Mature induced-pluripotent-stem-cell-derived human podocytes reconstitute kidney glomerular-capillary-wall function on a chip

S Musah, A Mammoto, TC Ferrante… - Nature biomedical …, 2017 - nature.com
S Musah, A Mammoto, TC Ferrante, SSF Jeanty, M Hirano-Kobayashi, T Mammoto
Nature biomedical engineering, 2017nature.com
An in vitro model of the human kidney glomerulus—the major site of blood filtration—could
facilitate drug discovery and illuminate kidney-disease mechanisms. Microfluidic organ-on-a-
chip technology has been used to model the human proximal tubule, yet a kidney-
glomerulus-on-a-chip has not been possible because of the lack of functional human
podocytes—the cells that regulate selective permeability in the glomerulus. Here, we
demonstrate an efficient (over 90%) and chemically defined method for directing the …
Abstract
An in vitro model of the human kidney glomerulus—the major site of blood filtration—could facilitate drug discovery and illuminate kidney-disease mechanisms. Microfluidic organ-on-a-chip technology has been used to model the human proximal tubule, yet a kidney-glomerulus-on-a-chip has not been possible because of the lack of functional human podocytes—the cells that regulate selective permeability in the glomerulus. Here, we demonstrate an efficient (over 90%) and chemically defined method for directing the differentiation of human induced pluripotent stem (hiPS) cells into podocytes that express markers for a mature phenotype (nephrin+, WT1+, podocin+, PAX2) and that exhibit primary and secondary foot processes. We also show that the hiPS-cell-derived podocytes produce glomerular basement-membrane collagen and recapitulate the natural tissue–tissue interface of the glomerulus, as well as the differential clearance of albumin and inulin, when co-cultured with human glomerular endothelial cells in an organ-on-a-chip microfluidic device. The glomerulus-on-a-chip also mimics adriamycin-induced albuminuria and podocyte injury. This in vitro model of human glomerular function with mature human podocytes may facilitate drug development and personalized-medicine applications.
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