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Precision nephrotoxicity testing using 3D in vitro models
Pengfei Yu1,2, Hainan Zhu1, Carol Christine Bosholm1
1Wake Forest Institute for Regenerative Medicine, Wake Forest University Health Sciences, Winston-Salem, NC, USA.
Cell & Bioscience
|December 22, 2023
Summary
Three-dimensional (3D) in vitro models using human kidney cells offer a more accurate way to test drug safety and chemical toxicity. These advanced models better mimic the human kidney than traditional methods, improving nephrotoxicity predictions.
Area of Science:
- Nephrology
- Toxicology
- Biotechnology
Background:
- Nephrotoxicity is a critical safety concern in drug development and chemical assessment.
- Traditional testing methods, including animal models and 2D in vitro cultures, inadequately replicate human kidney complexity and function.
- Existing 2D models lack the physiological relevance needed for accurate human nephrotoxicity prediction.
Purpose of the Study:
- To review the application of 3D in vitro models for precision nephrotoxicity testing.
- To highlight the advantages of using human autologous urine-derived kidney cells in these models.
- To present 3D in vitro models as a promising approach for evaluating drug safety.
Main Methods:
- Utilizing 3D microenvironments to culture human primary kidney cells.
- Mimicking in vivo kidney conditions, including fluid shear stresses.
- Employing human autologous urine-derived kidney cells for model development.
Main Results:
- 3D in vitro models demonstrate superior accuracy and reliability in predicting human nephrotoxicity compared to 2D models.
- These models offer a more physiologically relevant platform for toxicity assessment.
- Autologous urine-derived cells provide a patient-specific approach to kidney modeling.
Conclusions:
- 3D in vitro models represent a significant advancement in nephrotoxicity testing.
- The use of human autologous urine-derived kidney cells enhances the precision and predictive power of these models.
- Precision nephrotoxicity testing with 3D models is a promising strategy for improving drug safety evaluations.

