AI Article Synopsis
- Diabetic kidney disease (DKD) is a major cause of chronic kidney issues, and the understanding of its mechanisms in humans has lagged behind animal studies, impacting treatment development.
- The researchers employed a Spatial TissuE Proteomics (STEP) pipeline to analyze 21 proteins across various kidney tissue samples from healthy individuals and those with different stages of DKD, revealing specific patterns in protein expression and cellular composition.
- The study found significant changes in inflammatory cell presence and protein loss in the kidneys as DKD progressed, highlighting the utility of the STEP pipeline in understanding the disease's pathophysiology.
Article Abstract
Aims/hypothesis: Diabetic kidney disease (DKD) is the leading cause of chronic and end-stage kidney disease in the USA and worldwide. Animal models have taught us much about DKD mechanisms, but translation of this knowledge into treatments for human disease has been slowed by the lag in our molecular understanding of human DKD.
Methods: Using our Spatial TissuE Proteomics (STEP) pipeline (comprising curated human kidney tissues, multiplexed immunofluorescence and powerful analysis tools), we imaged and analysed the expression of 21 proteins in 23 tissue sections from individuals with diabetes and healthy kidneys (n=5), compared to those with DKDIIA, IIA-B and IIB (n=2 each) and DKDIII (n=1).
Results: These analyses revealed the existence of 11 cellular clusters (kidney compartments/cell types): podocytes, glomerular endothelial cells, proximal tubules, distal nephron, peritubular capillaries, blood vessels (endothelial cells and vascular smooth muscle cells), macrophages, myeloid cells, other CD45 inflammatory cells, basement membrane and the interstitium. DKD progression was associated with co-localised increases in inflammatory cells and collagen IV deposition, with concomitant loss of native proteins of each nephron segment. Cell-type frequency and neighbourhood analyses highlighted a significant increase in inflammatory cells and their adjacency to tubular and αSMA (α-smooth muscle actin-positive) cells in DKD. Finally, DKD progression showed marked regional variability within single tissue sections, as well as inter-individual variability within each DKD class.
Conclusions/interpretation: Using the STEP pipeline, we found alterations in protein expression, cellular phenotypic composition and microenvironment structure with DKD progression, demonstrating the power of this pipeline to reveal the pathophysiology of human DKD.
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| http://dx.doi.org/10.1007/s00125-024-06210-8 | DOI Listing |
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