Arend W P, Silverblatt F J
Clin Exp Immunol. 1975 Dec;22(3):502-13.
The serum disappearance, metabolic clearance and whole body catabolism of homologous immunoglobulin fragments were studied in rats. The rapid disappearance of Fab fragments from serum in normal animals was no longer present after nephrectomy. In contrast, the serum disappearance curve of Fc fragments was not altered by nephrectomy. The results of three different experiments, however, indicated that similar to Fab fragments, some Fc fragments underwent filtration and degradation in the kidneys. First, the amount of intact Fc fragments excreted in the first day after injection increased from 6% of the injected dose in normal rats to 17% in rats pretreated with sodium maleate. Secondly, nephrectomy eliminated the rapid phase of whole body catabolism of inected Fc fragments. Thirdly, auto-radiographic studies showed localization of Fc fragments in the renal proximal tubule cells in the first 3 hr after injection. An identical localization was seen with Fab fragments. These results support the conclusion that removal from circulation by glomerular filtration and subsequent reabsorption and degradation in proximal tubule cells represent the major mechanism for catabolism of Fab fragments. Although some Fc fragments undergo the same fate, most injected Fc fragments equilibrate with unknown sites where they are possibly bound and made unavailable for filtration in the kidneys.
在大鼠中研究了同源免疫球蛋白片段的血清清除、代谢清除及全身分解代谢情况。正常动物血清中Fab片段的快速清除在肾切除术后不再出现。相比之下,肾切除术并未改变Fc片段的血清清除曲线。然而,三项不同实验的结果表明,与Fab片段相似,一些Fc片段在肾脏中经历滤过和降解。首先,注射后第一天排出的完整Fc片段量从正常大鼠注射剂量的6%增加到马来酸钠预处理大鼠的17%。其次,肾切除术消除了注射的Fc片段全身分解代谢的快速阶段。第三,放射自显影研究显示,注射后最初3小时内Fc片段定位于肾近端小管细胞。Fab片段也有相同的定位。这些结果支持以下结论:通过肾小球滤过从循环中清除,随后在近端小管细胞中重吸收和降解,是Fab片段分解代谢的主要机制。虽然一些Fc片段也有相同的命运,但大多数注射的Fc片段与未知位点达到平衡,在这些位点它们可能被结合,从而无法在肾脏中滤过。