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Published on: July 2, 2020
Membranous Nephropathy Target Antigens Display Podocyte-Specific and Non-Specific Expression in Healthy Kidneys
Ying Dong1,2,3, Hui Xu4, Damu Tang1,2,3
1Department of Surgery, McMaster University, Hamilton, ON L8S 1C7, Canada.
Background/Objectives:
Autoimmunity towards podocyte antigens causes membranous nephropathy (MN). Numerous MN target antigens (MNTAgs) have been reported, including PLA2R1, THSD7A, NTNG1, TGFBR3, HTRA1, NDNF, SEMA3B, FAT1, EXT1, CNTN1, NELL1, PCDH7, EXT2, PCSK6, and NCAM1, but their podocyte expression has not been thoroughly studied.
Methods:
We screened CZ CELLxGene single-cell RNA (scRNA) sequence datasets for those of adult, fetal, and mouse kidneys and analyzed the above MNTAgs' expression.
Results:
In adult kidneys, most MNTAgs are present in podocytes, except PCSK6 and NCAM1. PLA2R1 is expressed significantly more than other MNTAgs in podocytes and is a major podocyte marker, consistent with PLA2R1 as the dominant MNTAg. Additionally, PLA2R1 is a top-upregulated gene in the podocytes of chronic kidney disease, acute kidney injury, and diabetic nephropathy, indicating its general role in causing podocyte injury. PLA2R1, NTNG1, HTRA1, and NDNF display podocyte-enriched expression along with elevated chromatin accessibility in podocytes, suggesting transcription initiation contributing to their preference expression in podocytes. In the fetal kidney, most MNTAgs are expressed in podocytes. While PLA2R1 is weakly present in podocytes, SEMA3B is abundantly expressed in immature and mature podocytes, supporting SEMA3B as a childhood MNTAg. In mouse kidneys, Thsd7a is the only MNTAg with a prominent level and podocyte-specific expression. Conclusions: Most MNTAgs are present in podocytes in adults and during renal development. In adults, PLA2R1 expression is highly enriched in podocytes and significantly upregulated in multiple kidney diseases accompanied by proteinuria. In mouse kidneys, Thsd7a is specifically expressed in podocytes at an elevated level.
Insights
Most membranous nephropathy target antigens are present in podocytes, with PLA2R1 being a key marker in adult kidney disease. SEMA3B is identified as a potential childhood MNTAg.
Area of Science:
- Nephrology
- Immunology
- Genomics
Background:
- Autoimmunity against podocyte antigens is a primary cause of membranous nephropathy (MN).
- Numerous MN target antigens (MNTAgs) have been identified, but their expression in podocytes remains largely uncharacterized.
- Understanding podocyte expression of MNTAgs is crucial for diagnosing and treating MN.
Purpose of the Study:
- To investigate the expression patterns of known MNTAgs in adult, fetal, and mouse podocytes.
- To identify potential MNTAgs relevant to different age groups and species.
- To correlate MNTAg expression with podocyte injury and disease states.
Main Methods:
- Utilized CZ CELLxGene single-cell RNA sequencing datasets from adult, fetal, and mouse kidneys.
- Analyzed the expression of a comprehensive list of MNTAgs, including PLA2R1, THSD7A, and others.
- Examined chromatin accessibility data to infer transcriptional regulation of MNTAg expression.
Main Results:
- Most MNTAgs are expressed in adult podocytes, with PLA2R1 showing significantly higher enrichment and acting as a major podocyte marker.
- PLA2R1 is upregulated in podocytes across various kidney diseases associated with proteinuria.
- SEMA3B is highly expressed in fetal podocytes, suggesting its role as a childhood MNTAg, while Thsd7a is prominent in mouse podocytes.
Conclusions:
- The majority of MNTAgs are expressed in podocytes during both adult life and renal development.
- PLA2R1 is a critical podocyte marker in adults, with its elevated expression linked to kidney diseases and proteinuria.
- Specific MNTAgs like SEMA3B and Thsd7a show distinct expression patterns in fetal and mouse kidneys, respectively, highlighting species- and developmental-specific roles.
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