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Updated: Aug 11, 2026

Generation of Human Kidney Tubuloids from Tissue and Urine
Published on: April 16, 2021
[Tumorigenesis of kidney tubule]
1Department of Internal Medicine, Kanazawa Medical University.
Abstract:
Renal cell carcinoma is derived from renal tubule, blastematous tubule or nephrogenic rest. Most common sporadic clear cell tumors have structural changes of the chromosomes, such as the cancer suppressor genes at 3p14, 3p21 or 3p25 (VHL gene). Cytogenetically, clear cell tumor (non papillary tumor) initially develops as a cancer, while papillary tumor progresses sequentially from atypical tubule to adenoma to carcinoma. Papillary tumors demonstrate numeric changes in the chromosomes. Renal cell carcinoma complicated with acquired renal cysts in dialysis patients tends to develop from papillary tumor. However, the exact mechanism inducing these genetic changes remains to be clarified.
Insights
Renal cell carcinoma (RCC) originates from kidney structures. Clear cell RCC involves chromosomal changes, while papillary RCC progresses through stages and shows numeric chromosomal alterations.
Area of Science:
- Nephrology
- Oncology
- Genetics
Context:
- Renal cell carcinoma (RCC) arises from renal tubules, blastematous tubules, or nephrogenic rests.
- Clear cell RCC, the most common type, is associated with structural chromosomal changes, particularly involving tumor suppressor genes like VHL at 3p14, 3p21, or 3p25.
- Papillary RCC, in contrast, progresses sequentially from atypical tubules to adenoma and then carcinoma, characterized by numeric chromosomal changes.
Purpose:
- To differentiate the cytogenetic origins and progression pathways of clear cell and papillary renal cell carcinoma.
- To highlight the chromosomal abnormalities associated with different RCC subtypes.
- To note the association of papillary RCC with acquired renal cysts in dialysis patients.
Summary:
- Clear cell renal cell carcinoma (RCC) exhibits structural chromosomal changes, often affecting tumor suppressor genes (e.g., VHL).
- Papillary RCC shows a sequential progression from atypical tubules to carcinoma, with numeric chromosomal alterations.
- Dialysis-associated acquired renal cysts in RCC patients are linked to the papillary subtype.
Impact:
- Provides a clearer understanding of the distinct genetic mechanisms underlying clear cell and papillary RCC.
- Suggests potential differences in tumorigenesis and progression based on cytogenetic profiles.
- Informs future research into the specific genetic drivers and potential therapeutic targets for different RCC subtypes.
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