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肾脏病与透析肾移植杂志 ›› 2026, Vol. 35 ›› Issue (5): 401-408.DOI: 10.3969/j.issn.1006-298X.2026.05.001

• 论著 •    下一篇

单细胞转录组测序揭示近端肾小管细胞异质性与Col4a1-Sdc4轴在肾纤维化中的作用

  

  • 出版日期:2026-10-27 发布日期:2026-10-27

Single-cell transcriptome sequencing reveals proximal tubular cell heterogeneity and the role of the Col4a1-Sdc4 axis in renal fibrosis

  • Online:2026-10-27 Published:2026-10-27

摘要: 目的:通过单细胞转录组测序(single-cell transcriptome sequencing,scRNA-seq)解析肾纤维化的细胞与分子特征,筛选并鉴定关键调控信号轴,为肾纤维化的机制研究与靶向干预提供新依据。方法:构建单侧输尿管梗阻(unilateral ureteral obstruction,UUO)肾纤维化大鼠模型,采用scRNA-seq对肾组织进行细胞分群鉴定、差异基因筛选、拟时序分析及细胞间通讯解析,筛选肾纤维化相关关键分子并揭示细胞互作模式;结合HE染色、Masson染色与免疫荧光双标染色进行组织学验证。结果:鉴定出12种主要细胞类型,提示近端肾小管细胞(proximal tubular cells,PTC)为肾纤维化进程中的核心功能细胞,且可分为5个具有显著功能异质性的亚群;拟时序分析显示,PTC损伤演化伴随炎症相关转录特征逐步增强;细胞通讯分析提示,Col4a1-Sdc4信号轴可能介导PTC、内皮细胞与成纤维细胞异常通讯;免疫荧光染色验证COL4A1、SDC4在纤维化肾组织中高表达且存在空间共定位,进一步支持该信号轴参与肾纤维化病理过程。结论:本研究揭示了PTC在UUO模型肾纤维化中的功能异质性,提示Col4a1-Sdc4轴介导的多细胞异常通讯可能是肾纤维化的重要分子机制。

关键词: 单细胞转录组测序,肾纤维化,近端肾小管细胞,细胞异质性,Col4a1-Sdc4

Abstract:

Objective: To dissect the cellular and molecular features of renal fibrosis and identify key regulatory signaling axes via single-cell transcriptome sequencing (scRNA-seq), so as to provide new evidence for mechanistic investigation and targeted intervention of renal fibrosis. Methods: Unilateral Ureteral Obstruction (UUO) rat models of renal fibrosis were established. scRNA-seq was performed for cell clustering, marker gene screening, pseudotime trajectory and cell-cell communication analysis of renal tissues to screen key molecules and characterize cell interaction patterns. HE, Masson and immunofluorescence double staining were used for histological validation. Results: A total of 12 major cell types were identified. PTCs were suggested as core functional cells in renal fibrosis and could be divided into 5 subsets with distinct functional heterogeneity. Pseudotime analysis showed that inflammatory transcriptional signatures gradually increased during PTC injury progression. Cell communication analysis indicated that the Col4a1-Sdc4 axis might mediate abnormal crosstalk among PTCs, endothelial cells and fibroblasts. Immunofluorescence confirmed COL4A1 and SDC4 in fibrotic kidneys, further supporting the involvement of this axis in renal fibrosis. Conclusion: This study reveals the functional heterogeneity of PTCs in renal fibrosis, and suggests that multi-cell abnormal crosstalk mediated by the Col4a1-Sdc4 axis may serve as an important molecular mechanism underlying renal fibrosis.

Key words: single-cell transcriptome sequencing, renal fibrosis, proximal tubular cells, cell heterogeneity, Col4a1-Sdc4

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