Single-cell analysis reveals shared adaptive responses across different types of podocyte injury

Liuxiao Yang1,2, Lijun Sun2, Wu Liu2

  • 1School of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, China.

Frontiers in Immunology
|January 1, 2026
PubMed
Abstract

Insights

This study reveals how podocyte injury differs and converges across kidney diseases like IgA nephropathy and AKI. Understanding these adaptive responses offers new therapeutic targets for kidney disease.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Genomics

Background:

  • Podocyte damage is central to kidney disease progression, causing proteinuria and renal dysfunction.
  • Existing knowledge of podocyte injury mechanisms across different kidney diseases is limited.
  • Single-cell RNA sequencing (scRNA-seq) offers high-resolution insights into cellular states and disease mechanisms.

Purpose of the Study:

  • To investigate the molecular mechanisms and cellular responses of podocyte injury in IgA nephropathy (IgAN), idiopathic membranous nephropathy (IMN), and acute kidney injury (AKI).
  • To identify distinct and shared pathways involved in podocyte adaptation and damage across these kidney diseases.
  • To uncover potential therapeutic targets by understanding the heterogeneity and convergence of podocyte injury.

Main Methods:

  • Integrated 16 scRNA-seq datasets comprising 73,684 cells from healthy individuals and patients with IgAN, IMN, and AKI.
  • Identified 11 major cell types and analyzed podocyte injury mechanisms and intercellular crosstalk within the glomerular niche.
  • Validated key molecular findings using immunohistochemistry.

Main Results:

  • Distinct podocyte injury mechanisms were identified: HSPG2 signaling in IgAN, extracellular matrix gene upregulation in IMN, and SPP1 signaling in AKI.
  • Podocytes exhibited convergent adaptive responses including structural disruption, mitochondrial compensation, and stress pathway activation.
  • These responses progressed from adaptation to irreversible functional dysregulation and damage.

Conclusions:

  • Single-cell RNA analysis revealed both heterogeneous and shared adaptive responses in injured podocytes.
  • The study provides novel insights into the molecular underpinnings of podocyte injury in diverse kidney diseases.
  • Identified potential therapeutic targets for mitigating podocyte damage and improving kidney outcomes.