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10.34067/KID.0005522021

http://scihub22266oqcxt.onion/10.34067/KID.0005522021
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suck abstract from ncbi


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pmid35368565      Kidney360 2022 ; 3 (1): 28-36
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  • Single-Cell RNA Sequencing of Urinary Cells Reveals Distinct Cellular Diversity in COVID-19-Associated AKI #MMPMID35368565
  • Cheung MD; Erman EN; Liu S; Erdmann NB; Ghajar-Rahimi G; Moore KH; Edberg JC; George JF; Agarwal A
  • Kidney360 2022[Jan]; 3 (1): 28-36 PMID35368565show ga
  • BACKGROUND: AKI is a common sequela of infection with SARS-CoV-2 and contributes to the severity and mortality from COVID-19. Here, we tested the hypothesis that kidney alterations induced by COVID-19-associated AKI could be detected in cells collected from urine. METHODS: We performed single-cell RNA sequencing (scRNAseq) on cells recovered from the urine of eight hospitalized patients with COVID-19 with (n=5) or without AKI (n=3) as well as four patients with non-COVID-19 AKI (n=4) to assess differences in cellular composition and gene expression during AKI. RESULTS: Analysis of 30,076 cells revealed a diverse array of cell types, most of which were kidney, urothelial, and immune cells. Pathway analysis of tubular cells from patients with AKI showed enrichment of transcripts associated with damage-related pathways compared with those without AKI. ACE2 and TMPRSS2 expression was highest in urothelial cells among cell types recovered. Notably, in one patient, we detected SARS-CoV-2 viral RNA in urothelial cells. These same cells were enriched for transcripts associated with antiviral and anti-inflammatory pathways. CONCLUSIONS: We successfully performed scRNAseq on urinary sediment from hospitalized patients with COVID-19 to noninvasively study cellular alterations associated with AKI and established a dataset that includes both injured and uninjured kidney cells. Additionally, we provide preliminary evidence of direct infection of urinary bladder cells by SARS-CoV-2. The urinary sediment contains a wealth of information and is a useful resource for studying the pathophysiology and cellular alterations that occur in kidney diseases.
  • |*Acute Kidney Injury/etiology[MESH]
  • |*COVID-19/complications[MESH]
  • |Humans[MESH]
  • |Kidney[MESH]
  • |SARS-CoV-2[MESH]


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