Division of Nephrology, Taipei Veterans General Hospital
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Taipei Renal Transcriptomics and Outcomes Investigation

Precision Medicine in Nephrology: Understanding the Kidney's Molecular Landscape

TRTOI is a prospective cohort established at Taipei Veterans General Hospital in 2018, integrating kidney biopsy transcriptomics, proteomics, digital pathology, and longitudinal clinical follow-up to create Taiwan's largest kidney biomedical database.


1171 patients
Enrolled biopsy patients (live sync)
~20000
Kidney genes
150 /yr
Annual participant enrollment target
8 yr+
Long-term clinical outcome follow-up
Multi-Omics Platform

Kidney Biopsy Provides a Comprehensive View of Kidney Disease

Renal function tests (eGFR, proteinuria) often fail to reflect true tissue injury. TRTOI is tissue-based, integrating multi-layered omics data to uncover the molecular mechanisms driving kidney disease progression.

Whole-genome sequencing

Whole-genome sequencing (WGS) identifies single-nucleotide variants (SNVs), indels, structural variants, and copy-number alterations to characterize the genomic landscape of kidney disease.

Transcriptomics

Kidney biopsy samples undergo RNA sequencing following microdissection to quantify ~ 20,000 genes and identify key transcription factors and disease-associated pathways.

Proteomics

Blood and urine proteins are analyzed using the Olink® PEA platform to identify non-invasive biomarkers for kidney disease.

Digital pathology

Quantification of fibrosis (IFTA) and glomerular lesions with AI-assisted image analysis, linking tissue to molecular profiles.

Clinical big data

Structured electronic health records linked to ultrasound imaging and longitudinal clinical outcomes.


Cohort Snapshot

TRTOI Cohort Overview

Diabetes
Sex
CKD stage
Top 6 pathological diagnoses

Partner to advance precision nephrology

Whether you are a clinician, researcher or industry partner, you are welcome to join the TRTOI collaborative network.

Contact us →