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从肾母细胞瘤推断肾小球足细胞产生带有古德帕斯彻抗原决定簇的基底膜物质。

Deduction from Wilms' tumour that glomerular podocytes produce the basement membrane material bearing Goodpasture determinants.

作者信息

Droz D, Diebold N, Jan D, Jaubert F

机构信息

Laboratoire de Pathologie, Hôpital Necker-Enfants Malades, Paris, France.

出版信息

J Pathol. 1990 Dec;162(4):323-7. doi: 10.1002/path.1711620408.

Abstract

Using an indirect immunoperoxidase technique, we tested frozen specimens from one Wilms' tumour composed of numerous glomeruloid bodies devoid of blood vessels, with monoclonal antibodies directed against vimentin, cytokeratin, CALLA/CD10, CD24, CR1/CD35, endothelium factor VIII, class I and II MHC molecules, laminin, fibronectin, and non-collagenic domain NC1 of type IV collagen. Two reagents against Goodpasture determinants were used: P1 monoclonal antibody and serum IgG (GP antibodies) from a biopsy-proven Goodpasture patient. Glomeruloid bodies comprised two cell types: a peripheral layer of parietal epithelial cells (cytokeratin and CD24-positive) and central cell clumps of podocytes (vimentin and CALLA-positive). The basal lamina surrounding the glomeruloid bodies contained laminin and NC1 domain of type IV collagen, while that present between the podocytes reacted strongly with laminin, and P1 and GP antibodies. Endothelium factor VIII was not detected within the glomeruloid bodies and CR1 molecules bound to the basement membrane material within them. These data favour the hypothesis that podocytes produce the basement membrane material which bears Goodpasture determinants recently identified as a novel chain, named the alpha 3 chain, of type IV collagen.

摘要

我们使用间接免疫过氧化物酶技术,用针对波形蛋白、细胞角蛋白、CALLA/CD10、CD24、CR1/CD35、内皮因子VIII、I类和II类MHC分子、层粘连蛋白、纤连蛋白以及IV型胶原非胶原结构域NC1的单克隆抗体,检测了取自一个由众多无血管的肾小球样小体组成的肾母细胞瘤的冷冻标本。使用了两种针对Goodpasture决定簇的试剂:P1单克隆抗体和来自一名经活检证实为Goodpasture病患者的血清IgG(GP抗体)。肾小球样小体由两种细胞类型组成:一层外周的壁层上皮细胞(细胞角蛋白和CD24阳性)和中央的足细胞团块(波形蛋白和CALLA阳性)。围绕肾小球样小体的基底膜含有层粘连蛋白和IV型胶原的NC1结构域,而足细胞之间的基底膜与层粘连蛋白、P1和GP抗体反应强烈。在肾小球样小体内未检测到内皮因子VIII,且CR1分子与其中的基底膜物质结合。这些数据支持以下假说:足细胞产生带有Goodpasture决定簇的基底膜物质,该决定簇最近被鉴定为IV型胶原的一种新链,即α3链。

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