ASN's Mission

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

learn more

Contact ASN

1401 H St, NW, Ste 900, Washington, DC 20005

email@asn-online.org

202-640-4660

The Latest on X

Kidney Week

Abstract: TH-PO535

Single Nucleus Transcriptomic Landscape of Human Glomerular Diseases

Session Information

Category: Glomerular Diseases

  • 1401 Glomerular Diseases: Mechanisms, including Podocyte Biology

Authors

  • Joo, Jeong Ho, Korea Advanced Institute of Science and Technology, Daejeon, Korea (the Republic of)
  • Park, Sehoon, Seoul National University College of Medicine, Jongno-gu, Seoul, Korea (the Republic of)
  • Lee, Jeong Seok, Korea Advanced Institute of Science and Technology, Daejeon, Korea (the Republic of)
  • Kim, Dong Ki, Seoul National University College of Medicine, Jongno-gu, Seoul, Korea (the Republic of)
Background

Glomerular diseases, often progress to end-stage kidney disease, with each type following a distinct clinical course despite common features. Single-nucleus RNA-seq (SnRNA seq) enabled researchers to capture the gene expression of rare glomerular cells. In this study, we examined the transcriptomic differences among glomerular diseases in glomerular cells.

Methods

We collected snap-frozen kidney biopsy tissues from 6 cases of IgA nephropathy (IgAN), 6 cases of minimal change disease (MCD), 6 cases of PLA2R-Ab positive membranous nephropathy (MN), 3 cases of diabetic kidney disease (DKD), and 7 cases of adjacent normal tissue in renal cell carcinoma. We conducted snRNA seq using kidney tissue, comparing proportions and differentially expressed genes (DEGs) among various diseases. We also subdivided detailed clusters within each cell type and compared specific cell types with the patients’ clinical data to assess correlations.

Results

A total of 262,984 nuclei were obtained from 28 subjects with MCD, MN, IgAN, DKD, as well as the control, and UMAP was drawn. Thirteen clusters were identified including glomerular cells. When k-means clustering was performed on DEGs between each condition within each cell types, upregulated DEGs display patterns common to cell types and specific to diseases, whereas downregulated DEGs exhibit patterns specific to cell types and common across various cell types. After subclutering, we identified podocyte with endocytosis feature associated with proteinuria. The module score of marker genes of this cell type significantly increased with higher levels of proteinuria in patients. The proportion of myofibroblasts were increased in glomerular diseases, compared to control group significantly. Additionally, we found that gene expression of myofibroblast was directly associated with kidney function of glomerular diseases.

Conclusion

To our knowledge, our snRNA-Seq data is the largest datasets of biopsy-confirmed human glomerular disease to date. Our results provided novel insights regarding the kidney indwelling cell-specific or disease- specific transcriptomic alterations. The data serve as valuable asset for future investigations into the development of biomarkers or therapeutic targets for glomerular diseases.

Funding

  • Government Support – Non-U.S.