Transgenic mouse models of defective urinary concentrating ability produced by deletion of various membrane transport or receptor proteins, including aquaporin-2 (AQP2), are associated with neonatal mortality from polyuria. Here, we report an inducible mouse model of AQP2 gene deletion with severe polyuria in adult mice. LoxP sequences were inserted into introns 1 and 2 in the mouse AQP2 gene by homologous recombination in embryonic stem cells. Mating of germ-line AQP2-loxP mice with tamoxifen-inducible Cre-expressing mice produced offspring with inducible homozygous Cre-AQP2-loxP, which had a normal phenotype. Tamoxifen injections over 10 days resulted in AQP2 gene excision, with undetectable full-length AQP2 transcript in kidney and a Ͼ95% reduction in immunoreactive AQP2 protein. Urine osmolality decreased from ϳ2,000 to Ͻ500 mosmol/kgH2O after 4 -5 days, with urine output increasing from 2 to 25 ml/day. Urine osmolality did not increase after water deprivation. Interestingly, AQP3 protein expression in the collecting duct was increased by about fivefold after AQP2 gene excision. Mild renal damage was seen after 6 wk of polyuria, with collecting duct dilatation, yet normal creatinine clearance and serum chemistries. These results establish the first adult model of nephrogenic diabetes insipidus (NDI) caused by AQP2 deficiency, with daily urine output comparable to body weight, although remarkable preservation of renal function compared with non-inducible NDI models. water transport; water channel; transgenic mouse; NDI; polyuria AQUAPORIN-2 (AQP2) IS THE antidiuretic hormone (vasopressin)-regulated water channel expressed in the mammalian kidney collecting duct. Apical plasma membrane AQP2 targeting is regulated by a vesicular transport mechanism in which vasopressin acting through cAMP causes the exocytic insertion of AQP2 (1, 26). AQP2 is of clinical importance in acquired disorders of urinary concentrating function, both in nephrogenic diabetes insipidus (NDI), as produced by lithium therapy (20), and the syndrome of inappropriate antidiuretic hormone (7). Mutations in the AQP2 gene can cause the very rare disorder of hereditary NDI (5,8,12). Several AQP2 mutations causing autosomal recessive NDI, such as AQP2-T126M, are associated with defective AQP2 folding and retention at the endoplasmic reticulum (2, 23, 36). There is great interest in identifying small-molecule correctors of defective protein folding as potential therapy for human hereditary diseases, such as NDI caused by V2 receptor mutation (22) and cystic fibrosis caused by CFTR mutation (28). We found that small-molecule chemical chaperones correct the defective processing of AQP2 mutants in transfected cell models, including AQP2-T126M (35).Transgenic mouse models of NDI caused by AQP2 mutation are needed to evaluate the in vivo efficacy of small-molecule therapies that are active in cell culture models. To this end, we generated transgenic AQP2-T126M knock-in mice in which the T126M mutation was introduced into the mouse AQP2 gene by targeted ...