Background Dent disease is an X-linked inherited renal disease that occurs almost exclusively in males. Abnormal CLC-5 function might play a role in the development of Dent disease, but the genetic interaction changes and biomarkers in Dent disease are not fully understood. The aim of this study was to explore the potential key gene biomarkers and pathways related to Dent disease in CLCN5 knockout mice model.Methods The gene expression profile GSE10162 was analyzed differentially expressed genes (DEGs), between 3 samples of CLC-5 transporter gene knockout mouse model of Dent disease and 3 samples from wild type mouse. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) analyses were applied for the enriched pathway by the online tool DAVID. A protein-protein interaction (PPI) network of DEGs was constructed to find the hub genes by STRING, and visualized with Cytoscape software.Results Three samples from were incorporated into this study. A total of 500 DEGs were filtered, consisting of 231 upregulated genes and 269 downregulated genes. GO analysis indicated that the up-regulated DEGs were significantly enriched in the regulation of transcription form RNA, regulation of cell proliferation, and ion transport, whereas down-regulated genes were mainly enriched in oxidation-reduction process, and metabolic process. KEGG analysis demonstrated that the DEGs were enriched in the metabolic pathways, neuroactive ligand-receptor interaction, nicotine addiction, morphine addiction, fatty acid elongation, TNF signaling pathway, calcium signaling pathway, and cAMP signaling pathway. PPI network analysis found 17 hub genes with greater than 10 degrees of connectivity. The hub genes might participate in TNF signaling pathway, fat digestion and absorption, and enrich in lipid metabolic process, regulation of blood pressure, cellular response to hypoxia, positive regulation of angiogenesis, positive regulation of developmental growth, and positive regulation of cytosolic calcium ion concentration.Conclusions Our study suggests that Apob, Lep, C3, Cxcl1, Acly and Mmp9 may play key roles in the progression of Dent disease. Blood lipid profiles and calcium levels might be potential prognostic biomarkers for Dent disease.