CKD

Adenine-induced nephropathy

Diet-induced crystal nephropathy producing progressive CKD with mineral and bone disorder.

Background and rationale

Dietary adenine forms 2,8-dihydroxyadenine crystals in the tubules, causing tubulointerstitial inflammation and fibrosis with a graded loss of kidney function. The model reproduces the biochemical hallmarks of CKD, including hyperphosphataemia, secondary hyperparathyroidism and elevated FGF23, and is ideal for therapies targeting fibrosis or CKD-associated mineral bone disorder.

Typical study design

  • Adenine dose and diet phosphate content selected for the target severity
  • Stepwise or constant dosing schedules, with washout options
  • Body weight, food intake and serial biochemistry monitoring
  • Treatment start after CKD is established to test intervention rather than prevention

Readouts

  • Plasma creatinine, BUN, cystatin C, phosphate, calcium, PTH and FGF23
  • Urinary albumin-creatinine ratio and tubular injury markers
  • Sirius red and PAS histology with AI-assisted fibrosis quantification
  • Immunohistochemistry, multiplex immunofluorescence and RNAscope in situ hybridization
  • Bulk and single nuclei RNA sequencing, spatial transcriptomics
  • microCT for bone and vascular calcification

Interested in this model?

We will walk you through severity levels, group sizes, dosing windows and endpoints, and propose a design matched to your compound.