Granholm N A, Cavallo T
Department of Pathology, Rhode Island Hospital, Providence 02903.
Clin Exp Immunol. 1990 Nov;82(2):300-6. doi: 10.1111/j.1365-2249.1990.tb05443.x.
To gain some insight into the pathogenesis of proliferative lupus nephritis in MRL/lpr mice we investigated the kinetics of removal of immune complexes from the circulation, the carrier state of blood cells, the uptake of complexes by the mononuclear phagocyte system, and the localization of complexes in kidneys. In nephritic MRL/lpr mice challenged with a subsaturating dose of radiolabelled complexes (2.5 mg bovine serum albumin-anti-bovine serum albumin) liver uptake was profoundly decreased, removal of circulating complexes was delayed, and 12-h kidney localization of complexes was enhanced 7.3-fold, in comparison to control mice. The findings were not encumbered by differences in complement concentration and most likely are attributable to various altered immune functions: spontaneous polyclonal activation of B cells, enhanced production of endogenous immune complexes, delayed removal of complexes from the circulation, and decreased uptake of complexes by the mononuclear phagocyte system. In concert, such altered functions contribute to prolonged circulation of complexes to result in their enhanced deposition in the microcirculation.
为深入了解MRL/lpr小鼠增殖性狼疮性肾炎的发病机制,我们研究了免疫复合物从循环中清除的动力学、血细胞的载体状态、单核吞噬细胞系统对复合物的摄取以及复合物在肾脏中的定位。在用亚饱和剂量的放射性标记复合物(2.5mg牛血清白蛋白-抗牛血清白蛋白)攻击的狼疮性肾炎MRL/lpr小鼠中,与对照小鼠相比,肝脏摄取显著降低,循环复合物的清除延迟,复合物在肾脏中的12小时定位增强了7.3倍。这些发现不受补体浓度差异的影响,很可能归因于各种改变的免疫功能:B细胞的自发多克隆激活、内源性免疫复合物产生增加、循环中复合物清除延迟以及单核吞噬细胞系统对复合物的摄取减少。这些改变的功能共同作用,导致复合物在循环中持续存在,从而使其在微循环中的沉积增加。