DN

ReninAAV, Unx, db/db model of accelerated diabetic nephropathy

Accelerated type 2 diabetic kidney disease combining hypertension, reduced renal mass and obesity-driven diabetes.

Background and rationale

Combining renin overexpression by AAV, unilateral nephrectomy and the leptin receptor-deficient db/db mouse superimposes hypertension and hyperfiltration on obesity-related type 2 diabetes. The result is an aggressive phenotype with heavy albuminuria, glomerulosclerosis and interstitial fibrosis within a few months, closer to advanced human diabetic kidney disease than db/db alone.

Typical study design

  • Sequential ReninAAV delivery and unilateral nephrectomy in db/db mice
  • db/+ or vehicle-AAV control arms
  • Blood pressure monitoring by CODA tail cuff
  • Stratified randomisation on albuminuria before treatment start

Readouts

  • Urinary albumin-creatinine ratio and tubular injury markers
  • Plasma creatinine, BUN, cystatin C, glucose and HbA1c
  • Systolic blood pressure by CODA tail cuff
  • PAS and Sirius red histology with AI-assisted glomerulosclerosis and fibrosis scoring
  • Multiplex immunofluorescence and RNAscope in situ hybridization
  • Single nuclei RNA sequencing and 10x spatial transcriptomics

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.