Mp29-07 acute Kidney Injury and Hematuria as Poor Prognostic Factors in Covid-19 Patients in One Center in Mexico City

Abstract

microscopy were performed for surface and ultrastructural analysis. Glutathione assay, sodium uptake function and albumin uptake assay were performed to evaluate cellular function.RESULTS: Primary renal cells isolated from both normal kidneys (NK) and diseased kidneys (CKD) showed similar phenotypic characteristics and growth kinetics. The expression levels of renal tubular cell markers, Aquaporin-1 and E-Cadherin, and podocyte-specific markers, WT-1 and Nephrin, were similar in both NK and CKD kidney derived cells. Using fluorescenceactivated cell sorting (FACS), specific renal cell populations were identified and included proximal tubular cells (83.1 % from NK and 80.3 % from CKD kidneys); distal tubular cells (11.03 % from NK and 10.9 % from CKD kidneys); and podocytes (1.91 % from NK and 1.78 % from CKD kidneys). Ultra-structural analysis using scanning electron microscopy (SEM) revealed microvilli on the apical surface of cultured cells from NK and CKD samples. Moreover, transmission electron microscopy (TEM) analysis showed a similar organization of tight junctions, desmosomes, and other intracellular structures. The Na þ uptake characteristics of NK and CKD derived renal cells were also similar (24.4 mmol/L and 25 mmol/L, respectively) and no significant differences were observed in the protein uptake and transport characteristics of these two cell isolates.CONCLUSIONS: These results show that primary renal cells derived from diseased kidneys such as CKD have similar structural and functional characteristics to their counterparts from a normal healthy kidney (NK) when grown in vitro. This study suggests that cells derived from diseased kidney may be used as an autologous cell source for renal cell therapy, particularly in patients with CKD or end-stage renal disease (ESRD).