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Published on: July 3, 2013
Adenine-induced chronic kidney disease in rats
Vishal Diwan1, Lindsay Brown2, Glenda C Gobe1,3
1UQ Diamantina Institute, Translational Research Institute, The University of Queensland, Brisbane, Queensland, Australia.
Insights
The chronic low-dose adenine diet in rats effectively models human chronic kidney disease (CKD) and its cardiovascular complications. This model aids in understanding CKD progression and testing new therapeutic interventions.
Area of Science:
- Nephrology
- Cardiovascular Research
- Animal Models
Background:
- Chronic kidney disease (CKD) is a progressive decline in kidney function, often leading to end-stage kidney disease (ESKD) and increased cardiovascular mortality.
- The relationship between CKD and cardiovascular disease is bidirectional, yet many animal models fail to replicate this complexity.
- Existing models often do not fully represent the chronic and multifaceted nature of human CKD and its associated cardiovascular risks.
Purpose of the Study:
- To evaluate the chronic low-dose adenine diet in rats as a suitable animal model for human chronic kidney disease (CKD).
- To highlight the model's capacity to mimic CKD-associated cardiovascular disease, a feature lacking in many other models.
- To underscore the utility of this model for investigating CKD pathogenesis and therapeutic interventions.
Main Methods:
- Utilized a chronic low-dose adenine diet in rats to induce progressive kidney damage.
- Characterized the development of tubulointerstitial fibrosis, tubular atrophy, and vascular calcification.
- Assessed the concurrent development of cardiovascular disease alongside kidney dysfunction.
Main Results:
- The chronic low-dose adenine diet successfully induced slowly progressive kidney damage and cardiovascular disease in rats.
- This model demonstrated features similar to human CKD, including stable kidney and cardiovascular disease progression.
- Vascular calcification and tubulointerstitial fibrosis were key pathological findings.
Conclusions:
- The chronic low-dose adenine diet in rats is an effective and accessible model for studying human CKD.
- This model is particularly valuable for understanding the intricate links between CKD and cardiovascular disease.
- It provides a platform for testing potential therapeutic strategies for CKD reversal and management.
Abstract:
Many animal models have been developed to study the causes and treatments of chronic kidney disease (CKD) in humans, an insidious disease resulting from kidney injury and characterized by persistent functional decline for more than 3 months, with or without evidence of structural deficit. The eventual outcome of CKD may be end-stage kidney disease (ESKD), where patients need dialysis or transplantation to survive. Cardiovascular disease is accelerated in patients with CKD and contributes to increased mortality, with the relationship between CKD and cardiovascular disease being bi-directional. Most animal models do not mimic the complexity of the human disease as many do not develop CKD-associated cardiovascular disease. The adenine diet model of CKD in rodents is an exception. The original adenine diet model produced rapid-onset kidney disease with extensive tubulointerstitial fibrosis, tubular atrophy, crystal formation and marked vessel calcification. Since then, lower adenine intake in rats has been found to induce slowly progressive kidney damage and cardiovascular disease. These chronic adenine diet models allow the characterization of relatively stable kidney and cardiovascular disease, similar to CKD in humans. In addition, interventions for reversal can be tested. Here the key features of the adenine diet model of CKD are noted, along with some limitations of other available models. In summary, the data presented here support the use of chronic low-dose adenine diet in rats as an easy and effective model for understanding human CKD, especially the links with cardiovascular disease, and developing potential therapeutic interventions.
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