TY - JOUR KW - Cellular signalling networks KW - translational research AU - Blue B. Lake AU - Rajasree Menon AU - Seth Winfree AU - Qiwen Hu AU - Ricardo Melo Ferreira AU - Kian Kalhor AU - Daria Barwinska AU - Edgar A. Otto AU - Michael Ferkowicz AU - Dinh Diep AU - Nongluk Plongthongkum AU - Amanda Knoten AU - Sarah Urata AU - Laura H. Mariani AU - Abhijit S. Naik AU - Sean Eddy AU - Bo Zhang AU - Yan Wu AU - Diane Salamon AU - James C. Williams AU - Xin Wang AU - Karol S. Balderrama AU - Paul J. Hoover AU - Evan Murray AU - Jamie L. Marshall AU - Teia Noel AU - Anitha Vijayan AU - Austin Hartman AU - Fei Chen AU - Sushrut S. Waikar AU - Sylvia E. Rosas AU - Francis P. Wilson AU - Paul M. Palevsky AU - Krzysztof Kiryluk AU - John R. Sedor AU - Robert D. Toto AU - Chirag R. Parikh AU - Eric H. Kim AU - Rahul Satija AU - Anna Greka AU - Evan Z. Macosko AU - Peter V. Kharchenko AU - Joseph P. Gaut AU - Jeffrey B. Hodgin AU - Michael T. Eadon AU - Pierre C. Dagher AU - Tarek M. El-Achkar AU - Kun Zhang AU - Matthias Kretzler AU - Sanjay Jain AB - Understanding kidney disease relies on defining the complexity of cell types and states, their associated molecular profiles and interactions within tissue neighbourhoods1. Here we applied multiple single-cell and single-nucleus assays (>400,000 nuclei or cells) and spatial imaging technologies to a broad spectrum of healthy reference kidneys (45 donors) and diseased kidneys (48 patients). This has provided a high-resolution cellular atlas of 51 main cell types, which include rare and previously undescribed cell populations. The multi-omic approach provides detailed transcriptomic profiles, regulatory factors and spatial localizations spanning the entire kidney. We also define 28 cellular states across nephron segments and interstitium that were altered in kidney injury, encompassing cycling, adaptive (successful or maladaptive repair), transitioning and degenerative states. Molecular signatures permitted the localization of these states within injury neighbourhoods using spatial transcriptomics, while large-scale 3D imaging analysis (around 1.2 million neighbourhoods) provided corresponding linkages to active immune responses. These analyses defined biological pathways that are relevant to injury time-course and niches, including signatures underlying epithelial repair that predicted maladaptive states associated with a decline in kidney function. This integrated multimodal spatial cell atlas of healthy and diseased human kidneys represents a comprehensive benchmark of cellular states, neighbourhoods, outcome-associated signatures and publicly available interactive visualizations. BT - Nature DA - 2023-07 DO - 10.1038/s41586-023-05769-3 IS - 7970 LA - en N2 - Understanding kidney disease relies on defining the complexity of cell types and states, their associated molecular profiles and interactions within tissue neighbourhoods1. Here we applied multiple single-cell and single-nucleus assays (>400,000 nuclei or cells) and spatial imaging technologies to a broad spectrum of healthy reference kidneys (45 donors) and diseased kidneys (48 patients). This has provided a high-resolution cellular atlas of 51 main cell types, which include rare and previously undescribed cell populations. The multi-omic approach provides detailed transcriptomic profiles, regulatory factors and spatial localizations spanning the entire kidney. We also define 28 cellular states across nephron segments and interstitium that were altered in kidney injury, encompassing cycling, adaptive (successful or maladaptive repair), transitioning and degenerative states. Molecular signatures permitted the localization of these states within injury neighbourhoods using spatial transcriptomics, while large-scale 3D imaging analysis (around 1.2 million neighbourhoods) provided corresponding linkages to active immune responses. These analyses defined biological pathways that are relevant to injury time-course and niches, including signatures underlying epithelial repair that predicted maladaptive states associated with a decline in kidney function. This integrated multimodal spatial cell atlas of healthy and diseased human kidneys represents a comprehensive benchmark of cellular states, neighbourhoods, outcome-associated signatures and publicly available interactive visualizations. PY - 2023 SP - 585 EP - 594 T2 - Nature TI - An atlas of healthy and injured cell states and niches in the human kidney UR - https://www.nature.com/articles/s41586-023-05769-3 VL - 619 Y2 - 2023-09-15 SN - 1476-4687 ER -