OVE26 mice are a transgenic model of severe earlyonset type 1 diabetes. These mice develop diabetes within the first weeks of life and can survive well over a year with no insulin treatment, and they maintain near normal body weight. To determine whether OVE26 mice provide a valuable model of chronic diabetic nephropathy (DN), OVE26 diabetic mice were compared with their nondiabetic littermates for functional and structural characteristics of DN. OVE26 mice exhibited pronounced polyuria and significant albuminuria by 2 months of age (305 g/24 h in OVE26 vs. 20 g/24 h in controls). Albumin excretion rate increased progressively with age and exceeded 15,000 g/24 h at 9 months of age. The profound loss of albumin led to hypoalbuminemia in some diabetic animals. Albuminuria coincided with an elevation in blood pressure as measured by tail cuff. The glomerular filtration rate (GFR) in OVE26 mice measured using fluorescein isothiocynate inulin clearance demonstrated that GFR increased significantly from 2 to 3 months of age and then decreased significantly from 5 to 9 months. GFR in 9-month-old diabetic mice was significantly lower than that of 9-month-old control mice. The decline in GFR coincided with a significant increase in renal vascular resistance. Structural studies showed an almost twofold increase in kidney weight between 2 and 5 months. Diabetic mice also showed progressively enlarged glomeruli and expanded mesangium with diffuse and nodular expansion of mesangial matrix. Tubulointerstitial fibrosis was also observed in these mice. Glomerular basement membrane was thickened in OVE26 mice. In summary, OVE26 mice demonstrate that most of the characteristics of human DN can be produced by chronic hyperglycemia in a murine model. This model will be useful for improved understanding and treatment of DN. A variety of experimentally induced or spontaneously hyperglycemic animals are used as models of human diabetes, such as streptoztocin-induced diabetic rats, NOD mice, and db/db mice. The kidney disease in many of these animals has been characterized (2,3), but none display the full array of features characteristic of human DN. In fact, the current mouse models primarily display features consistent with the earliest phase of DN, such as microalbuminuria (4,5). This is not surprising since these mouse models typically suffer from diabetes for several months, while the complete pattern of human DN requires decades to develop.In the current article, we follow the development of DN in a transgenic model of insulinopenic diabetes, the OVE26 mouse (6). The advantages of this model for the study of complications are straightforward: direct damage is limited to the -cell, diabetes develops early, and very severe diabetes lasts for Ͼ1 year. Our results show that with respect to albuminuria, mesangial matrix accumulation, glomerular filtration rate (GFR), and interstitial fibrosis, OVE26 mice are significantly closer to advanced human DN than other available mouse models.
RESARCH DESIGN AND METHODSOVE26 mice on the FVB ba...