Quantification of urinary podocyte-derived migrasomes for the diagnosis of kidney disease

Rong Yang1,2, Heng Zhang1, Si Chen3

  • 1Department of Emergency, Nanjing Drum Tower Hospital, School of Life Science and Technology, China Pharmaceutical University, Nanjing, China.

Insights

Researchers developed a new method to detect migrasomes, which are extracellular vesicles found in urine. Increased urinary migrasomes indicate kidney disease (KD) with podocyte injury, offering a potential non-invasive diagnostic biomarker.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Nephrology

Background:

  • Migrasomes are novel extracellular microvesicles (500-3000 nm) released by migrating cells.
  • They contain various RNAs and proteins and are detectable in bodily fluids like urine.
  • Migrasomes offer potential as non-invasive biomarkers for disease diagnosis via liquid biopsy.

Purpose of the Study:

  • To develop and validate a method for capturing and quantifying migrasomes.
  • To assess urinary migrasome levels in kidney disease (KD) patients with podocyte injury versus healthy individuals.
  • To investigate the presence of phospholipase A2 receptor (PLA2R) on urinary migrasomes.

Main Methods:

  • Developed a Wheat Germ Agglutinin (WGA)-coated magnetic bead and flow cytometry (WBFC) method for migrasome capture and quantification.
  • Analyzed urine samples from KD patients with podocyte injury and healthy controls using WBFC.
  • Quantified PLA2R protein expression on urinary migrasomes.

Main Results:

  • The WBFC method provided streamlined and effective capture and quantification of migrasomes.
  • Urinary migrasome concentrations were significantly elevated in KD patients with podocyte injury compared to healthy controls.
  • Urinary podocyte-derived migrasomes were found to be abundant in phospholipase A2 receptor (PLA2R) proteins.

Conclusions:

  • The WBFC technique is a novel and effective approach for isolating and quantifying migrasomes.
  • Urinary migrasomes show promise as a biomarker for early diagnosis of KD with podocyte injury.
  • PLA2R-expressing urinary migrasomes may serve as a diagnostic antigen for anti-PLA2R autoantibodies in membranous nephropathy.