The cheetah (Acinonyx jubatus) is an endangered species with low fecundity
and premature death in captivity. A previous survey determined that renal f
ailure as a result of glomerulosclerosis was a major cause of death in capt
ive populations. This study characterizes the morphologic, histochemical, a
nd epidemiologic properties of glomerulosclerosis in this population. Kidne
ys from 87 cheetahs were examined by light microscopy; kidneys from six of
those cheetahs were examined by electron and fluorescent microscopy using s
pecial stains specific for collagen, glycoproteins, reticulin, and fibrin.
Immunohistochemistry for the advanced glycosylation end products (AGEs), py
rraline and pentosidine, also was performed on these cases. Glomerulosclero
sis was present to some degree in 82% of the population, and in 30% of chee
tahs the sclerosis was moderate to severe. Affected cheetah kidneys had thi
ckened glomerular and tubular basement membranes, culminating in glomerulos
clerosis. Thickened basement membranes were positive for collagen, glycopro
teins, reticulin, and AGEs. Ultrastructurally, membrane material was homoge
neous and fibrillar without electron-dense deposits. This glomerular lesion
in cheetahs resembles diabetic glomerulopathy in humans and chronic progre
ssive nephropathy in rats. No cheetahs had lesions of diabetes. However, ad
renal cortical hyperplasia was prevalent and highly correlated with glomeru
losclerosis in this population. If cheetahs with glomerulosclerosis had hyp
ercorticoidism, then hyperglycemia and glomerular hypertension could lead t
o progressive AGE and plasma protein accumulations in membrane lesions. As
in rats, daily feeding of high-protein diets and lack of genetic variation
in the population may further contribute to the high prevalence of glomerul
osclerosis in captive cheetahs.