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[肺出血肾炎综合征的免疫学]

[Immunology of the Goodpasture's syndrome].

作者信息

Braunsteiner H, Asamer H

出版信息

Z Gesamte Inn Med. 1975 Nov 15;30(22):248-52.

PMID:1239872
Abstract

About 5% of all human glomerulonephritides are induced by basal membrane antibodies. Immunohistologically they are characterized by a linear fluorescence along the basal membrane of the glomerulum, when cuts of the kidneys of bioptic material are incubated with fluorescent anti-human-IgG-serum. Basal membrane antibodies circulating in the serum as well as antibodies eluted from renal homogenates are nephritogenic. Also recidivations of nephritis on renal homografts confirm the pathogenic significance. Basal membrane antibodies of patients with rapidly progressing glomerulonephritis seem to differ only by a non-existing cross-reaction to the antigen of the basal membrane of the lungs from Goodpasture basal membrane antibodies. Only a glomerulonephritis with pulmonary haemorrhage induced by basal membrane antibodies should be called Goodpasture syndrome.

摘要

约5%的人类肾小球肾炎由基底膜抗体诱发。免疫组织学上,当用荧光抗人IgG血清孵育活检材料的肾脏切片时,其特征为沿肾小球基底膜呈线性荧光。血清中循环的基底膜抗体以及从肾匀浆中洗脱的抗体都具有致肾炎性。肾同种移植时肾炎的复发也证实了其致病意义。快速进展性肾小球肾炎患者的基底膜抗体似乎与Goodpasture基底膜抗体的区别仅在于对肺基底膜抗原不存在交叉反应。只有由基底膜抗体诱发的伴有肺出血的肾小球肾炎才应称为Goodpasture综合征。

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