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在免疫复合物性肾小球肾炎中,在无分泌型IgM的情况下,C3沉积从肾小球定位转移至肾小管间质区室。

Shift of C3 deposition from localization in the glomerulus into the tubulo-interstitial compartment in the absence of secreted IgM in immune complex glomerulonephritis.

作者信息

Vaculik C, Rüger B M, Yanagida G, Hollemann D, Soleiman A, Losert U M, Chen J, Fischer M B

机构信息

Department of Transfusion Medicine, Medical University of Vienna, Vienna, Austria.

出版信息

Clin Exp Immunol. 2008 Jan;151(1):146-54. doi: 10.1111/j.1365-2249.2007.03534.x. Epub 2007 Nov 7.

Abstract

The role of secretory IgM in protecting kidney tissue from immune complex glomerulonephritis induced by 4 mg horse spleen apoferritin and 0.05 mg lipopolysaccharide has been investigated in mutant mice in which B cells do not secrete IgM, but are capable of expressing surface IgM and IgD and secreting other Ig isotypes. Glomerular size, number of glomeruli per cross-section, glomerular cellularity and urine content of protein and creatinine was comparable in treated secreted IgM (sIgM)-deficient and wild-type mice. Assessment of urinary proteins by sodium dodecyl sulphate-polyacrylamide gel electrophoresis showed a 30 kDa low molecular weight protein in treated sIgM-deficient animals only, reflecting dysfunction of proximal tubules. A shift of bound C3 from glomeruli to the tubulo-interstitial compartment in sIgM-deficient mice also suggests tubulo-interstitial damage. In contrast, local C3 synthesis within the kidney tissue did not differ between the two treated groups. Apoptosis physiologically present to maintain kidney cell homeostasis was increased slightly in treated wild-type mice. These results indicate that secretory IgM can protect the tubulo-interstitial compartment from immune complex-induced damage without having an effect on the glomerulus.

摘要

在B细胞不分泌IgM,但能够表达表面IgM和IgD并分泌其他Ig同种型的突变小鼠中,研究了分泌型IgM在保护肾组织免受4毫克马脾脱铁铁蛋白和0.05毫克脂多糖诱导的免疫复合物肾小球肾炎中的作用。在经处理的分泌型IgM(sIgM)缺陷小鼠和野生型小鼠中,肾小球大小、每横截面积的肾小球数量、肾小球细胞密度以及尿液中蛋白质和肌酐的含量相当。通过十二烷基硫酸钠-聚丙烯酰胺凝胶电泳对尿蛋白进行评估,结果显示仅在经处理的sIgM缺陷动物中存在一种30 kDa的低分子量蛋白质,这反映了近端小管功能障碍。sIgM缺陷小鼠中结合的C从肾小球向肾小管间质区室的转移也提示肾小管间质损伤。相比之下,两个处理组之间肾组织内的局部C合成没有差异。在经处理的野生型小鼠中,为维持肾细胞稳态而生理存在的细胞凋亡略有增加。这些结果表明,分泌型IgM可以保护肾小管间质区室免受免疫复合物诱导的损伤,而对肾小球没有影响。

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