Shimamura T, Morrison A B
Am J Pathol. 1975 Apr;79(1):95-106.
A chronic renal disease was induced by 5/6 nephrectomy in young adult Wistar albino male rats. Groups of 3 rats were killed at varying time intervals from 10 to 50 weeks after nephrectomy, and the glomerular structure was studied by light and electron microscopy. By light microscopy, increase in glomerular size and hypertrophy of the visceral glomerular epithelial cells were evident as early as the tenth week. Significant degree of glomerular hyalinization started on the 25th week and gradually became more extensive in involvement towards the 50th week. By electron miscroscopy, the hypertrophied glomerular epithelia showed many osmiophilic bodies and vacuoles in their cytoplasm and fusion of foot processes. Beginning on the 30th week, increase of the mesangial matrix was quite evident, and endothelial and epithelial cells disappeared from the areas where the increase was prominent. The increased matrix gradually encroached and occluded capillary lumina and Bowman's space, leading to a formation of obsolescent glomeruli. Whether or not these glomerular changes are due to the glomerular hyperfiltration which has been known to occur after 5/6 nephrectomy remains to be elucidated.
采用5/6肾切除术在成年雄性Wistar白化大鼠中诱导慢性肾病。在肾切除术后10至50周的不同时间间隔处死每组3只大鼠,并通过光学显微镜和电子显微镜研究肾小球结构。光学显微镜观察显示,早在第10周肾小球大小就增加,肾小球脏层上皮细胞肥大明显。第25周开始出现显著程度的肾小球玻璃样变,并在第50周逐渐变得更加广泛。电子显微镜观察发现,肥大的肾小球上皮细胞在其细胞质中显示出许多嗜锇小体和空泡,足突融合。从第30周开始,系膜基质增加相当明显,在内皮和上皮细胞增加显著的区域,这些细胞消失。增加的基质逐渐侵入并阻塞毛细血管腔和鲍曼间隙,导致废弃肾小球的形成。这些肾小球变化是否是由于已知在5/6肾切除术后发生的肾小球高滤过所致,仍有待阐明。