Buse Marc, Cheng Mingbo, Jankowski Vera, Lellig Michaela, Sterzer Viktor, Strieder Thiago, Leuchtle Katja, Martin Ina V, Seikrit Claudia, Brinkkoettter Paul, Crispatzu Giuliano, Floege Jürgen, Boor Peter, Speer Timotheus, Kramann Rafael, Ostendorf Tammo, Moeller Marcus J, Costa Ivan G, Stamellou Eleni
Division of Nephrology and Clinical Immunology, RWTH Aachen University, Aachen, Germany.
Institute for Computational Genomics, RWTH Aachen University Hospital, Aachen, Germany.
iScience. 2024 Feb 16;27(3):109255. doi: 10.1016/j.isci.2024.109255. eCollection 2024 Mar 15.
Tubular injury is the hallmark of acute kidney injury (AKI) with a tremendous impact on patients and health-care systems. During injury, any differentiated proximal tubular cell (PT) may transition into a specific injured phenotype, so-called "scattered tubular cell" (STC)-phenotype. To understand the fate of this specific phenotype, we generated transgenic mice allowing inducible, reversible, and irreversible tagging of these cells in a murine AKI model, the unilateral ischemia-reperfusion injury (IRI). For lineage tracing, we analyzed the kidneys using single-cell profiling during disease development at various time points. Labeled cells, which we defined by established endogenous markers, already appeared 8 h after injury and showed a distinct expression set of genes. We show that STCs re-differentiate back into fully differentiated PTs upon the resolution of the injury. In summary, we show the dynamics of the phenotypic transition of PTs during injury, revealing a reversible transcriptional program as an adaptive response during disease.
肾小管损伤是急性肾损伤(AKI)的标志,对患者和医疗系统产生巨大影响。在损伤过程中,任何分化的近端肾小管细胞(PT)都可能转变为特定的损伤表型,即所谓的“散在肾小管细胞”(STC)表型。为了了解这种特定表型的命运,我们构建了转基因小鼠,在小鼠急性肾损伤模型——单侧缺血再灌注损伤(IRI)中,对这些细胞进行诱导性、可逆性和不可逆性标记。为了进行谱系追踪,我们在疾病发展的不同时间点使用单细胞分析来分析肾脏。我们通过已建立的内源性标记物定义的标记细胞在损伤后8小时就已出现,并显示出一组独特的基因表达。我们表明,在损伤消退后,STC会重新分化回完全分化的PT。总之,我们展示了损伤期间PT表型转变的动态过程,揭示了一种可逆的转录程序,作为疾病期间的适应性反应。