Nephrectomy-based models are well-established surgical approaches to induce chronic kidney disease (CKD) through controlled reduction of renal mass. These models are widely used to study disease progression, hemodynamic adaptation, and therapeutic intervention in both mice and rats.
Unilateral nephrectomy involves the surgical removal of one kidney, resulting in an immediate ~50% reduction in renal mass.
This model is typically used to:
Key features:
UNx is particularly useful when the goal is to model early physiological changes rather than overt disease progression.
The 5/6 nephrectomy model is a more aggressive surgical approach that removes approximately 83% of total renal mass. This is typically achieved through a two-step procedure:
This model is a gold standard for inducing progressive CKD and is widely used in both mice and rats.
Key features:
Compared to UNx, the 5/6 Nx model produces a more clinically relevant disease phenotype, particularly for studies focused on CKD progression and therapeutic intervention.
The choice between unilateral and 5/6 nephrectomy depends on the specific research objective:
Both procedures can be performed in mice and rats, with protocol optimization to balance surgical consistency, recovery, and study endpoints.
| Mouse | Rat | |
|---|---|---|
| CKD progression: | More variable, strain-dependent | Robust and reproducible |
| Fibrosis severity: | Mild–moderate | Moderate–severe |
| Proteinuria: | Lower, may require optimization | Strong and consistent |
| Surgical complexity: | Higher (technical precision required) | Lower (more reproducible) |
| Genetic tools: | Extensive (KO, KI, humanized) | Limited |
| Sample volume: | Limited | Larger (better for PK/PD) |
| Best use case: | Mechanistic / multi-hit models | Efficacy / translational studies |
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