Spatiotemporal transcriptomic analysis during cold ischemic injury to the murine kidney reveals compartment-specific

Srujan Singh1,2, Shishir Kumar Patel3, Ryo Matsuura3

  • 1Center for Computational Biology, Whiting School of Engineering, Johns Hopkins University, Baltimore, Maryland, USA.

Insights

Cold storage of donor kidneys causes cold ischemia injury, impacting transplant success. Spatial transcriptomics reveals molecular changes, including metabolic shifts and immune responses, offering new insights into kidney injury mechanisms.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Bioinformatics

Background:

  • Kidney transplantation is a primary treatment for end-stage renal disease.
  • Cold storage of deceased donor kidneys can lead to cold ischemia injury (CII), negatively affecting graft outcomes.
  • The molecular mechanisms underlying CII are not fully understood.

Purpose of the Study:

  • To comprehensively characterize the molecular mechanisms of cold ischemia injury (CII) in kidney grafts.
  • To investigate the spatiotemporal transcriptomic changes during CII using spatial transcriptomics.
  • To identify specific kidney compartments affected by CII.

Main Methods:

  • Utilized a murine model to study kidney tissues subjected to cold ischemia for 0-48 hours.
  • Applied spatial transcriptomics for full transcriptome characterization.
  • Developed a computational workflow to analyze spatiotemporal transcriptomic data in a compartment-specific manner.

Main Results:

  • Identified significant metabolic reprogramming in the kidney inner medulla, characterized by increased oxidative phosphorylation under ischemic conditions.
  • Observed an induction of an anti-viral-like immune response across renal tissues, similar to warm ischemia-reperfusion injury.
  • Spatial analysis revealed pathological changes deep within the kidney tissue.

Conclusions:

  • The study provides systems-level insights into the molecular basis of cold ischemia injury in kidney transplantation.
  • Findings highlight the importance of spatial analysis for understanding kidney injury beyond superficial tissue examination.
  • An interactive online browser was created to share these valuable transcriptomic data with the research community.

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