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Assessment of Kidney Function in Mouse Models of Glomerular Disease
Published on: June 30, 2018
Optimizing the translational value of animal models of glomerulonephritis: insights from recent murine prototypes
1Department of Medicine, Duke University Medical Center, Durham, North Carolina; and Durham Veterans Affairs Medical Center, Durham, North Carolina mary.h.foster@dm.duke.edu.
Abstract:
Animal models are indispensable for the study of glomerulonephritis, a group of diseases that destroy kidneys but for which specific therapies do not yet exist. Novel interventions are urgently needed, but their rational design requires suitable in vivo platforms to identify and test new candidates. Animal models can recreate the complex immunologic microenvironments that foster human autoimmunity and nephritis and provide access to tissue compartments not readily examined in patients. Study of rat Heymann nephritis identified fundamental disease mechanisms that ultimately revolutionized our understanding of human membranous nephropathy. Significant species differences in expression of a major target antigen, however, and lack of spontaneous autoimmunity in animals remain roadblocks to full exploitation of preclinical models in this disease. For several glomerulonephritides, humanized models have been developed to circumvent cross-species barriers and to study the effects of human genetic risk variants. Herein we review humanized mouse prototypes that provide fresh insight into mediators of IgA nephropathy and origins of antiglomerular basement membrane nephritis and Goodpasture's disease, as well as a means to test novel therapies for ANCA vasculitis. Additional and refined model systems are needed to mirror the full spectrum of human disease in a genetically diverse population, to facilitate development of patient-specific interventions, to determine the origin of nephritogenic autoimmunity, and to define the role of environmental exposures in disease initiation and relapse.
Insights
Animal models are crucial for studying glomerulonephritis, a kidney disease lacking specific treatments. Humanized models offer new insights and therapeutic testing for conditions like IgA nephropathy and ANCA vasculitis.
Area of Science:
- Nephrology
- Immunology
- Translational Medicine
Background:
- Glomerulonephritis is a group of kidney diseases lacking specific therapies.
- Animal models are essential for understanding disease mechanisms and testing interventions.
- Current models face limitations due to species differences and lack of spontaneous autoimmunity.
Purpose of the Study:
- To review the utility of animal models, particularly humanized models, in studying glomerulonephritis.
- To highlight advances in modeling specific glomerulonephritides like IgA nephropathy and ANCA vasculitis.
- To identify needs for developing improved preclinical models for diverse patient populations.
Main Methods:
- Review of existing literature on animal models for glomerulonephritis.
- Focus on humanized mouse models and their application to specific diseases.
- Discussion of the role of these models in understanding autoimmunity and testing therapies.
Main Results:
- Rat Heymann nephritis models advanced understanding of human membranous nephropathy.
- Humanized models provide insights into IgA nephropathy and anti-GBM nephritis.
- These models aid in testing novel therapies for ANCA vasculitis.
Conclusions:
- Animal models, especially humanized ones, are vital for advancing glomerulonephritis research.
- Further development is needed to fully replicate human disease complexity and diversity.
- Improved models will facilitate patient-specific interventions and understanding of disease origins.

