Kamiie J, Yasuno K, Ogihara K, Nakamura A, Tamahara S, Fujino Y, Ono K, Shirota K
Laboratory of Veterinary Pathology, School of Veterinary Medicine, Azabu University, 1-17-71 Fuchinobe, Sagamihara, Kanagawa 229-8501, Japan.
Vet Pathol. 2009 Jul;46(4):688-92. doi: 10.1354/vp.08-VP-0272-S-CR. Epub 2009 Mar 9.
We report herein a case of collagenofibrotic glomerulonephropathy in a 3-year-old Shiba Inu with severe proteinuria. Histologically, renal glomeruli were enlarged with massive deposition of a homogeneous eosinophilic substance within the mesangium and capillary walls. The deposits reacted weakly with periodic acid-Schiff, stained deep blue with Masson's trichrome, and were positive by immunofluorescence for type III collagen and fibronectin. Ultrastructurally, the deposits consisted of fibrils and amorphous material in the mesangial matrix and beneath the glomerular capillary endothelium. The fibrils had transverse bands analogous to those of collagen fibrils. Electron microscopy also revealed focal detachment of podocytes and foot process effacement in glomerular tufts, which suggested that podocyte injury had contributed to the development of proteinuria in this dog. The current case resembles collagenofibrotic glomerulonephropathy (CFGN) in humans in histopathologic, immunofluorescence, and electron microscopic findings. This is the first report of CFGN in a nonhuman species with glomerular deposition of fibronectin and type III collagen.
我们在此报告一例3岁柴犬患胶原纤维性肾小球肾炎伴严重蛋白尿的病例。组织学检查显示,肾小球增大,系膜和毛细血管壁内有大量均匀嗜酸性物质沉积。沉积物对过碘酸希夫反应较弱,经马松三色染色呈深蓝色,免疫荧光显示Ⅲ型胶原和纤连蛋白呈阳性。超微结构上,沉积物由系膜基质和肾小球毛细血管内皮下方的纤维和无定形物质组成。这些纤维具有类似于胶原纤维的横纹。电子显微镜还显示肾小球丛中足细胞局灶性脱离和足突消失,这表明足细胞损伤促成了这只犬蛋白尿的发生。该病例在组织病理学、免疫荧光和电子显微镜检查结果方面与人类的胶原纤维性肾小球肾炎(CFGN)相似。这是关于非人类物种中CFGN伴纤连蛋白和Ⅲ型胶原肾小球沉积的首例报告。