Establishment of a mouse model of chronic renal insufficiency induced by repeated administration of cisplatin
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(Institute of Nephrology, Affiliated Hospital of Guangdong Medical University, and Key Laboratory of Prevention and Management of Chronic Kidney Disease of Zhanjiang City, Zhanjiang 524001,China)

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National Natural Science Foundation of China(No. 81471530, No. 81470959); Medical Scientific Research Foundation of Guangdong Province(No. A2016135)

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    Abstract:

    Objective To observe the changes of renal tubular injury and the extent of interstitial fibrosis in the C57BL/6 mouse models of chronic kidney disease (CKD), and provide experimental animal evidence for study of the progression of acute kidney injury (AKI) to chronic kidney disease as well as its mechanisms. Methods Twenty-four 8 week-old male C57BL/6 mice were randomly and equally divided into control group, low-dose, medium-dose, and high-dose cisplatin groups, 6 mice in each group. Mice in the cisplatin groups were administrated with 5, 7 or 10 mg/ kg cisplatin by intraperitoneal injection once a week for 4 weeks. Plasma creatinine and 24-hour urinary protein were detected to assess the renal function. The mice were sacrificed, and plasma and kidney samples were collected for subsequent tests. Pathological changes were observed using periodic acid-Schiff (PAS) staining. To evaluate renal tubules injury, the expression of kidney injury molecule 1 (KIM-1) was examined by immunohistochemistry and the level of urinary N-Acetyl-β-D-glucosaminidase was detected with a commercial kit. The infiltration of CD3-positive T cells and F4/80-positive macrophages was observed by immunohistochemistry (IHC) and immunofluorescence. The expression of collagen I and α-smooth muscle actin (α-SMA) were tested by immunohistochemistry to assess the renal fibrosis, while total kidney collagen was detected by Picrosirius red staining. Results In contrast to the normal control group, the kidney injury became more serious in the cisplatin-treated mice as cisplatin concentration increased. Particularly, significant kidney damage was observed in the high-dose cisplatin group. Compared with the control group, the plasma creatinine and 24-hour urinary protein were significantly increased in the high-dose cisplatin group ( P <0.05 and P <0.001) indicating impaired renal function. Morphologically, numerous clear vacuoles and necrosis were present in renal tubule epithelial cells in the high-dose cisplatin group. The expression of KIM-1 was markedly up-regulated and the level of urinary NAG was elevated. Infiltration of CD3-positive T cells and F4/80-positive macrophages was enhanced in the mice of high-dose cisplatin group. Data from immunohistochemistry and picrosirius red staining showed that mice of the high-dose cisplatin group developed renal fibrosis evidenced by markedly up-regulated expression of collagen I and α-SMA. Conclusions Repeated administration of 10 mg /kg cisplatin for 4 weeks can induce chronic renal insufficiency in mice, which may serve as a novel model for the research on underlying mechanisms of progression from acute kidney injury to chronic kidney disease.

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History
  • Received:August 07,2017
  • Revised:
  • Adopted:
  • Online: March 06,2018
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