Nature Communications (Aug 2024)

Plasma proteomics of acute tubular injury

  • Insa M. Schmidt,
  • Aditya L. Surapaneni,
  • Runqi Zhao,
  • Dhairya Upadhyay,
  • Wan-Jin Yeo,
  • Pascal Schlosser,
  • Courtney Huynh,
  • Anand Srivastava,
  • Ragnar Palsson,
  • Taesoo Kim,
  • Isaac E. Stillman,
  • Daria Barwinska,
  • Jonathan Barasch,
  • Michael T. Eadon,
  • Tarek M. El-Achkar,
  • Joel Henderson,
  • Dennis G. Moledina,
  • Sylvia E. Rosas,
  • Sophie E. Claudel,
  • Ashish Verma,
  • Yumeng Wen,
  • Maja Lindenmayer,
  • Tobias B. Huber,
  • Samir V. Parikh,
  • John P. Shapiro,
  • Brad H. Rovin,
  • Ian B. Stanaway,
  • Neha A. Sathe,
  • Pavan K. Bhatraju,
  • Josef Coresh,
  • the Kidney Precision Medicine Project,
  • Eugene P. Rhee,
  • Morgan E. Grams,
  • Sushrut S. Waikar

DOI
https://doi.org/10.1038/s41467-024-51304-x
Journal volume & issue
Vol. 15, no. 1
pp. 1 – 11

Abstract

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Abstract The kidney tubules constitute two-thirds of the cells of the kidney and account for the majority of the organ’s metabolic energy expenditure. Acute tubular injury (ATI) is observed across various types of kidney diseases and may significantly contribute to progression to kidney failure. Non-invasive biomarkers of ATI may allow for early detection and drug development. Using the SomaScan proteomics platform on 434 patients with biopsy-confirmed kidney disease, we here identify plasma biomarkers associated with ATI severity. We employ regional transcriptomics and proteomics, single-cell RNA sequencing, and pathway analysis to explore biomarker protein and gene expression and enriched biological pathways. Additionally, we examine ATI biomarker associations with acute kidney injury (AKI) in the Kidney Precision Medicine Project (KPMP) (n = 44), the Atherosclerosis Risk in Communities (ARIC) study (n = 4610), and the COVID-19 Host Response and Clinical Outcomes (CHROME) study (n = 268). Our findings indicate 156 plasma proteins significantly linked to ATI with osteopontin, macrophage mannose receptor 1, and tenascin C showing the strongest associations. Pathway analysis highlight immune regulation and organelle stress responses in ATI pathogenesis.