Yamada Naoaki, Sato Junko, Kanno Takeshi, Wako Yumi, Tsuchitani Minoru
1Pathology Department, Kashima Laboratory, Nonclinical Research Center, Mitsubishi Chemical Medience Corporation, Ibaraki, Japan.
Toxicol Pathol. 2013;41(8):1106-15. doi: 10.1177/0192623313478206. Epub 2013 Feb 27.
Spontaneous progressive glomerulonephropathy often occurs in common marmosets. However, there are few detailed reports concerning the age-related progressive process of glomerular changes. We discuss the glomerular changes in the early stage and the progressive changes in the advanced stage of nephropathy. We investigated the kidneys of common marmosets (2-11 years old; 9 males and 12 females) using hematoxylin and eosin, periodic acid-Schiff, periodic acid-methenamine-silver, and Masson's trichrome (MT) stains and a transmission electron microscope. There was no remarkable change in urine cytology, hematology, or blood chemistry. In the early stage of nephropathy, effacement of podocyte foot processes was observed ultrastructurally even though there were no marked glomerular lesions in the light microscopy. Subsequently, mesangial proliferation occurred from the hilar to peripheral side along the tuft. In the middle stage, red deposits were visible at the glomerular basement membrane (GBM) and the mesangial region directly under the GBM (paramesangial area) with the MT stain. Electron dense deposits were seen at the same area. In the advanced stage, the irregularity became prominent with or without dense deposits. It is necessary to investigate in detail whether the change of podocyte in the early stage was immuno-mediated or due to podocyte failure.
自发性进行性肾小球肾炎常发生于普通狨猴。然而,关于肾小球病变与年龄相关的进展过程,详细报道较少。我们讨论了肾病早期的肾小球变化以及晚期的进展性变化。我们使用苏木精-伊红染色、过碘酸-希夫染色、过碘酸-亚甲胺银染色和马松三色染色(MT)以及透射电子显微镜对普通狨猴(2至11岁;9只雄性和12只雌性)的肾脏进行了研究。尿液细胞学、血液学或血液化学检查均无明显变化。在肾病早期,超微结构观察到足细胞足突消失,尽管在光学显微镜下没有明显的肾小球病变。随后,系膜增生从肾小球血管极沿肾小球毛细血管襻向周边发展。在中期,MT染色显示肾小球基底膜(GBM)及GBM下方的系膜区(副系膜区)可见红色沉积物。在同一区域可见电子致密沉积物。在晚期,无论有无致密沉积物,不规则性都变得更加明显。有必要详细研究早期足细胞的变化是免疫介导的还是由于足细胞功能障碍所致。