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Proximal tubule responses to injury: interrogation by single-cell transcriptomics
Pietro E Cippà1,2, Andrew P McMahon3
1Division of Nephrology, Ente Ospedaliero Cantonale.
Current Opinion in Nephrology and Hypertension
|April 19, 2023
Summary
Single-cell technologies reveal the kidney's complex response to acute kidney injury (AKI). Understanding cellular repair mechanisms is key to improving AKI diagnostics and therapy, potentially preventing chronic kidney disease.
Area of Science:
- Nephrology
- Molecular Biology
- Cellular Biology
Background:
- Acute kidney injury (AKI) affects 10-15% of hospitalized patients, leading to poor outcomes.
- Current AKI management is primarily supportive, lacking targeted therapies.
- Understanding renal injury response is crucial for advancing AKI diagnostics and treatment.
Approach:
- Utilizes single-cell technologies to investigate kidney complexity.
- Analyzes cellular and molecular mechanisms underlying AKI.
- Summarizes recent discoveries in proximal tubule cell responses to injury.
Key Points:
- Single-cell technologies offer novel insights into kidney injury.
- Details the early cellular response to AKI.
- Explores mechanisms of tubule repair and maladaptive repair in AKI progression.
Conclusions:
- Single-cell analysis is revolutionizing AKI research.
- Understanding cellular repair is vital for AKI management.
- Maladaptive repair processes may link AKI to chronic kidney disease.

