ASN's Mission

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

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Kidney Week

Basic/Clinical Science Session

Immune Mechanisms in Diabetic Kidney Disease: From T Cells to Spatial Niches and Complement

October 23, 2026 | 02:00 PM - 04:00 PM

Location: Room 205, Convention Center

Session Description

Diabetic kidney disease (DKD) has long been viewed primarily as a metabolic disorder with secondary inflammation. Recent advances now establish immune activation as a driver of disease progression. This session examines how adaptive and innate immune mechanisms contribute to DKD, focusing on T-cell recruitment and phenotypic states; spatially organized B-cell immune niches; and complement activation using integrated human tissue data, spatial transcriptomics, and biomarker studies.

Learning Objective(s)

  • Summarize how immune activation causally contributes to DKD progression rather than representing a secondary inflammatory response
  • Describe T-cell recruitment pathways, phenotypic heterogeneity, and functional roles within diabetic kidney tissue
  • Explain how spatial transcriptomics reveals immune niches, including B-cell localization and lesion-level heterogeneity in DKD
  • Evaluate the role of complement activation in DKD using integrated biomarker, tissue, and clinical data

Learning Pathway(s)

  • Cardiovascular-Kidney-Metabolic (CKM) Health

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