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Kidney organoids: steps towards better organization and function
Jamie A Davies1, Ian Holland1, Huseyin Gül1
1Deanery of Biomedical Sciences, University of Edinburgh, Hugh Robson Building, George Square, Edinburgh, U.K.
Biochemical Society Transactions
|June 27, 2024
Summary
Kidney organoids offer a promising alternative to animal models for disease research and drug screening. While challenges in vascularization and anatomical complexity remain, advancements suggest future potential for renal replacement therapy.
Area of Science:
- Biotechnology
- Regenerative Medicine
- Stem Cell Biology
Background:
- Kidney organoids, derived from stem cells, have been available for over a decade.
- They offer potential advantages over in vivo models, including the use of human cells and reduced ethical concerns.
- Current applications include disease modeling and drug screening.
Purpose of the Study:
- To review the current state and challenges of kidney organoid development.
- To explore their potential applications in medicine and research.
- To discuss future directions for improving kidney organoid complexity and function.
Main Methods:
- Review of existing literature on kidney organoid research.
- Analysis of current limitations in organoid development, including vascularization and anatomical organization.
- Discussion of advancements in differentiation techniques and assembly strategies.
Main Results:
- Kidney organoids currently represent fetal-stage tissue and lack organ-scale organization and proper vascularization.
- Techniques for improving cell specificity and organ-scale anatomy are being developed.
- Transplantation into hosts leads to vascularization and some renal function, but organotypic vascularization remains a challenge.
Conclusions:
- Further development is needed to improve kidney organoid complexity, vascularization, and functionality.
- Advanced organoids with a urine exit are required for more stringent functional assessment.
- Successful transplantation of even simplified organoids offers hope for future renal replacement therapies.

