Abstract

A variety of animal models of diabetes mellitus (DM) are required to study the genetics and pathophysiology of DM. We established a novel rat strain showing nonobese type 2 diabetes with enlarged kidneys from the LEA.PET-pet congenic strain and named it Diabetes with Enlarged Kidney (DEK). The body growth of DEK affected rats was similar to that of normal rats before the development of DM but was attenuated with the deterioration of DM. There was a marked difference in the etiology of DEK by gender: DM phenotypes including polyuria, polydipsia, and hyperglycemia (nonfasting blood glucose over 300 mg/dl) were found in male rats aged over 10 weeks but not in female rats. The cumulative incidence of DM in DEK males at the age of 30 weeks was 44.8%. Oral glucose tolerance tests showed glucose intolerance and decreased insulin secretion in response to glucose loading in affected males, features which were exacerbated with age. Affected males exhibited disorganized architecture of pancreatic islets, decreased numbers of β cells, and markedly decreased expression of insulin, despite no pathological findings of hemorrhage or infiltration of inflammatory cells in the pancreatic islet. Age-related islet fibrosis appeared similar in normal and affected males. Affected males also showed enlarged kidneys with dilation of renal tubules in both the cortex and medulla, but no obvious glomerular lesions typical of diabetic nephropathy (DN) at the age of 30 weeks. Plasma levels of urea nitrogen and creatinine were normal, but hypoalbuminemia was detected. These pathophysiological features in affected males indicated that their renal function was almost maintained despite severe DM. Taken together, these findings indicate that the affected males of the DEK strain are a novel nonobese type 2 diabetes rat model useful for studying the mechanisms underlying β cell loss and identifying genetic factors protective against DN.

Highlights

  • Diabetes mellitus (DM) is a metabolic disease characterized by chronic hyperglycemia

  • While type 1 diabetes (T1D) is characterized by absolute deficiency of insulin resulting from autoimmune destruction of pancreatic β cells, type 2 diabetes (T2D) is characterized by insulin resistance and/or relative insulin deficiency [5, 6] and is associated with a variety of pathophysiological events including inflammation, oxidative stress, and ER stress [7,8,9,10]

  • We found one male rat with severe hyperglycemia among the offspring of an LEA.PET-pet congenic strain rat born by cesarean section

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Summary

Introduction

Diabetes mellitus (DM) is a metabolic disease characterized by chronic hyperglycemia. Chronic hyperglycemia may lead to multiple complications including diabetic nephropathy (DN), which is a leading cause of chronic kidney diseases in humans [2]. Following microvascular and neuropathy complications, DN is the third most common complication with 27.9% of diabetic patients showing DN [3]. T2D is the most common form of DM and accounts for 90% of all diabetes patients [11]. T2D is a multifactorial disease resulting from interactions between genetic and environmental factors. It was proposed that there is an ethnic/racial difference in genetic predisposition and susceptibility to environmental risk factors for the development of T2D in humans [12]. Since the etiology and phenotype of DM are heterogenous in humans, a variety of animal models of DM are required to study the genetics and pathology of DM and diabetic complications [13]

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