
Experiment reinforces link between carbon dioxide and kidney stones
Scientists also see correlation between the amount of CO2 and severity of the condition in trout
Scientists at Norwegian research institute Nofima have investigated the impact of carbon dioxide in water on the development of kidney stones in farmed rainbow trout and see a clear connection.
In short, the results indicate that the higher the concentration of carbon dioxide (CO2) in the water during the juvenile stage, the greater the proportion of fish that develop kidney stones (also known as nephrocalcinosis). There is also a clear correlation between the concentration of CO2 and the severity of the condition.
Why is CO2 in the water?
During the juvenile stage, rainbow trout (and salmon) are farmed in tanks with freshwater on land. If fish density is high and water exchange is low, the level of CO2 increases. As the fish breathe, they take oxygen through their gills and release carbon dioxide. In practice, there is therefore always some carbon dioxide in the water in a tank with farmed fish.
It is important to keep the concentration low enough so as not to harm the fish, and Nofima has research that provides answers.
About kidney stones
Nephrocalcinosis is a rapidly growing kidney disease in farmed salmonids. The main function of the kidneys is to purify the blood and secrete urine. They are also among the fish’s largest blood-forming and immunological organs. When smolts are transferred to sea with defective kidneys, they cope poorly with the challenges in the marine environment, even though the carbon dioxide concentration there is very low.
“It is uncertain how painful nephrocalcinosis is, and when it becomes truly serious. The fish may look perfectly healthy on the outside, but have destroyed kidneys,” says Nofima veterinarian Kirsti Hjelde. She has contributed to the further development of X-ray diagnostics that make it possible to detect kidney stones in live fish.

It has long been assumed that carbon dioxide affects the development of nephrocalcinosis, and a general recommendation to fish farmers has been to keep carbon dioxide below 15 mg/l of water in juvenile facilities. However, this recommendation has not been well documented. Now, Nofima’s research shows that 13 mg CO2 /l of water caused development of nephrocalcinosis in 5% of the fish. When the fish were farmed in water containing 26 mg CO2 /l, more than 40% developed nephrocalcinosis.
“Our results show that CO2 values of 13 mg/l and above increase the risk of nephrocalcinosis in rainbow trout,” says Ingrid Lein at Nofima. “The extent and severity of kidney stones increase steadily as CO2 concentration rises.”
Lein says she does not believe carbon dioxide is the only cause of nephrocalcinosis in rainbow trout, but that it is clearly a very important causal factor.
“For salmon, we know the situation is more complex, but there is every reason to believe that carbon dioxide is also an important part of the causal picture for salmon,” she says.
The method is the key to more knowledge
Behind the concrete results from the research lies method development that began as part of CtrlAQUA (a Centre for Research-based Innovation) a few years ago. Nofima has now further developed the method through experiments at its research station in Sunndalsøra, Norway.

“We now have a model system where we can induce nephrocalcinosis in rainbow trout and measure the effect on the fish. With this setup, it becomes easier to investigate other risk factors, interactions, and measures against kidney stones in farmed fish,” says André Meriac at Nofima.
He hopes the aquaculture industry will dig deeper into the causes of nephrocalcinosis and is ready to help clarify causes and contribute to healthier farmed salmon in commercial facilities.
X-rays measure the effect
To measure the effect of various treatments, Nofima uses X-rays on live fish on a large scale. With X-rays on live fish, scientists can detect the kidney stones, which are crystals in the kidneys. Previously, diagnostics were limited to taking tissue samples and the need to kill the fish to study the kidneys.
“With X-rays, we avoid harming the fish. In this experiment, we took live X-rays of all individuals before they were transferred to sea and will take new X-rays at the end of the experiment to understand how the different treatments during the juvenile stage have affected how the fish coped in the sea,” says Hjelde.
The research is funded by the Norwegian Seafood Research Fund (FHF) and is a collaboration between Nofima and several industry partners in aquaculture.