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IgA肾病患者病毒抗原的检测

Detection of viral antigens in patients with IgA nephropathy.

作者信息

Tomino Y, Yagame M, Suga T, Miura M, Endoh M, Nomoto Y, Sakai H

机构信息

Department of Internal Medicine, School of Medicine, Tokai University, Isehara, Japan.

出版信息

Jpn J Med. 1989 Mar-Apr;28(2):159-64. doi: 10.2169/internalmedicine1962.28.159.

Abstract

Immunofluorescent analysis of viral antigens in the cultured fibroblasts and renal tissues in patients with IgA nephropathy was described. Freeze and thawed extracts of pharyngeal cells obtained from patients with IgA nephropathy, chronic proliferative glomerulonephritis without IgA deposition (PGN) and healthy adults were cultured with human fibroblasts, i.e. Hel cells, with or without addition of 5-iodine 2'-deoxy-uridine (IUDR) at 37 degrees C for 2 weeks. These fibroblasts and renal sections were stained with several kinds of FITC-labeled antiviral antibodies. Deposition of adeno, herpes simplex, varicella zoster or parainfluenza 3 was observed not only in the renal sections but also in the nuclear regions and/or cytoplasm of Hel cells after incubation of extracts of pharyngeal cells with or without IUDR from patients with IgA nephropathy. It is indicated that antigenic stimulation in the upper respiratory tracts may be due to several different types of DNA and/or RNA viruses in patients with IgA nephropathy. It appears that these antigenic substances show some heterogeneity among these patients.

摘要

描述了对IgA肾病患者培养的成纤维细胞和肾组织中病毒抗原的免疫荧光分析。从IgA肾病患者、无IgA沉积的慢性增殖性肾小球肾炎(PGN)患者和健康成年人获得的咽细胞冻融提取物,在添加或不添加5-碘-2'-脱氧尿苷(IUDR)的情况下,于37℃与人类成纤维细胞即Hel细胞一起培养2周。用几种异硫氰酸荧光素(FITC)标记的抗病毒抗体对这些成纤维细胞和肾切片进行染色。在用或不用来自IgA肾病患者的含IUDR或不含IUDR的咽细胞提取物孵育后,不仅在肾切片中,而且在Hel细胞核区域和/或细胞质中都观察到腺病毒、单纯疱疹病毒、水痘带状疱疹病毒或副流感病毒3的沉积。这表明IgA肾病患者上呼吸道中的抗原刺激可能是由几种不同类型的DNA和/或RNA病毒引起的。似乎这些抗原物质在这些患者中表现出一定的异质性。

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