Organoid cystogenesis reveals a critical role of microenvironment in human polycystic kidney disease

Nelly M. Cruz, Xuewen Song, Stefan M. Czerniecki, Ramila E. Gulieva, Angela J. Churchill, Yong Kyun Kim, Kosuke Winston, Linh M. Tran, Marco A. Diaz, Hongxia Fu, Laura S. Finn, York Pei, Jonathan Himmelfarb, Benjamin S. Freedman

Research output: Contribution to journalLetterpeer-review

238 Scopus citations

Abstract

Polycystic kidney disease (PKD) is a life-threatening disorder, commonly caused by defects in polycystin-1 (PC1) or polycystin-2 (PC2), in which tubular epithelia form fluid-filled cysts1,2.Amajor barrier to understanding PKD is the absence of human cellular models that accurately and efficiently recapitulate cystogenesis3,4. Previously, we have generated a genetic model of PKD using human pluripotent stem cells and derived kidney organoids5,6. Herewe showthat systematic substitution of physical components can dramatically increase or decrease cyst formation, unveiling a critical role for microenvironment in PKD. Removal of adherent cues increases cystogenesis 10-fold, producing cysts phenotypically resembling PKD that expand massively to 1-centimetre diameters. Removal of stroma enables outgrowth of PKD cell lines, which exhibit defects in PC1 expression and collagen compaction. Cyclic adenosine monophosphate (cAMP), when added, induces cysts in both PKD organoids and controls. These biomaterials establish a highly efficient model of PKD cystogenesis that directly implicates the microenvironment at the earliest stages of the disease.

Original languageEnglish
Pages (from-to)1112-1119
Number of pages8
JournalNature Materials
Volume16
Issue number11
DOIs
StatePublished - 2 Oct 2017

Bibliographical note

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© 2017 Macmillan Publishers Limited, part of Springer Nature. All rights reserved.

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