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The International Journal of the Royal Society of Thailand
              Volume XI - 2019



                      Single-cell transcriptomic provided a way to study thousands of gene
              expression simultaneously in various physiological and pathological conditions
              (Kiryluk et al., 2018; Malone et al., 2018). To detect RNA expression in various cells

              in different conditions, single-cell RNA sequencing (scRNA-seq) was developed
              (Wu and Humphreys, 2017). scRNA-seq consist of multiple steps in laboratory
              workflow (Figure 4). In summary, the first step is to use enzyme to lyse biopsy
              tissue into single cell and then put the cell in compartment such as plate/tube or
              microfluidic. Plate or tube based are costly due to use of large amount of tube/
              well and buffer. Fluidigm C1 system can capture larger amount of cells in the
              chambers and reduce the cost (Islam et al., 2014; Wu et al., 2014). Microfluidic
              techniques incorporate cells and barcoded DNA into microdroplets, about
              2 nanoliters in size, and further reduce the amount of buffer use. The next step is
              reverse transcription of RNA to complemaentary DNA (cDNA) and then amplify
              either by conventional polymerase chain reaction (PCR) technique or by in vitro
              transcription (IVT) technique. Because some genomes may over amplify compare
              to the others. Unique molecular identifiers (UMI) was later developed for remove
              amplification artifacts by tagging the genome segments before amplification.

              Finally, the data were analyzed and were compared to the existing database by
              specific computer software (Liu et al., 2014). The details and advantages of each
              methods were previously reviewed elsewhere (Wu and Humphreys, 2017).
                      One of the example studies of scRNA-seq in kidney disease was done by
              Lu et al. They performed snRNA-seq analysis of mouse mesangial cells using
              the fluidigm C1 platform. They found heterogeneity among mesangial cells with

              correlation coefficients of only 0.20. They also found 1045 genes that appear in
              every single mesangial cells. These finding created a new insight in pathogenesis
              of kidney disease (Lu et al., 2017).

                      There are several limitations of scRNA-seq. First, enzymatic dissociation
              process may compromise cells survival causing significant cell loss. Moreover,
              fragments of these cells may interfere with the interpretation process. Second, the
              cost of scRNA-seq is high, up to 5$ per cell. Lastly, microfluidic compartmentalization
              process cause decrease in sensitivity of gene detection (Wu and Humphreys,
              2017). In the future, evolving scRNA-seq techniques could minimize cells loss and
              reduce the cost.








              62                                                Precision Medicine in Acute kidney injury




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