Yang Jae Won, Dettmar Anne Katrin, Kronbichler Andreas, Gee Heon Yung, Saleem Moin, Kim Seong Heon, Shin Jae Il
Department of Nephrology, Yonsei University Wonju College of Medicine, Wonju, Gangwon, Republic of Korea.
Pediatric Nephrology, Department of Pediatrics, Medical University Center Hamburg-Eppendorf, Hamburg, Germany.
Clin Exp Nephrol. 2018 Aug;22(4):752-763. doi: 10.1007/s10157-018-1552-8. Epub 2018 Mar 20.
In the last decade, great advances have been made in understanding the genetic basis for focal segmental glomerulosclerosis (FSGS). Animal models using specific gene disruption of the slit diaphragm and cytoskeleton of the foot process mirror the etiology of the human disease. Many animal models have been developed to understand the complex pathophysiology of FSGS. Therefore, we need to know the usefulness and exact methodology of creating animal models. Here, we review classic animal models and newly developed genetic animal models. Classic animal models of FSGS involve direct podocyte injury and indirect podocyte injury due to adaptive responses. However, the phenotype depends on the animal background. Renal ablation and direct podocyte toxin (PAN, adriamycin) models are leading animal models for FSGS, which have some limitations depending on mice background. A second group of animal models were developed using combinations of genetic mutation and toxin, such as NEP25, diphtheria toxin, and Thy1.1 models, which specifically injure podocytes. A third group of animal models involves genetic engineering techniques targeting podocyte expression molecules, such as podocin, CD2-associated protein, and TRPC6 channels. More detailed information about podocytopathy and FSGS can be expected in the coming decade. Different animal models should be used to study FSGS depending on the specific aim and sometimes should be used in combination.
在过去十年中,人们对局灶节段性肾小球硬化(FSGS)的遗传基础有了重大进展。利用足突裂隙隔膜和细胞骨架特定基因敲除的动物模型反映了人类疾病的病因。为了解FSGS复杂的病理生理学,人们开发了许多动物模型。因此,我们需要了解创建动物模型的实用性和确切方法。在此,我们回顾经典动物模型和新开发的基因动物模型。FSGS的经典动物模型包括直接足细胞损伤和因适应性反应导致的间接足细胞损伤。然而,其表型取决于动物背景。肾切除和直接足细胞毒素(PAN、阿霉素)模型是FSGS的主要动物模型,但根据小鼠背景存在一些局限性。第二组动物模型是通过基因突变与毒素结合开发的,如NEP25、白喉毒素和Thy1.1模型,这些模型特异性损伤足细胞。第三组动物模型涉及针对足细胞表达分子的基因工程技术,如足突蛋白、CD2相关蛋白和TRPC6通道。在未来十年有望获得关于足细胞病和FSGS的更详细信息。应根据具体目的使用不同的动物模型来研究FSGS,有时还应联合使用。