Uninephrectomy augments the effects of high fat diet induced obesity on gene expression in mouse kidney

Zhibo Gai1, Christian Hiller1, Siew Hung Chin2

  • 1Department of Clinical Pharmacology and Toxicology, University Hospital Zurich, Switzerland.

Insights

Obesity worsens kidney damage, especially in those with fewer nephrons. A high-fat diet combined with reduced kidney mass significantly accelerates kidney disease progression and alters key gene pathways.

Area of Science:

  • Nephrology
  • Metabolic Research
  • Molecular Biology

Background:

  • Obesity is an independent risk factor for chronic kidney disease (CKD).
  • Reduced nephron number may increase susceptibility to obesity-related renal damage.
  • Glomerulosclerosis and renal insufficiency are common consequences of obesity-induced kidney disease.

Purpose of the Study:

  • To investigate the relationship between reduced nephron number and susceptibility to obesity-induced renal damage.
  • To compare the effects of a high-fat diet (HFD) and uninephrectomy (UNX) on kidney function and gene expression.
  • To identify key molecular pathways involved in obesity-related kidney injury.

Main Methods:

  • Mice underwent uninephrectomy (UNX) or sham surgery.
  • Mice were fed either a normal chow or a high-fat diet (HFD) for 20 weeks.
  • Kidney function (albuminuria, glomerulosclerosis, fibrosis, oxidative stress) and gene expression (microarrays) were analyzed.

Main Results:

  • HFD induced progressive nephropathy in control mice, characterized by albuminuria, glomerulosclerosis, fibrosis, and oxidative stress.
  • These renal pathologies were significantly exacerbated in HFD-fed mice that had undergone UNX.
  • Gene expression analysis revealed HFD primarily affected lipid metabolism genes, while UNX+HFD additionally altered cytoskeleton, fibrosis, and hypoxia pathways.

Conclusions:

  • High-fat diet-induced kidney damage is more severe in the context of reduced nephron number (post-uninephrectomy).
  • Gene expression changes in UNX+HFD mice implicate pathways related to cytoskeleton remodeling, fibrosis, and hypoxia.
  • The farnesoid X receptor (FXR) pathway is identified as a potential key mediator in UNX+HFD-induced kidney damage.