Nephropathy in a hypercholesterolemic mouse model with streptozotocin-induced diabetes

Samar M Hammad1, Debra J Hazen-Martin, Mimi Sohn

  • 1Division of Endocrinology, Diabetes, and Medical Genetics, Medical University of South Carolina, Charleston 29425, USA. hammadsm@musc.edu

Abstract

Insights

Preexisting hypercholesterolemia did not worsen diabetic kidney disease in mice. Instead, it appeared to mitigate glomerular damage and albuminuria, but increased lipid accumulation in the tubular basement membrane.

Area of Science:

  • Nephrology
  • Metabolic Disorders
  • Animal Models

Background:

  • Diabetic nephropathy is a major complication of diabetes, and the role of hypercholesterolemia is not fully understood.
  • This study investigates the impact of hypercholesterolemia on diabetic kidney disease using a unique mouse model.

Purpose of the Study:

  • To determine if preexisting hypercholesterolemia exacerbates diabetic nephropathy.
  • To analyze the effects of hypercholesterolemia on glomerular and tubular changes in diabetic kidneys.

Main Methods:

  • A double knockout (DKO) mouse model lacking the low-density lipoprotein receptor and apoB mRNA editing enzyme was used.
  • Mice were made diabetic using streptozotocin, and kidney tissues were analyzed for albuminuria, collagen deposition, basement membrane thickness, and lipid accumulation.

Main Results:

  • Diabetes increased albuminuria in both wild-type and DKO mice, with no significant effect of hypercholesterolemia.
  • Diabetic wild-type mice showed increased glomerular collagen and thickened glomerular basement membranes, which were not observed in DKO diabetic mice.
  • Both diabetic groups exhibited thickened proximal tubular basement membranes, attributed to collagen in wild-type and lipid vacuoles in DKO mice.

Conclusions:

  • Preexisting hypercholesterolemia did not worsen diabetic kidney disease markers like albuminuria or glomerular lesions in this model.
  • Hypercholesterolemia appeared to have a mitigating effect on glomerular damage in diabetic mice.
  • The combination of hypercholesterolemia and diabetes led to significant lipid accumulation in the tubular basement membrane.