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[关于类似人类IgA肾病的猪肾小球病的研究]

[Study on the swine glomerulopathy resembling human IgA nephropathy].

作者信息

Yoshie T

机构信息

2nd Department of Internal Medicine, Shinshu University School of Medicine.

出版信息

Nihon Jinzo Gakkai Shi. 1991 Feb;33(2):179-89.

PMID:2051646
Abstract

Naturally occurring swine glomerulopathy was investigated and its glomerular tissue injury was compared with that of human IgA nephropathy. Mild proteinuria (30%) and microhematuria (17%) was found in 30 six-month-old swine. Serum creatinine level was 1.8 +/- 0.4 (mean +/- SD) mg/dl. Light microscopy (LM) disclosed diffuse or focal glomerulopathy with mesangial enlargement and hemispherical deposits in six-month-old swine. Electron microscopy revealed dense deposits in the mesangial, para-mesangial and sub-endothelium areas. On immunofluorescence+ (IF) staining findings, granular deposits of IgA (97%), IgG (97%), IgM (80%), C3 (100%), and mycoplasma hyorhinis (MH) antigen (90%) were found in the mesangial areas and along the capillary walls. One three-month-old pig and one five-year-old Goettingen mini pig were also found to have granular deposits of immunoglobulin and MH antigen in the glomerulus. In contrast, no glomerular lesion was found in all 4 new-born pigs and 4 fetal pigs by LM and IF study. In six-month-old swine anti-nuclear factor and anti-DNA antibody were negative, and no pathological lesion was found in the liver by LM. And IgA and MH antigen containing circling immune complexes were positive in sera by Raji cell assay, and moreover IgA and MH antigen was found co-depositing by the double stain techniques. These findings suggest that swine glomerulopathy is similar in appearance to human IgA nephropathy and MH antigen may contribute to the development of this nephropathy.

摘要

对自然发生的猪肾小球病进行了研究,并将其肾小球组织损伤与人类IgA肾病的损伤进行了比较。在30只6月龄猪中发现轻度蛋白尿(30%)和镜下血尿(17%)。血清肌酐水平为1.8±0.4(平均值±标准差)mg/dl。光镜检查显示6月龄猪存在弥漫性或局灶性肾小球病,伴有系膜增大和半球形沉积物。电子显微镜显示系膜、系膜旁和内皮下区域有致密沉积物。免疫荧光染色结果显示,系膜区和毛细血管壁有IgA(97%)、IgG(97%)、IgM(80%)、C3(100%)和猪鼻支原体(MH)抗原(90%)的颗粒状沉积物。还发现1只3月龄猪和1只5岁的哥廷根小型猪肾小球中有免疫球蛋白和MH抗原的颗粒状沉积物。相比之下,通过光镜和免疫荧光研究,在所有4只新生猪和4只胎猪中均未发现肾小球病变。在6月龄猪中,抗核因子和抗DNA抗体均为阴性,光镜检查肝脏未发现病理病变。通过Raji细胞试验,血清中含IgA和MH抗原的循环免疫复合物呈阳性,此外,通过双重染色技术发现IgA和MH抗原共沉积。这些发现表明,猪肾小球病在外观上与人类IgA肾病相似,MH抗原可能促成了这种肾病的发展。

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