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Updated: Jun 19, 2025

Generation of Human Kidney Tubuloids from Tissue and Urine
Published on: April 16, 2021
Advanced Kidney Models In Vitro Using the Established Cell Line Renal Proximal Tubular Epithelial/Telomerase Reverse
Alodia Lacueva-Aparicio1,2, Laura Martínez-Gimeno1,3,4, Pilar Torcal1,3,4
1Renal and Cardiovascular Physiopathology (FISIOPREN), Aragon Health Science Institute, 50009 Zaragoza, Spain.
Abstract:
Nephrotoxicity stands as one of the most limiting effects in the development and validation of new drugs. The kidney, among the organs evaluated in toxicity assessments, has a higher susceptibility, with nephrotoxic potential frequently evading detection until late in clinical trials. Traditional cell culture, which has been widely used for decades, does not recapitulate the structure and complexity of the native tissue, which can affect cell function, and the response to cytotoxins does not resemble what occurs in the kidney. In the current study, we aimed to address these challenges by creating in vitro kidney models that faithfully biomimic the dynamics of the renal proximal tubule, using the well-established RPTEC/TERT1 cell line. For doing so, two models were developed, one recreating tubule-like structures (2.5D model) and the other using microfluidic technology (kidney-on-a-chip). The 2.5D model allowed tubular structures to be generated in the absence of hydrogels, and the kidney-on-a-chip model allowed shear stress to be applied to the cell culture, which is a physiological stimulus in the renal tissue. After characterization of both models, different nephrotoxic compounds such as cisplatin, tacrolimus, and daunorubicin were used to study cell responses after treatment. The developed models in our study could be a valuable tool for pre-clinical nephrotoxic testing of drugs and new compounds.
Insights
New in vitro kidney models mimic renal tubules to improve drug safety testing. These models enhance preclinical nephrotoxicity assessments, identifying potential drug dangers earlier and more effectively.
Area of Science:
- Biomedical Engineering
- Toxicology
- Renal Physiology
Background:
- Nephrotoxicity is a major challenge in drug development, often detected late in clinical trials.
- Traditional cell cultures fail to replicate kidney tissue complexity and function, leading to inaccurate toxicity predictions.
- The kidney's susceptibility to drug-induced damage necessitates improved preclinical assessment methods.
Purpose of the Study:
- To develop advanced in vitro kidney models that accurately mimic the renal proximal tubule.
- To create models capable of recapitulating physiological conditions like shear stress.
- To establish a more reliable platform for preclinical nephrotoxicity testing.
Main Methods:
- Development of a 2.5D model for hydrogel-free tubule structure generation.
- Implementation of a kidney-on-a-chip microfluidic model to apply physiological shear stress.
- Utilizing RPTEC/TERT1 cell line for both model systems.
- Testing model efficacy with known nephrotoxic compounds (cisplatin, tacrolimus, daunorubicin).
Main Results:
- Successfully generated kidney tubule-like structures in the 2.5D model.
- Successfully applied physiological shear stress in the kidney-on-a-chip model.
- Observed distinct cellular responses to nephrotoxic compounds in the developed models.
- Validated the models' potential for detecting drug-induced kidney damage.
Conclusions:
- The developed 2.5D and kidney-on-a-chip models offer a more physiologically relevant in vitro system for kidney research.
- These advanced models can significantly improve the early detection of drug nephrotoxicity.
- The models represent a valuable tool for preclinical drug safety evaluation, potentially reducing late-stage trial failures.
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