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[柯萨奇B4病毒诱导的小鼠实验性肾小球肾炎——与间歇性病毒接种相关的肾小球变化]

[Experimental glomerulonephritis induced by Coxsackie B4 virus in mice--glomerular changes associated with intermittent viral inoculations].

作者信息

Kamiyama S

机构信息

Department of Pediatrics, Fukushima Medical College.

出版信息

Nihon Jinzo Gakkai Shi. 1990 Sep;32(9):939-48.

PMID:2175817
Abstract

It has been considered that viruses may be implicated in the genesis and progression of glomerular diseases. Several experimental and clinical studies have reported nephritogenecity of Coxsackie (Cox.) B4 virus infection. So in order to elucidate glomerulopathy of intermittent Cox. B4 virus infection, one-month-old Swiss albino mice were inoculated intravenously with purified Cox. B4 virus, 3 x 10(7) TCD50, once a month, and then were sacrificed from 4 to 9 mo. of age (from 3 to 8 times inoculation) at one month after final inoculation. Virological assay of neutralization titer (NT) of sera and histological study of the kidneys were performed. The results were as follows: 1) NT of sera was 1:16 at 4 mo. of age and gradually elevated to 1:256 at 8 and 9 mo. of age. 2) Light microscopy revealed PAS-positive mesangial deposits that were increased by degrees and marked showing hemispherically. Several glomeruli had GBM alteration, mesangial sclerosis and crescent formation with interstitial inflammatory response. 3) By immunofluorescence, IgG, IgA, and Cox. B4 viral antigen were stained in mesangial pattern and its intensity were increased in proportion to the number of inoculations. These results demonstrated that intermittent intravenous inoculation with Cox. B4 virus in mice produces virus mediated immune complex type glomerulonephritis closely resembling those in human chronic glomerulonephritis with mesangial immune deposits.

摘要

人们认为病毒可能与肾小球疾病的发生和发展有关。多项实验和临床研究报告了柯萨奇B4病毒感染的致肾炎性。因此,为了阐明间歇性柯萨奇B4病毒感染的肾小球病变,给1月龄的瑞士白化小鼠每月静脉注射一次纯化的柯萨奇B4病毒(3×10⁷半数组织培养感染剂量),然后在末次接种后1个月,于4至9月龄(接种3至8次)处死小鼠。进行了血清中和滴度(NT)的病毒学检测以及肾脏的组织学研究。结果如下:1)4月龄时血清NT为1:16,8至9月龄时逐渐升高至1:256。2)光镜检查显示PAS阳性的系膜沉积物逐渐增多,呈半球形显著表现。部分肾小球有肾小球基底膜改变、系膜硬化和新月体形成,并伴有间质炎症反应。3)免疫荧光检查显示,IgG、IgA和柯萨奇B4病毒抗原呈系膜型染色,其强度与接种次数成正比增加。这些结果表明,小鼠间歇性静脉注射柯萨奇B4病毒可产生病毒介导的免疫复合物型肾小球肾炎,与人类伴有系膜免疫沉积物的慢性肾小球肾炎极为相似。

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