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The spatially resolved kidney transcriptome signatures in rat models of trauma-induced acute kidney injury


ABSTRACT: Acute kidney injury (AKI) is a severe complication of trauma, particularly in cases involving hemorrhagic shock (HS) and rhabdomyolysis (RM). To elucidate the molecular mechanisms underlying trauma-induced AKI, we developed three rat models: HS, RM, and their combination (RM-HS). RM-HS resulted in the most severe phenotype, including high mortality, profound metabolic dysfunction, and extensive renal injury. Bulk and spatial transcriptomics revealed RM as the dominant driver of transcriptional changes, with significant involvement of hypoxia, reactive oxygen species (ROS), unfolded protein response (UPR), and apoptosis pathways. Region-specific analyses highlighted the corticomedullary junction (CMJ) as a critical site of injury, where lipid metabolism dysregulation and ferroptosis were prominent. Notably, perilipin 2 (PLIN2) emerged as a key marker of RM and RM-HS, correlating with metabolic dysfunction and injury severity. These findings provide mechanistic insights into trauma-induced AKI and identify PLIN2 as a potential biomarker and therapeutic target for mitigating kidney damage in trauma patients.

ORGANISM(S): Rattus norvegicus

PROVIDER: GSE294137 | GEO | 2026/04/09

REPOSITORIES: GEO

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