ヒト腎臓オルガノイドで慢性腎臓病の老化・線維化過程を再現~患者由来細胞から構築した三次元モデルが創薬プラットフォームに~

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2025-10-22 東京科学大学

東京科学大学(Science Tokyo)の研究チームは、患者由来の腎尿細管上皮細胞から三次元培養モデル「ヒト腎尿細管オルガノイド(tubuloid)」を作製し、慢性腎臓病(CKD)の老化・炎症・線維化過程を再現することに成功した。tubuloidに抗がん剤シスプラチンを反復投与することで、DNA損傷、細胞老化、炎症性サイトカインの分泌、線維化誘導といったCKDの典型的病態連鎖を段階的に観察できた。この成果により、ヒト細胞レベルでCKD進行機構を解析できる創薬プラットフォームが確立し、薬剤毒性評価や新規治療薬開発への応用が期待される。従来の動物モデルでは再現困難だったヒト特有の慢性病態を精密に模倣できる点で大きな意義を持ち、再生医療や腎疾患研究に新たな基盤を提供する。成果は『Advanced Healthcare Materials』誌に掲載。

ヒト腎臓オルガノイドで慢性腎臓病の老化・線維化過程を再現~患者由来細胞から構築した三次元モデルが創薬プラットフォームに~
図1.患者摘出腎由来尿細管オルガノイドの顕微鏡写真

<関連情報>

薬剤スクリーニングのためのシスプラチン誘発性細胞老化および線維化の反復を誘発するヒト腎臓管状モデル A Human Kidney Tubuloid Model of Repeated Cisplatin-Induced Cellular Senescence and Fibrosis for Drug Screening

Yuki Nakao, Makiko Mori, Yuta Sekiguchi, Iori Morita, Ryota Shindoh, Shintaro Mandai, Tamami Fujiki, Hiroaki Kikuchi, Fumiaki Ando, Koichiro Susa, Takayasu Mori, Ayumi Suzuki …
Advanced Healthcare Materials  Published: 09 October 2025
DOI:https://doi.org/10.1002/adhm.202501795

Abstract

In advancing pathophysiological models to assess renal drug responses, kidney organoids derived from human pluripotent stem cells mark notable progress. However, replicating aging- and senescence-related pathologies remains a challenge. In this study, an alternative model is introduced using “tubuloids”—epithelial-like structures generated from primary human renal proximal tubular epithelial cells (hRPTECs) isolated from resected human kidneys. Bulk RNA-seq deconvolution confirmed that tubuloids are highly differentiated and predominantly composed of proximal tubule-like cells. Exposure to cisplatin increased γH2AX, Kidney Injury Molecule-1, and Cleaved Caspase-3, markers for DNA damage response, epithelial damage, and apoptosis, respectively. Repeated cisplatin administration resulted in the upregulation of senescence markers and secretion of inflammatory cytokines, consistent with a senescence-associated secretory phenotype (SASP). Supernatants from cisplatin-treated tubuloids triggered myofibroblast activation, suggesting early fibrotic changes. A hRPTEC-derived tubuloid model of cisplatin-induced kidney injury is successfully developed that mimics senescence, SASP, and fibrosis—hallmarks of chronic kidney disease. This model offers a promising human-relevant platform for studying renal epithelial responses and drug screening.

医療・健康
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