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利用人诱导多能干细胞衍生肾类器官研究遗传性肾脏疾病的进展。

Advancements in Research on Genetic Kidney Diseases Using Human-Induced Pluripotent Stem Cell-Derived Kidney Organoids.

机构信息

Transplantation Research Center, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.

Division of Nephrology, Department of Internal Medicine, Seoul St. Mary's Hospital, The College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.

出版信息

Cells. 2024 Jul 13;13(14):1190. doi: 10.3390/cells13141190.

Abstract

Genetic or hereditary kidney disease stands as a pivotal cause of chronic kidney disease (CKD). The proliferation and widespread utilization of DNA testing in clinical settings have notably eased the diagnosis of genetic kidney diseases, which were once elusive but are now increasingly identified in cases previously deemed CKD of unknown etiology. However, despite these diagnostic strides, research into disease pathogenesis and novel drug development faces significant hurdles, chiefly due to the dearth of appropriate animal models and the challenges posed by limited patient cohorts in clinical studies. Conversely, the advent and utilization of human-induced pluripotent stem cells (hiPSCs) offer a promising avenue for genetic kidney disease research. Particularly, the development of hiPSC-derived kidney organoid systems presents a novel platform for investigating various forms of genetic kidney diseases. Moreover, the integration of the CRISPR/Cas9 technique into this system holds immense potential for efficient research on genetic kidney diseases. This review aims to explore the applications of in vitro kidney organoids generated from hiPSCs in the study of diverse genetic kidney diseases. Additionally, it will delve into the limitations of this research platform and outline future perspectives for advancing research in this crucial area.

摘要

遗传性或先天性肾脏疾病是慢性肾脏病(CKD)的主要病因之一。DNA 检测在临床环境中的广泛应用和普及,显著改善了遗传性肾脏疾病的诊断,这些疾病曾经难以确诊,但现在在以前被认为病因不明的 CKD 病例中越来越多地被发现。然而,尽管取得了这些诊断进展,但疾病发病机制的研究和新药开发仍然面临重大障碍,主要是由于缺乏合适的动物模型,以及临床研究中患者群体有限带来的挑战。相比之下,人诱导多能干细胞(hiPSC)的出现和应用为遗传性肾脏疾病研究提供了一个有前途的途径。特别是,由 hiPSC 衍生的肾脏类器官系统的开发为研究各种形式的遗传性肾脏疾病提供了一个新的平台。此外,将 CRISPR/Cas9 技术整合到该系统中,为遗传性肾脏疾病的高效研究提供了巨大的潜力。本综述旨在探讨由 hiPSC 产生的体外肾脏类器官在研究各种遗传性肾脏疾病中的应用。此外,还将探讨该研究平台的局限性,并概述在这一关键领域推进研究的未来展望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df99/11274677/aa5f8883c2a3/cells-13-01190-g001.jpg

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