PMID- 32150447 OWN - NLM STAT- MEDLINE DCOM- 20200714 LR - 20210402 IS - 1522-1466 (Electronic) IS - 1931-857X (Print) IS - 1522-1466 (Linking) VI - 318 IP - 4 DP - 2020 Apr 1 TI - Evaluation of cisplatin-induced injury in human kidney organoids. PG - F971-F978 LID - 10.1152/ajprenal.00597.2019 [doi] AB - Acute kidney injury (AKI) remains a major global healthcare problem, and there is a need to develop human-based models to study AKI in vitro. Toward this goal, we have characterized induced pluripotent stem cell-derived human kidney organoids and their response to cisplatin, a chemotherapeutic drug that induces AKI and preferentially damages the proximal tubule. We found that a single treatment with 50 microM cisplatin induces hepatitis A virus cellular receptor 1 (HAVCR1) and C-X-C motif chemokine ligand 8 (CXCL8) expression, DNA damage (gammaH2AX), and cell death in the organoids but greatly impairs organoid viability. DNA damage was not specific to the proximal tubule but also affected the distal tubule and interstitial cell populations. This lack of specificity correlated with low expression of proximal tubule-specific SLC22A2/organic cation transporter 2 (OCT2) for cisplatin. To improve viability, we developed a repeated low-dose regimen of 4 x 5 microM cisplatin over 7 days and found this caused less toxicity while still inducing a robust injury response that included secretion of known AKI biomarkers and inflammatory cytokines. This work validates the use of human kidney organoids to model aspects of cisplatin-induced injury, with the potential to identify new AKI biomarkers and develop better therapies. FAU - Digby, Jenny L M AU - Digby JLM AD - Department of Molecular Medicine and Pathology, University of Auckland, Auckland, New Zealand. FAU - Vanichapol, Thitinee AU - Vanichapol T AD - Department of Molecular Medicine and Pathology, University of Auckland, Auckland, New Zealand. FAU - Przepiorski, Aneta AU - Przepiorski A AD - Department of Molecular Medicine and Pathology, University of Auckland, Auckland, New Zealand. FAU - Davidson, Alan J AU - Davidson AJ AD - Department of Molecular Medicine and Pathology, University of Auckland, Auckland, New Zealand. FAU - Sander, Veronika AU - Sander V AUID- ORCID: 0000-0002-2918-833X AD - Department of Molecular Medicine and Pathology, University of Auckland, Auckland, New Zealand. LA - eng GR - R01 DK069403/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20200309 PL - United States TA - Am J Physiol Renal Physiol JT - American journal of physiology. Renal physiology JID - 100901990 RN - 0 (Antineoplastic Agents) RN - 0 (CXCL8 protein, human) RN - 0 (H2AX protein, human) RN - 0 (HAVCR1 protein, human) RN - 0 (Hepatitis A Virus Cellular Receptor 1) RN - 0 (Histones) RN - 0 (Interleukin-8) RN - 0 (Organic Cation Transporter 2) RN - 0 (SLC22A2 protein, human) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Acute Kidney Injury/*chemically induced/genetics/metabolism/pathology MH - Antineoplastic Agents/metabolism/*toxicity MH - Cells, Cultured MH - Cisplatin/metabolism/*toxicity MH - *DNA Damage MH - Dose-Response Relationship, Drug MH - Hepatitis A Virus Cellular Receptor 1/genetics/metabolism MH - Histones/metabolism MH - Humans MH - Interleukin-8/genetics/metabolism MH - Kidney Tubules, Proximal/*drug effects/metabolism/pathology MH - Organic Cation Transporter 2/metabolism MH - Organoids/*drug effects/metabolism/pathology MH - Time Factors PMC - PMC7395477 OTO - NOTNLM OT - acute kidney injury OT - acute kidney injury biomarker OT - cisplatin OT - cytokine OT - inflammation OT - kidney organoids OT - nephrotoxicity OT - proximal tubule OT - repeated low-dose regimen COIS- No conflicts of interest, financial or otherwise, are declared by the authors. EDAT- 2020/03/10 06:00 MHDA- 2020/07/15 06:00 PMCR- 2021/04/01 CRDT- 2020/03/10 06:00 PHST- 2020/03/10 06:00 [pubmed] PHST- 2020/07/15 06:00 [medline] PHST- 2020/03/10 06:00 [entrez] PHST- 2021/04/01 00:00 [pmc-release] AID - F-00597-2019 [pii] AID - 10.1152/ajprenal.00597.2019 [doi] PST - ppublish SO - Am J Physiol Renal Physiol. 2020 Apr 1;318(4):F971-F978. doi: 10.1152/ajprenal.00597.2019. Epub 2020 Mar 9.