Newman Shelley Joy, Johnson Roger, Sears William, Wilcock Brian
Department of Pathobiology, Ontario Veterinary College, University of Guelph.
Can J Vet Res. 2002 Jul;66(3):158-64.
The search for antigens capable of causing immune-complex-mediated glomerulonephritis continues. Modified live-virus vaccines commercially available for veterinary use are a possible source. In this study, repeated vaccination of mink with live-virus vaccines was investigated as a model for vaccine-induced glomerular injury. Three groups of 10-wk-old mink, 15 per group, were vaccinated once with 4-way vaccine against distemper, Pseudomonas aeruginosa infection, botulism and mink viral enteritis. Subsequently, all mink in each group each were vaccinated either with the 4-way vaccine, a monovalent canine distemper vaccine, or saline. Glomerular function was assessed at 2-wk intervals by determining the urinary protein:creatinine (P:C) ratio. Kidney sections taken at necropsy, 20 wk after the 1st vaccination, were examined by light and immunofluorescent microscopy for deposition of immunoglobulin and complement. There was no statistically significant difference between the treated and control groups based on average urinary P:C ratio medians. Light microscopic changes were detected in glomeruli, but Fisher's exact test showed no significant differences between any of the treatment groups. Deposition of immunoglobulin but not complement was significantly more frequent (P < 0.05) in the glomeruli of animals that received multiple injections of the 4-way vaccine than in the glomeruli of those given only the monovalent canine distemper vaccine or saline. These findings suggest that repeated vaccination may increase the glomerular deposition of immunoglobulin. Further studies are required to determine if the increased deposition of immunoglobulin contributes to the development of glomerular damage and to identify the antigens driving production of the deposited immunoglobulin.
对能够引发免疫复合物介导的肾小球肾炎的抗原的研究仍在继续。市售的用于兽医的减毒活病毒疫苗是一个可能的来源。在本研究中,对水貂重复接种活病毒疫苗作为疫苗诱导的肾小球损伤的模型进行了研究。三组10周龄水貂,每组15只,用针对犬瘟热、铜绿假单胞菌感染、肉毒中毒和水貂病毒性肠炎的四联疫苗接种一次。随后,每组中的所有水貂分别用四联疫苗、单价犬瘟热疫苗或生理盐水接种。每隔2周通过测定尿蛋白:肌酐(P:C)比值评估肾小球功能。在首次接种后20周尸检时采集的肾脏切片,通过光学显微镜和免疫荧光显微镜检查免疫球蛋白和补体的沉积情况。基于平均尿P:C比值中位数,治疗组和对照组之间没有统计学上的显著差异。在肾小球中检测到了光学显微镜下的变化,但费舍尔精确检验显示任何治疗组之间均无显著差异。与仅接种单价犬瘟热疫苗或生理盐水的动物的肾小球相比,多次注射四联疫苗的动物的肾小球中免疫球蛋白而非补体的沉积明显更频繁(P < 0.05)。这些发现表明重复接种可能会增加免疫球蛋白在肾小球中的沉积。需要进一步研究以确定免疫球蛋白沉积增加是否会导致肾小球损伤的发展,并确定驱动沉积免疫球蛋白产生的抗原。