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Am J Physiol Renal Physiol (November 21, 2007). doi:10.1152/ajprenal.00472.2007
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Submitted on October 11, 2007
Accepted on November 20, 2007

Partial Nephrectomy as a Model for Uremic Cardiomyopathy in the Mouse

David Joseph Kennedy1, Jihad Elkareh1, Amjad Shidyak1, Anna Pearl Shapiro1, Sleiman Smaili1, Krishna Mutgi1, Shalini Gupta1, Jiang Tian1, Eric Morgan1, Samer Khouri1, Christopher J Cooper1, Sankaridrug M Periyasamy1, Zijian Xie1, Deepak Malhotra1, Olga V. Fedorova2, Alexei Y. Bagrov2, and Joseph I Shapiro3*

1 Medicine, University of Toledo, Toledo, Ohio, United States
2 Laboratory of Cardiovascular Science, National Institute on Aging, Baltimore, Maryland, United States
3 Pharmacology, University of Toledo College of Medicine, Toledo, Ohio, United States; Medicine, University of Toledo, Toledo, Ohio, United States

* To whom correspondence should be addressed. E-mail: joseph.shapiro{at}utoledo.edu.

Because of the plethora of genetic manipulations available in the mouse, we performed partial nephrectomy in the mouse and examined whether the phenotypical features of uremic cardiomyopathy described in humans and rats were also present in the murine model. 5/6th nephrectomy was performed using a combination of electrocautory to decrease renal mass on the left kidney and right surgical nephrectomy. This procedure produced substantial and persistent hypertension as well as increases in circulating concentrations of marinobufagenin. Invasive physiological measurements of cardiac function demonstrated that 5/6th nephrectomy resulted in impairment of both active and passive left ventricular relaxation at 4 weeks whereas tissue Doppler imaging detected changes in diastolic function after 6 weeks. Morphologically, hearts demonstrated enlargement and progressive fibrosis, and biochemical measurements demonstrated downregulation of the sarcoplasmic reticulum calcium ATPase as well as increases in collagen-1, fibronectin and vimentin expression. Our results suggest that partial nephrectomy in the mouse establishes a model of uremic cardiomyopathy which shares phenotypical features with the rat model as well as patients with chronic renal failure.




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