Preventing the onset of microalbuminuria in diabetic nephropathy is a problem that needs urgent rectification. The use of a mouse model for diabetes is vital in this regard. For example, db/db mice exhibit defects in the leptin receptor Ob-Rb sub-type, while the ob/ob strain exhibits defects in the leptin ligand. These mouse strains demonstrate type 2 diabetes, either with or without microalbuminuria, respectively. The purpose of the present study was to use DNA microarray technology to screen for the gene responsible for the onset of diabetic microalbuminuria. Using Affymetrix Mouse Gene ST 1.0 arrays, microarray analysis was performed using total RNA from the kidneys of ob control, ob/ob, db/m, and db/db mice. Microarray and quantitative reverse transcription-polymerase chain reaction (RT-PCR) indicated that transcription of the macrophage migration inhibitory factor (MIF) gene was significantly enhanced in the kidneys of db/db mice. Western blotting showed that levels of MIF protein was enhanced in the kidneys of both diabetic db/db and ob/ob mice. On the other hand, elevation of urinary MIF excretion detected by enzyme-linked immunosorbent assay (ELISA) was only in db/db mice and preceded the onset of microalbuminuria. Immunofluorescence studies revealed that MIF was expressed in mouse kidney glomeruli. While MIF expression was enhanced in the diabetic kidneys of both mouse strains, the elevated secretion from db/db mouse kidneys may be responsible for initiating the onset of microalbuminuria in diabetic nephropathy.Key words macrophage migration inhibitory factor; diabetic nephropathy; microalbuminuria; db/db mouse; ob/ob mouse Diabetic nephropathy is the primary causative disease leading to dialysis in Japan.1) The cumulative incidence of nephropathy after 30 years of post-pubertal diabetes was reported to be significantly higher in type 2 diabetic patients (44.4%) than in type 1 diabetic patients (20.2%).2) However, diabetic nephropathy does not occur in all patients with type 2 diabetes mellitus, implying that there might be an unknown underlying mechanism to prevent the onset of diabetic nephropathy. Establishing the identity of such a mechanism is of vital importance.It is thought that the onset of microalbuminuria, considered to be a marker of early diabetic nephropathy, must be suppressed in order to inhibit the onset and aggravation of nephropathy in type 2 diabetes. Two murine strains are available as an animal model for type 2 diabetes: db/db mice in which microalbuminuria develops at 8 weeks of age 3); and ob/ob mice that do not develop microalbuminuria at all. It is thought that a gene cluster associated with the onset of microalbuminuria could therefore be identified by comparing differences in gene expression between these two mouse strains, without considering a specific disease-developing mechanism underlying microalbuminuria.The purpose of this study was therefore to identify a gene associated with the onset of microalbuminuria in the type 2 diabetic model mouse using a DNA microarray appro...