TRIDENTTransformative Research
In Diabetic Nephropathy
For researchers

Built to be used

TRIDENT is built to be used. Every molecular layer is measured on the same biopsies and tied to the same clinical outcomes, and the consortium welcomes proposals from academic and industry investigators.

Propose a study   Publications and DOIs

Explore TRIDENT research

What exists, in aggregate

Enough to judge whether TRIDENT holds the material a proposed study needs. Individual-level data are released only through the consortium process below.

592participants consented
543kidney biopsies
407research cores profiled
296enrollment visits with follow-up at 6, 12 and 18 months and beyond

Biospecimens

Kidney tissueResearch cores, frozen and fixed; archived clinical tissue linked to outcomes
PlasmaBiopsy-time EDTA plasma, banked
UrineSpot urine and urine cell pellets
DNAGermline DNA from blood

Data modalities

HistologyCentrally scored light and electron microscopy, digitized
GenomicsWhole-exome sequencing; genome-wide genotypes
TranscriptomicsBulk RNA of microdissected glomeruli and tubules; single-nucleus RNA; long-read RNA pilot
SpatialXenium 5k on H&E-matched sections
ProteomicsOlink plasma and urine panels
MetabolomicsPlasma, urine and tissue, in production
ClinicalCoded demographics, labs, medications and longitudinal eGFR and outcomes
Governance and access

How to work with TRIDENT

Available data

Centrally scored histology and whole-slide images, electron micrographs, bulk RNA sequencing of microdissected glomeruli and tubules, single-nucleus RNA sequencing, whole-exome sequencing, Xenium 5k spatial transcriptomics, plasma and urine proteomics, urine single-cell RNA sequencing, and coded clinical data with longitudinal eGFR and outcomes. Metabolomics and DNA methylation are in production.

How to access data

Data are available through the consortium under its data-access policy. Send a short description of the question, the data layers needed and the analysis plan to the study leadership; proposals are reviewed by the consortium and, when approved, data are released in coded form under a data use agreement.

Ancillary studies

Investigators may propose ancillary studies using banked plasma, urine and tissue or the existing data. Proposals are reviewed for scientific merit, overlap with ongoing work and sample availability.

Publications and presentations

Manuscripts and abstracts using TRIDENT data are circulated to the consortium before submission and acknowledge TRIDENT and its funders. The publications page lists the consortium's papers with DOIs.

The spatial atlas

The population-scale spatial atlas was built with TRIDENT biopsies at its core. Partners can place their own sections and single-cell data on it; write to the study leadership to propose a pilot.

Member login

Consortium members enter data and documents through the TRIDENT REDCap instance.

Open REDCap

Data production

Ten molecular layers. The same kidneys.

Histopathology302 whole-slide images, centrally scored; 5,903 electron micrographs from 329 participants
Complete
Bulk RNA sequencingMicrodissected glomeruli (274) and tubules (290)
Complete
Single-nucleus RNA sequencingPart of the 302-sample arm of the integrated kidney atlas
Complete
Whole-exome sequencing203 participants, linked to tissue and outcomes
Complete
Spatial transcriptomics (Xenium 5k)302 sections, 5,000 genes per cell, in situ
Complete
Plasma and urine proteomics (Olink)236 participants, paired serum and urine
Complete
Urine single-cell RNA sequencingCells shed in urine, matched to the biopsy
Complete
Long-read RNA sequencingPilot of 24 biopsies, full-length isoforms
In progress
Metabolomics (Metabolon)Plasma, urine and kidney tissue, untargeted
Under way
DNA methylationKidney tissue epigenome, completing the stack
Next