Human fetal kidney organoids model early human nephrogenesis and Notch-driven cell fate

  • Michael Namestnikov
  • , Osnat Cohen-Zontag
  • , Dorit Omer
  • , Yehudit Gnatek
  • , Sanja Goldberg
  • , Thomas Vincent
  • , Swati Singh
  • , Yair Shiber
  • , Tal Rafaeli Yehudai
  • , Hadas Volkov
  • , Dani Folkman Genet
  • , Achia Urbach
  • , Sylvie Polak-Charcon
  • , Igor Grinberg
  • , Naomi Pode-Shakked
  • , Boaz Weisz
  • , Zvi Vaknin
  • , Benjamin S. Freedman
  • , Benjamin Dekel

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Pluripotent stem cell (PSC)–derived kidney organoids are used to model human renal development and disease; however, accessible models of human fetal development to benchmark PSC-derived organoids remain underdeveloped. Here, we establish a chemically defined, serum-free protocol for prolonged culture of human fetal kidney-derived organoids (hFKOs) in vitro. hFKOs self-organize into polarized renal epithelium, reinitiate from NCAM1+ progenitors, and recapitulate nephrogenic and ureteric bud lineages. Bulk transcriptomics, single-cell RNA sequencing, pseudotime analysis, and immunostaining revealed diverse renal tissue cell populations, with a preserved epithelial progenitor pool and tubular differentiation axis. hFKOs were enriched for Notch signaling genes, enabling single-cell analysis of pharmacological Notch inhibition. This revealed a maturation block with increased nephron progenitors and a shift toward distal over early proximal tubule fates. We also identified a novel prominin-1-expressing cell state that evades Notch inhibition to generate both proximal and distal tubules. Overall, hFKOs provide a faithful model to gain insights into human kidney development, advancing the fields of stem cell biology and regenerative medicine.

Original languageEnglish
Pages (from-to)4681-4719
Number of pages39
JournalEMBO Journal
Volume44
Issue number17
DOIs
StatePublished - 1 Sep 2025
Externally publishedYes

Keywords

  • Human Fetal Kidney
  • Kidney Organoids
  • Nephrogenesis
  • Notch Pathway
  • Single-cell Transcriptomics

ASJC Scopus subject areas

  • General Neuroscience
  • Molecular Biology
  • General Biochemistry, Genetics and Molecular Biology
  • General Immunology and Microbiology

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