PT - JOURNAL ARTICLE AU - Tarek M. El-Achkar AU - Michael T. Eadon AU - Rajasree Menon AU - Blue B. Lake AU - Tara K. Sigdel AU - Theodore Alexandrov AU - Samir Parikh AU - Guanshi Zhang AU - Dejan Dobi AU - Kenneth W. Dunn AU - Edgar A. Otto AU - Christopher R. Anderton AU - Jonas M. Carson AU - Jinghui Luo AU - Chris Park AU - Habib Hamidi AU - Jian Zhou AU - Paul Hoover AU - Andrew Schroeder AU - Marianinha Joanes AU - Evren U. Azeloglu AU - Rachel Sealfon AU - Seth Winfree AU - Becky Steck AU - Yongqun He AU - Vivette D’Agati AU - Ravi Iyengar AU - Olga G Troyanskaya AU - Laura Barisoni AU - Joseph Gaut AU - Kun Zhang AU - Zoltan Laszik AU - Brad Rovin AU - Pierre C. Dagher AU - Kumar Sharma AU - Minnie Sarwal AU - Jeffrey B. Hodgin AU - Charles E. Alpers AU - Matthias Kretzler AU - Sanjay Jain AU - For the Kidney Precision Medicine Project TI - A Multimodal and Integrated Approach to Interrogate Human Kidney Biopsies with Rigor and Reproducibility: The Kidney Precision Medicine Project AID - 10.1101/828665 DP - 2020 Jan 01 TA - bioRxiv PG - 828665 4099 - http://biorxiv.org/content/early/2020/08/23/828665.short 4100 - http://biorxiv.org/content/early/2020/08/23/828665.full AB - Comprehensive and spatially mapped molecular atlases of organs at a cellular level are a critical resource to gain insights into pathogenic mechanisms and personalized therapies for diseases. The Kidney Precision Medicine Project (KPMP) is an endeavor to generate 3-dimensional (3D) molecular atlases of healthy and diseased kidney biopsies using multiple state-of-the-art OMICS and imaging technologies across several institutions. Obtaining rigorous and reproducible results from disparate methods and at different sites to interrogate biomolecules at a single cell level or in 3D space is a significant challenge that can be a futile exercise if not well controlled. We describe a “follow the tissue” pipeline for generating a reliable and authentic single cell/region 3D molecular atlas of human adult kidney. Our approach emphasizes quality assurance, quality control, validation and harmonization across different OMICS and imaging technologies from sample procurement, processing, storage, shipping to data generation, analysis and sharing. We established benchmarks for quality control, rigor, reproducibility and feasibility across multiple technologies through a pilot experiment using common source tissue that was processed and analyzed at different institutions and different technologies. A peer review system was established to critically review quality control measures and the reproducibility of data generated by each technology before being approved to interrogate clinical biopsy specimens. The process established economizes the use of valuable biopsy tissue for multi-OMICS and imaging analysis with stringent quality control to ensure rigor and reproducibility of results and serves as a model for precision medicine projects across laboratories, institutions and consortia.Competing Interest StatementThe authors have declared no competing interest.