Development of a novel chronic kidney disease mouse model to evaluate the progression of hyperphosphatemia and associated mineral bone disease

T Tani, H Orimo, A Shimizu, S Tsuruoka - Scientific reports, 2017 - nature.com
T Tani, H Orimo, A Shimizu, S Tsuruoka
Scientific reports, 2017nature.com
Medial arterial calcification (MAC) and renal osteodystrophy are complications of mineral
bone disease (MBD) associated with chronic kidney disease (CKD). Our aim was to develop
a novel mouse model to investigate the clinical course of CKD-MBD. Eight-week-old
C57BL/6 J male mice were assigned to the following groups: the control group, fed a
standard chow for 6 or 12 weeks; the CKD-normal phosphorus (NP) group, fed a chow
containing 0.2% adenine, with normal (0.8%) phosphorus, for 6 or 12 weeks; and the CKD …
Abstract
Medial arterial calcification (MAC) and renal osteodystrophy are complications of mineral bone disease (MBD) associated with chronic kidney disease (CKD). Our aim was to develop a novel mouse model to investigate the clinical course of CKD-MBD. Eight-week-old C57BL/6 J male mice were assigned to the following groups: the control group, fed a standard chow for 6 or 12 weeks; the CKD-normal phosphorus (NP) group, fed a chow containing 0.2% adenine, with normal (0.8%) phosphorus, for 6 or 12 weeks; and the CKD-high phosphorus (HP) group, fed 6 weeks with the 0.2% adenine/0.8% phosphorus diet, followed by a chow with 1.8% phosphorus for 2 weeks, 4 weeks or 6 weeks. Serum phosphorus was significantly increased in the CKD-HP group, and associated with MAC formation; the volume of calcification increased with longer exposure to the high phosphorus feed. MAC was associated with upregulated expression of runt-related transcription factor 2, alkaline phosphatase, and osteopontin, indicative of osteoblastic trans-differentiation of vascular smooth muscle cells. A significant mineral density depletion of cortical bone was observed. We describe the feasibility of developing a model of CKD-MBD and provide findings of a direct association between elevated serum phosphorus and the formation of MAC and renal osteodystrophy.
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