ABSTRACT. Affected rats of the unilateral urogenital anomalies (UUA) strain show renal agenesis restricted to the left side. To determine whether unilateral renal agenesis is a risk factor for the progression of renal insufficiency, we studied age-related pathophysiological alterations in affected rats. Although body growth and food intake were normal, polydipsia and polyuria with low specific gravity were present at 10 weeks and deteriorated further with age. Blood hemoglobin concentrations were normal, though there was slight erythropenia with increased MCV and MCH. Although hypoalbuminemia, hypercholesterolemia, azotemia, and hypermagnesemia were manifested after age 20 weeks, neither hyperphosphatemia nor hypocalcemia was observed. Plasma Cre and UN concentrations gradually increased with age. Cre clearance was almost normal, whereas fractional UN excretion was consistently lower than normal. Proteinuria increased with age, and albumin was the major leakage protein. In addition to cortical lesions, dilated tubules, cast formation, and interstitial fibrosis were observed in the renal medulla of 50 week-old affected rats. Renal weight was increased 1.7-fold and glomerular number 1.2-fold compared with normal rats. These findings show that the remaining kidney in UUA rats is involved not only in compensatory reactions but experiences pathophysiological alterations associated with progressive renal insufficiency.KEY WORDS: compensatory reaction, polyuria, proteinuria, renal agenesis, renal lesion.J. Vet. Med. Sci. 73(6): 787-795, 2011 There is evidence that one functioning kidney instead of two (i.e., a 50% reduction in nephron mass) may not be sufficient to support normal renal function throughout life. For example, unilateral nephrectomy (UNx) in adult rats was found to reduce GFR [5,22], increase urinary volume [5], and decrease urinary maximum concentrating capacity [22]. Moreover, neonatal UNx resulted in systemic hypertension [34] and overt proteinuria [22], as well as a marked reduction in GFR. These observations suggest that the renal function of the remaining kidney deteriorates more severely when UNx is performed during the neonatal period than during adulthood. Unilateral renal agenesis (URA) is a common congenital anomaly of the kidney [24], occurring in 1:1,000 to 1:500 persons [33]. The incidences of proteinuria, hypertension, and renal insufficiency have been reported to be higher in human patients with URA and one normal kidney than in individuals with two normal kidneys [4]. The pathogenesis and course of these manifestations in the remaining kidney of patients with URA have not been well investigated, due, perhaps in part, to the absence of suitable animal models of human URA.We previously reported the foundation and establishment of a new rat strain, the UUA (Unilateral Urogenital Anomalies) strain, characterized by URA and malformations of reproductive organs restricted to the left side. The URA was inherited as polygenic trait with the incidence of 20-60% in the strain [2]. The remaining ...