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Research LetterIn-Press PreviewGeneticsNephrology Open Access | 10.1172/JCI205631

MANF clears mutant uromodulin in human kidney organoids of autosomal dominant tubulointerstitial kidney disease

Chenjian Gu,1 Yili Fang,1 Yixuan Wang,3 Eric Tycksen,4 Gayathri Kondepati,3 Chuang Li,1 Kendrah O. Kidd,5 Jun Liu,6 Fumihiko Urano,1 Maria Lindahl,7 Anthony J. Bleyer,8 Srikanth Singamaneni,3 Zhao Sun,10 and Ying Maggie Chen1

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Gu, C. in: PubMed | Google Scholar

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Fang, Y. in: PubMed | Google Scholar

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Wang, Y. in: PubMed | Google Scholar

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Tycksen, E. in: PubMed | Google Scholar |

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Kondepati, G. in: PubMed | Google Scholar

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Li, C. in: PubMed | Google Scholar

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Kidd, K. in: PubMed | Google Scholar |

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Liu, J. in: PubMed | Google Scholar

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Urano, F. in: PubMed | Google Scholar |

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Lindahl, M. in: PubMed | Google Scholar

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Bleyer, A. in: PubMed | Google Scholar

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Singamaneni, S. in: PubMed | Google Scholar

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Sun, Z. in: PubMed | Google Scholar

1Department of Medicine, Washington University School of Medicine, St Louis, United States of America

2Department of Medicine, Washington University School of Medicine, St. Louis, United States of America

3Institute of Materials Science and Engineering, Washington University School of Medicine, St. Louis, United States of America

4Genome Technology Access Center, Washington University School of Medicine, St. Louis, United States of America

5Department of Medicine, Wake Forest University, Winston-Salem, United States of America

6Shanghai General Hospital, Shanghai, China

7Institute of Biotechnlogy, University of Helsinki, Helsinki, Finland

8Department of Medicine, Wake Forest School of Medicine, Winston-Salem, United States of America

9Institute of Materials Science and Engineering, Washington University School of Medicine, Saint Louis, United States of America

10Department of Biological Sciences, The University of Texas at Dallas, Richardson, United States of America

Find articles by Chen, Y. in: PubMed | Google Scholar

Published August 25, 2026 - More info

J Clin Invest. https://doi.org/10.1172/JCI205631.
Copyright © 2026, Gu et al. This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Published August 25, 2026 - Version history
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