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Combining Extracellular miRNA Determination with Microfluidic 3D Cell Cultures for the Assessment of Nephrotoxicity:
Laura Suter-Dick1, L Mauch2, D Ramp2
1School of Life Sciences, University of Applied Sciences Northwestern Switzerland, Gründenstrasse 40, 4132, Muttenz, Switzerland. laura.suterdick@fhnw.ch.
Abstract:
Drug-induced kidney injury is often observed in the clinics and can lead to long-term organ failure. In this work, we evaluated a novel in vitro system that aims at detecting whether compounds can cause renal proximal tubule damage in man. For this, we implemented organotypic cultures of human conditionally immortalized proximal tubule epithelial cells overexpressing the organic anion transporter 1 (ciPTEC-OAT1) in a three-channel OrganoPlate under microfluidic conditions. Cells were exposed to four known nephrotoxicants (cisplatin, tenofovir, cyclosporine A, and tobramycin). The effect on cell viability and NAG release into the medium was determined. A novel panel of four miRNAs (mir-21, mir-29a, mir-34a, and mir-192) was selected as potential biomarkers of proximal tubule damage. After nephrotoxicant treatment, miRNA levels in culture medium were earlier indicators than cell viability (WST-8 assay) and outperformed NAG for proximal tubule damage. In particular, mir-29a, mir-34a, and mir-192 were highly reproducible between experiments and across compounds, whereas mir-21 showed more variability. Moreover, similar data were obtained in two different laboratories, underlining the reproducibility and technical transferability of the results, a key requirement for the implementation of novel biomarkers. In conclusion, the selected miRNAs behaved like sensitive biomarkers of damage to tubular epithelial cells caused by several nephrotoxicity mechanisms. This biomarker panel, in combination with the 3D cultures of ciPTEC-OAT1 in the OrganoPlate, represents a novel tool for in vitro nephrotoxicity detection. These results pave the way for the application of miRNAs in longitudinal, time-course in vitro toxicity studies.
Insights
This study introduces a novel in vitro system using microfluidic cell cultures to detect drug-induced kidney injury. The findings highlight specific microRNAs as early and reliable biomarkers for renal proximal tubule damage.
Area of Science:
- Nephrology
- Toxicology
- Biomarker Discovery
Background:
- Drug-induced kidney injury (DIKI) is a significant clinical concern, potentially leading to long-term organ failure.
- Current in vitro methods for detecting nephrotoxicity have limitations in predicting human outcomes.
- There is a need for reliable and sensitive biomarkers to assess renal proximal tubule damage early.
Purpose of the Study:
- To evaluate a novel in vitro system for detecting drug-induced renal proximal tubule damage.
- To identify and validate microRNAs as sensitive biomarkers for early nephrotoxicity detection.
- To assess the reproducibility and transferability of the developed in vitro system and biomarker panel.
Main Methods:
- Implementation of organotypic cultures of human conditionally immortalized proximal tubule epithelial cells overexpressing organic anion transporter 1 (ciPTEC-OAT1) in a microfluidic OrganoPlate.
- Exposure of ciPTEC-OAT1 cells to known nephrotoxicants: cisplatin, tenofovir, cyclosporine A, and tobramycin.
- Measurement of cell viability (WST-8 assay), NAG release, and miRNA levels (mir-21, mir-29a, mir-34a, mir-192) in the culture medium.
Main Results:
- MicroRNA levels in the culture medium served as earlier indicators of proximal tubule damage compared to cell viability and NAG release.
- A panel of specific miRNAs (mir-29a, mir-34a, and mir-192) demonstrated high reproducibility across experiments and compounds.
- The results were reproducible and technically transferable across two different laboratories, confirming the robustness of the system.
Conclusions:
- The selected miRNAs function as sensitive biomarkers for damage to tubular epithelial cells induced by various nephrotoxicity mechanisms.
- The 3D microfluidic culture system with ciPTEC-OAT1 cells and the miRNA biomarker panel offer a novel tool for in vitro nephrotoxicity detection.
- This approach facilitates longitudinal, time-course in vitro toxicity studies, advancing the application of miRNAs in toxicology.
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