Key result
Treatment with warfarin or dabigatran in 5/6 nephrectomy C57BL/6 mice increased serum creatinine and hematuria but failed to induce the red blood cell tubular casts characteristic of anticoagulant-related nephropathy.
Why the study?
Anticoagulant-related nephropathy develops in patients and can be modeled in rats, but the feasibility of inducing it in mice was unknown.
Does treatment with warfarin or dabigatran induce anticoagulant-related nephropathy in C57BL/6 mice with 5/6 nephrectomy?
Does treatment with warfarin or dabigatran induce anticoagulant-related nephropathy in C57BL/6 mice with 5/6 nephrectomy?
The 5/6 nephrectomy murine model in C57BL/6 mice only partially reproduces anticoagulant-related nephropathy, lacking the hallmark red blood cell tubular casts seen in rats and humans.
Fails to induce hallmark casts in C57BL/6 5/6 nephrectomy mice; leaves open model validity and need for improved systems to study anticoagulant-related nephropathy.
Anticoagulant-related nephropathy (ARN) may develop in patients that are on anticoagulation therapy. Rats with 5/6 nephrectomy treated with different anticoagulants showed acute kidney injury (AKI) and red blood cell (RBC) casts in the tubules similar to ARN in humans. The aim of the current study was to investigate the feasibility of inducing ARN in mice. C57BL/6 5/6 nephrectomy mice were treated with warfarin and dabigatran 3 weeks after ablative surgery for 7 days. Two doses of each anticoagulant were used. All anticoagulants resulted in serum creatinine and hematuria increase. Mortality was 63% in 5.0 mg/kg/day of warfarin but only 13% in 2.5 mg/kg/day of warfarin or in 400 mg/kg/day of dabigatran and 0% in 200 mg/kg/day of dabigatran. In spite of increasing hematuria, RBC tubular casts were not seen in mice treated with any anticoagulant. The 5/6 nephrectomy murine model in C57BL/6 mice only partially reproduced ARN in terms of increasing serum creatinine and hematuria, but there were no RBC tubular casts in the remnant kidney.
No takes yet. Share an insight, caveat, or question.
Medipally et al. (2021) studied Anticoagulant-related nephropathy (n=29). Warfarin and Dabigatran vs. Vehicle control was evaluated on Development of red blood cell tubular casts and acute kidney injury. Treatment with warfarin or dabigatran in 5/6 nephrectomy C57BL/6 mice increased serum creatinine and hematuria but failed to induce the red blood cell tubular casts characteristic of anticoagulant-related nephropathy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: