toward developing kidney organoids for clinical applications.

机构信息

Department of Kidney Development, Institute of Molecular Embryology and Genetics, Kumamoto University, Kumamoto 860-0811, Japan.

出版信息

Cell Stem Cell. 2023 Aug 3;30(8):1017-1027. doi: 10.1016/j.stem.2023.07.011.

Abstract

Kidney organoids have enabled modeling of human development and disease. While methods of generating the nephron lineage are well established, new protocols to induce another lineage, the ureteric bud/collecting duct, have been reported in the past 5 years. Many reports have described modeling of various hereditary kidney diseases, with polycystic kidney disease serving as the archetypal disease, by using patient-derived or genome-edited kidney organoids. The generation of more organotypic kidneys is also becoming feasible. In this review, I also discuss the significant challenges for more sophisticated disease modeling and for realizing the ambitious goal of generating transplantable synthetic kidneys.

摘要

肾类器官使人类发育和疾病的建模成为可能。虽然生成肾系的方法已经很成熟,但在过去 5 年中,又有新的诱导输尿管芽/集合管系的方案被报道。许多报告描述了使用源自患者或经基因编辑的肾类器官来模拟各种遗传性肾脏疾病,其中多囊肾病是典型疾病。更类器官化的肾脏的生成也变得可行。在这篇综述中,我还讨论了更复杂疾病建模的重大挑战,以及实现生成可移植的合成肾脏这一宏伟目标的重大挑战。

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