Related Experiment Video
Updated: Apr 19, 2026

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
Alterations of urinary metabolite profile in model diabetic nephropathy
Donald F Stec1, Suwan Wang2, Cody Stothers2
1Vanderbilt Institute of Chemical Biology, Vanderbilt University Medical Center, Nashville, TN 37232, United States.
Abstract:
Countering the diabetes pandemic and consequent complications, such as nephropathy, will require better understanding of disease mechanisms and development of new diagnostic methods. Animal models can be versatile tools in studies of diabetic renal disease when model pathology is relevant to human diabetic nephropathy (DN). Diabetic models using endothelial nitric oxide synthase (eNOS) knock-out mice develop major renal lesions characteristic of human disease. However, it is unknown whether they can also reproduce changes in urinary metabolites found in human DN. We employed Type 1 and Type 2 diabetic mouse models of DN, i.e. STZ-eNOS(-/-) C57BLKS and eNOS(-/-) C57BLKS db/db, with the goal of determining changes in urinary metabolite profile using proton nuclear magnetic resonance (NMR). Six urinary metabolites with significantly lower levels in diabetic compared to control mice have been identified. Specifically, major changes were found in metabolites from tricarboxylic acid (TCA) cycle and aromatic amino acid catabolism including 3-indoxyl sulfate, cis-aconitate, 2-oxoisocaproate, N-phenyl-acetylglycine, 4-hydroxyphenyl acetate, and hippurate. Levels of 4-hydroxyphenyl acetic acid and hippuric acid showed the strongest reverse correlation to albumin-to-creatinine ratio (ACR), which is an indicator of renal damage. Importantly, similar changes in urinary hydroxyphenyl acetate and hippurate were previously reported in human renal disease. We demonstrated that STZ-eNOS(-/-) C57BLKS and eNOS(-/-) C57BLKS db/db mouse models can recapitulate changes in urinary metabolome found in human DN and therefore can be useful new tools in metabolomic studies relevant to human pathology.
Insights
Diabetic mouse models with endothelial nitric oxide synthase (eNOS) deficiency can mimic human diabetic nephropathy (DN) urinary metabolite changes. These models are valuable for studying DN and developing new diagnostic methods.
Area of Science:
- Metabolomics
- Renal Disease Research
- Animal Models
Background:
- Diabetic nephropathy (DN) is a major complication of diabetes, necessitating better understanding and diagnostic tools.
- Animal models are crucial for studying DN, but their ability to replicate human urinary metabolite changes is often limited.
- Endothelial nitric oxide synthase (eNOS) knock-out mice exhibit renal lesions similar to human DN.
Purpose of the Study:
- To evaluate if STZ-eNOS(-/-) and eNOS(-/-) db/db mouse models of diabetic nephropathy can reproduce urinary metabolite alterations observed in human DN.
- To identify specific urinary metabolites that change in these diabetic mouse models.
Main Methods:
- Utilized Type 1 (STZ-eNOS(-/-) C57BLKS) and Type 2 (eNOS(-/-) C57BLKS db/db) diabetic mouse models.
- Analyzed urinary metabolite profiles using proton nuclear magnetic resonance (NMR) spectroscopy.
- Correlated metabolite levels with urinary albumin-to-creatinine ratio (ACR) as a marker of renal damage.
Main Results:
- Identified six urinary metabolites with significantly lower levels in diabetic mice compared to controls.
- Observed major changes in metabolites related to the tricarboxylic acid (TCA) cycle and aromatic amino acid catabolism.
- Found that 4-hydroxyphenyl acetic acid and hippuric acid levels strongly correlated inversely with ACR, mirroring findings in human renal disease.
Conclusions:
- STZ-eNOS(-/-) and eNOS(-/-) db/db mouse models successfully recapitulate key urinary metabolome changes seen in human diabetic nephropathy.
- These models serve as valuable tools for future metabolomic studies in diabetic kidney disease research.
- The findings support the utility of these models for investigating DN mechanisms and diagnostics.
Related Concept Videos
Diabetic Nephropathy
Urine Studies I: Urinalysis
Chronic Kidney Disease II: Clinical Manifestations
Diabetes Insipidus I: Introduction
Physiology of Urine Formation
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion
