American Diabetes Association 66th Annual Scientific Sessions, 2186-PO (2006)

 

Acceleration of diabetic nephropathy in the T2DN rat.

 

April L. Wittenburg,1 Jessica A. O’Connor,1 Darin L. Evans,1 Yvette A. Evrard,1 Laura H. Lapczynski,1 Sally K. Korb,1 Heather J. Vernon,1 Steven H. Nye,1 Nicholas V. Cozzi,1 Annette J. Dahly-Vernon,1 Howard J. Jacob,2 Richard J. Roman2


1PhysioGenix, Inc., 10437 Innovation Drive, Wauwatosa, Wisconsin  53226

2Medical College of Wisconsin, Wauwatosa, Wisconsin  53226


Abstract

The T2DN rat is a new model of type 2 diabetes that develops progressive diabetic nephropathy similar to that seen in humans. The T2DN was derived from crossing the diabetic GK with the FHH, a hypertension-associated end stage renal disease model. Studies to characterize disease progression in T2DN show that by three months of age fasting blood glucose levels are ~200 mg/dL and are maintained at this level through 18 months of age. Average proteinuria values increase from ~20 mg/day at 3 months of age to ~500 mg/day by 18 months of age. By 12 months old, renal damage has advanced with glomerular hypertrophy, thickening of glomerular and tubular basement membranes, expansion of the mesangial matrix, and developmental of focal segmental glomerulosclerosis leading to diffuse global glomerulosclerosis and the formation of glomerular nodules by 18 months of age. Because severe renal histological damage is not seen until approximately 18 months of age, we explored the possibility of accelerating renal damage to allow for the study of renoprotective effects of test compounds. Twelve month old T2DN rats were uninephrectomized and disease progression was monitored out to 18 months of age. While the uninephrectomy did not impact fasting glucose and proteinuria levels significantly, the progression of diabetic nephropathy was accelerated and the time necessary for robust development of renal lesions was reduced from 6 to 3 months. The T2DN rat will be a model of choice for therapeutic intervention early in the pathogenesis of diabetic nephropathy and in the understanding of the key genes that contribute to disease progression. The acceleration of the T2DN model has allowed PhysioGenix to accelerate turn-over time of critical results from drug candidate studies, thereby making our model cost efficient to the pharmaceutical industry.


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