Discovery of kidney disease targets using multimodal human podocyte injury models

Amanda D Barreto1, Bowen Jiang2, Morgan A Burt2

  • 1Department of Biomedical Engineering, Duke University, Durham, NC 27708, USA; Center for Biomolecular and Tissue Engineering, Duke University, Durham, NC 27708, USA.

Stem Cell Reports
|April 3, 2026
PubMed

Insights

Podocyte injury in chronic kidney disease involves shared and unique molecular responses. Researchers identified NEU1, CD82, ABI3BP, and ADAM17 as key targets, offering potential for new precision medicine treatments.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Stem Cell Biology

Background:

  • Podocyte injury is a critical factor in chronic kidney disease (CKD) and organ failure.
  • Understanding the molecular targets affected by diverse injury signals in podocytes is crucial but remains unclear.

Purpose of the Study:

  • To investigate whether different injury signals affect unified or distinct molecular targets in podocytes.
  • To identify novel therapeutic targets for podocyte injury in CKD.

Main Methods:

  • Utilized human induced pluripotent stem cell (hiPSC)-derived podocytes to model cellular injury.
  • Exposed cells to diabetic, inflammatory, chemical toxin, biomechanical, and infectious stressors.
  • Performed transcriptomic analysis and validated findings in kidney disease patient biopsies.

Main Results:

  • Transcriptomic analysis revealed both conserved and unique gene expression changes across various injury modes.
  • Identified conserved pathways including lysosome function, RNA metabolism, and immune activation.
  • Discovered NEU1, CD82, ABI3BP, and ADAM17 as specific targets of human podocyte injury, confirmed in patient biopsies.

Conclusions:

  • Human-relevant experimental models effectively predict podocyte injury responses.
  • NEU1, CD82, ABI3BP, and ADAM17 represent significant in vivo targets with therapeutic potential.
  • Findings provide a framework for developing precision medicine approaches for CKD.