Evidence map›Paper›PMID 34767537›Full record

ArticleJCI insight2021

Cross-validation of SARS-CoV-2 responses in kidney organoids and clinical populations.

Louisa Helms, Silvia Marchiano, Ian B Stanaway, Tien-Ying Hsiang, Benjamin A Juliar, Shally Saini, Yan Ting Zhao, Akshita Khanna, Rajasree Menon, Fadhl Alakwaa and 11 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Organoids: physiologically relevantJournal of virology · 2025
    Review
  10. Article
  11. Review
  12. Interactions of SARS-CoV-2 with Human Target Cells-A Metabolic View.International journal of molecular sciences · 2024
    Review
  13. Review
  14. Article
  15. Article
  16. Kidney Disease Modeling with Organoids and Organs-on-Chips.Annual review of biomedical engineering · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 5 institutions in 4 countries.

Louisa HelmsDepartment of Medicine.
Silvia MarchianoDepartment of Medicine.
Ian B StanawayDepartment of Medicine.
Tien-Ying HsiangCenter for Innate Immunity and Immune Disease, Department of Immunology.
Benjamin A JuliarDepartment of Medicine.
Shally SainiInstitute for Stem Cell and Regenerative Medicine.
Yan Ting ZhaoInstitute for Stem Cell and Regenerative Medicine.
Akshita KhannaInstitute for Stem Cell and Regenerative Medicine.
Rajasree MenonDivision of Nephrology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Fadhl AlakwaaDivision of Nephrology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Carmen MikacenicDepartment of Medicine.
Eric D MorrellDepartment of Medicine.
Mark M WurfelDepartment of Medicine.
Matthias KretzlerDivision of Nephrology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Jennifer L HarderDivision of Nephrology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Charles E MurryDepartment of Medicine.
Jonathan HimmelfarbDepartment of Medicine.
Hannele Ruohola-BakerInstitute for Stem Cell and Regenerative Medicine.
Pavan K BhatrajuDepartment of Medicine.
Michael GaleCenter for Innate Immunity and Immune Disease, Department of Immunology.
Benjamin S FreedmanDepartment of Medicine.
University of Washington · USKidney Research UK · GBUniversity of Michigan · USInstitute for Stem Cell Biology and Regenerative Medicine · INSana Biotechnology (United States) · US

Funding

Washington National Primate Research CenterP51OD010425 · OD · UNIVERSITY OF WASHINGTON · PI Mari Ostendorf · 2012 to 2026
$201.8M
Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DAVID P OLSON · 2013 to 2026
$24.3M
Central Hub for Kidney Precision MedicineU24DK114886 · NIDDK · UNIVERSITY OF WASHINGTON · PI Jonathan Himmelfarb, Matthias Kretzler · 2022 to 2026
$21.1M
LABORATORY OF DEVELOPMENTAL BIOLOGYR24HD000836 · NICHD · UNIVERSITY OF WASHINGTON · PI Ian Amos Glass · 1995 to 2026
$16.9M
University of Washington Arboviral Research Network (UWARN)U01AI151698 · NIAID · UNIVERSITY OF WASHINGTON · PI Michael Gale, PETER MACGARR RABINOWITZ · 2020 to 2026
$13.3M
NRSA Training CoreTL1TR002318 · NCATS · UNIVERSITY OF WASHINGTON · PI Megan Moore · 2017 to 2026
$8.4M
Comprehensive Training in Inter-Disciplinary Oral Health ResearchT90DE021984 · NIDCR · UNIVERSITY OF WASHINGTON · PI Robert Aaron Cornell · 2012 to 2026
$7.9M
Tissue Chip Data to the Microphysiology Systems Database (MPS-Db) Supplement to A Microphysiological System for Kidney Disease Modeling and Drug Efficacy TestingUH3TR002158 · NCATS · UNIVERSITY OF WASHINGTON · PI HIMMELFARB, JONATHAN · 2019 to 2021
$4.2M
Cell specific delivery of novel therapies to enhance glomerular regeneration and repairUC2DK126006 · NIDDK · UNIVERSITY OF WASHINGTON · PI SHANKLAND, STUART JAMES · 2020 to 2024
$4.0M
Role of Kidney Proximal Tubular Secretion in Critical IllnessR01DK124063 · NIDDK · UNIVERSITY OF WASHINGTON · PI KESTENBAUM, BRYAN R, WURFEL, MARK M · 2020 to 2023
$3.2M
A Microphysiological System for Kidney Disease Modeling and Drug Efficacy TestingUG3TR002158 · NCATS · UNIVERSITY OF WASHINGTON · PI HIMMELFARB, JONATHAN · 2017 to 2018
$2.9M
Safety and Efficacy of Human Clinical Trials Using Kidney-on-a-Chip Microphysiological SystemsUH3TR003288 · NCATS · UNIVERSITY OF WASHINGTON · PI FREEDMAN, BENJAMIN SOLOMON, HIMMELFARB, JONATHAN · 2022 to 2024
$2.3M
NCATS NIH HHS TL1 TR002318NCATS NIH HHS UG3 TR002158NCATS NIH HHS UG3 TR003288NCATS NIH HHS UH3 TR002158NCATS NIH HHS UH3 TR003288NHLBI NIH HHS K23 HL144916NIAID NIH HHS R21 AI158788NIAID NIH HHS U01 AI151698NICHD NIH HHS R24 HD000836NIDCR NIH HHS T90 DE021984NIDDK NIH HHS F31 DK130550NIDDK NIH HHS K23 DK116967NIDDK NIH HHS P30 DK020572NIDDK NIH HHS R01 DK117914NIDDK NIH HHS R01 DK124063NIDDK NIH HHS R01 DK130386NIDDK NIH HHS U01 DK127553NIDDK NIH HHS U24 DK114886NIDDK NIH HHS UC2 DK126006NIDDK NIH HHS UH3 DK114908NIH HHS P51 OD010425
6 · The paper itself

Abstract

Kidneys are critical target organs of COVID-19, but susceptibility and responses to infection remain poorly understood. Here, we combine SARS-CoV-2 variants with genome-edited kidney organoids and clinical data to investigate tropism, mechanism, and therapeutics. SARS-CoV-2 specifically infects organoid proximal tubules among diverse cell types. Infections produce replicating virus, apoptosis, and disrupted cell morphology, features of which are revealed in the context of polycystic kidney disease. Cross-validation of gene expression patterns in organoids reflects proteomic signatures of COVID-19 in the urine of critically ill patients indicating interferon pathway upregulation. SARS-CoV-2 viral variants alpha, beta, gamma, kappa, and delta exhibit comparable levels of infection in organoids. Infection is ameliorated in ACE2-/- organoids and blocked via treatment with de novo-designed spike binder peptides. Collectively, these studies clarify the impact of kidney infection in COVID-19 as reflected in organoids and clinical populations, enabling assessment of viral fitness and emerging therapies.

Indexed as

Acute Kidney InjuryAdultAgedAngiotensin-Converting Enzyme 2AnimalsApoptosisBowman CapsuleChlorocebus aethiopsCOVID-19FemaleGene Knockout TechniquesHospitalizationHospital MortalityHumansKidneyKidney Tubules, ProximalAngiotensin-Converting Enzyme 2Protein Kinase D2ProteomeReceptors, CoronavirusCOVID-19Genetic diseasesiPS cellsMolecular pathologyNephrology

Identifiers

PMID34767537
PMCPMC8783682
OpenAlexW3212175417

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.