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Am J Physiol Renal Physiol 284: F1138-F1144, 2003; doi:10.1152/ajprenal.00315.2002
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Vol. 284, Issue 6, F1138-F1144, June 2003

INVITED REVIEW
Diabetic kidney disease in the db/db mouse

Kumar Sharma1, Peter McCue2, and Stephen R. Dunn1

1 Dorrance Hamilton Research Laboratory, Division of Nephrology, Department of Medicine, and 2 Department of Anatomy, Cell Biology and Pathology, Thomas Jefferson University, Philadelphia, Pennsylvania 19107

Diabetic nephropathy is increasing in incidence and is now the number one cause of end-stage renal disease in the industrialized world. To gain insight into the genetic susceptibility and pathophysiology of diabetic nephropathy, an appropriate mouse model of diabetic nephropathy would be critical. A large number of mouse models of diabetes have been identified and their kidney disease characterized to various degrees. Perhaps the best characterized and most intensively investigated model is the db/db mouse. Because this model appears to exhibit the most consistent and robust increase in albuminuria and mesangial matrix expansion, it has been used as a model of progressive diabetic renal disease. In this review, we present the findings from various studies on the renal pathology of the db/db mouse model of diabetes in the context of human diabetic nephropathy. Furthermore, we discuss shortfalls of assessing functional renal disease in mouse models of diabetic kidney disease.

diabetic nephropathy; creatinine; albuminuria; mesangial matrix


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