Stem cell scientists engineer 'synthetic organizer' cells to improve kidney organoids

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by Keck School of Medicine of USC

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Kidney organoid. Credit: Lindstrom Lab/USC Stem Cell

In a study published in Science, USC researchers paired a biological discovery with an engineering feat to create more faithful, reproducible lab-grown kidney structures from stem cells, known as organoids.

By mapping the developing human kidney, they identified a previously unrecognized developmental axis that helps organize the kidney's filtering units, or nephrons. They then engineered "synthetic organizer" cells to recreate aspects of this developmental environment in organoids.

This advance makes organoids more reliable models for studying disease and evaluating potential therapies, while supporting long-term efforts to generate transplantable kidney tissue.

"It is important that we're starting to get good reproducibility from organoid models that can lead to robust preclinical models of cell function and disease to benefit patients," said the paper's co-corresponding author Nils Lindström, Ph.D., assistant professor of stem cell biology and regenerative medicine at the Keck School of Medicine of USC.

Over the past decade, organoid work has relied on cells' ability to self-organize into tissue-like structures, often in response to added chemicals and proteins that act broadly throughout the organoid.

In contrast, the synthetic organizer serves as a localized, targeted source that secretes controllable amounts of specific Wnt proteins within the organoid itself. These are key signals that help shape the developing kidney. This creates a signaling environment much more similar to a naturally developing kidney and gives researchers a way to control where and how kidney structures form.

"With our approach, we are trying to control self-organization, and work with it as opposed to trying to completely override it," said co-corresponding author Leonardo Morsut, Ph.D., associate professor of stem cell biology and regenerative medicine and biomedical engineering at the Keck School of Medicine and USC Viterbi School of Engineering.

Following the signal

The project began with tools designed to copy developmental signals. Postdoctoral researcher Fokion Glykofrydis from the Morsut Lab engineered a "synthetic organizer" cell that secreted a Wnt protein known to be present in the kidney, and graduate student Connor Fausto from the Lindström Lab proposed an experiment to test how this Wnt-secreting cell would affect organoid nephrons.

The experiments revealed that the synthetic organizer enabled two key processes essential for building organs: controlling the identity of cells and influencing the shape of developing structures.

Lindström expected Wnt to trigger nephrons to change their identity into cells capable of forming connections with the urine drainage system. What surprised him was that the nephrons also changed shape and elongated toward the source of the Wnt signal, which doesn't happen when signals are delivered uniformly to the whole organoid.

Compared with the developmental process seen in traditional kidney organoids, this elongation toward the Wnt source is more similar to what happens in a naturally developing kidney.

"A single, localized signal did two things at once. It changed what the cells became and physically pulled the tubules toward the source," Lindström said. "You would not see that with a uniform chemical bath of signals."

Organizing an organoid

The team also identified a previously unrecognized axis, a direction along which the developing kidney organizes itself. Developmental biologists have long known about the nephron's classic "proximal-distal axis," which runs from its blood-filtering end to its urine-drainage end.

The new axis is defined instead by how close each part of the nephron sits to the collecting duct, the tube system that drains urine and releases Wnt signals during development. Those signals tell the nephron what shape to take and which way to point.

"The study shows that there's an undiscovered axis that sets up how a nephron looks and forms," Lindström said. "It's not every day that you find something new in human development at that level."

Most kidney organoids contain only nephrons and lack the collecting duct that supplies this local Wnt signal, so they have no such axis and organize in a radially symmetrical pattern. By mapping how kidney cells respond to Wnt at specific locations in the developing kidney, the team recreated that environment in organoids with the synthetic organizer, producing structures that are both more developmentally faithful and more reproducible.

For Morsut, the synthetic organizer is one of several tools his lab is building to control how tissues form, and the one he is most excited about because it steers development in a way that is powerful but not intrusive.

"The synthetic organizer is just a little cluster of cells that don't build anything themselves," Morsut said. "But they produce a powerful field that aligns the stem cells and gives them a direction."

Aligning cells is something embryos do repeatedly as they build themselves, he noted, and the study shows it can now be put to work in an engineering setting, steering the process toward a desired outcome.

The results, he said, have been nothing short of magical.

"At the beginning of my talks, I always show a video of embryonic development," Morsut said. "You start from a single cell, and you get to a complete organism, and that's as close to magic as it gets. Now, we open a possibility of controlling this magic technology for building organs. This study shows that we can do that, and I'm excited to see what others will do in other contexts."

Publication details

Connor C. Fausto et al, Patterning human kidney organoids with synthetic Wnt-secreting organizers, Science (2026). DOI: 10.1126/science.adu9122. www.science.org/doi/10.1126/science.adu9122

Journal information: Science

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Nephrology Provided by Keck School of Medicine of USC Who's behind this story?

Sadie Harley

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