Yamaguchi N, Koyama A, Kobayashi M, Narita M
Nihon Jinzo Gakkai Shi. 1989 Sep;31(9):905-12.
Immune complex deposits found on the subepithelial side of the glomerular basement membrane (GBM) are characteristic of membranous glomerulonephritis. In order to clarify the mechanism of subepithelial immune complex deposition, we investigated the manner of localization of preformed immune complexes (IC) composed of native ferritin (NF) and anti NF antibody (aNFab) in a 40-fold antigen great excess using the system of passive serum sickness nephritis of mice. The following results were obtained. (1) The ferritin particles in the GBM of animals given NF alone, as controls, were mainly restricted to the lamina rara interna (LRI) with very few penetrating the entire depth of the GBM. (2) In animals given the IC, greater numbers of ferritin particles were seen, in comparison with the control animals, not only in the lamina densa (LD) but also in the lamina rara externa (LRE). (3) Immunoelectron microscopy (IEM) demonstrated that each NF particle was accompanied by aNFab, which was found to be peroxidase positive material, throughout the GBM. (4) On the grounds that ICs were prepared in Ag great excess, it is suggested that ICs seen in the GBM are composed of a low avidity antibody with a low Ag/Ab ratio, probably Ag1Ab1. From these results, it is suggested that circulating ICs are necessary to give rise to IC deposition on the GBM and that NF and aNFab exist together as ICs throughout the GBM. We concluded that subepithelial IC deposits arise from the circulation, and that after GBM trapping, circulating small-sized IC can pass through the LD to reach the subepithelial side of GBM.
在肾小球基底膜(GBM)上皮下侧发现的免疫复合物沉积是膜性肾小球肾炎的特征。为了阐明上皮下免疫复合物沉积的机制,我们使用小鼠被动血清病肾炎系统,研究了由天然铁蛋白(NF)和抗NF抗体(aNFab)组成的预制免疫复合物(IC)在抗原过量40倍的情况下的定位方式。获得了以下结果。(1)作为对照,单独给予NF的动物GBM中的铁蛋白颗粒主要局限于内疏松层(LRI),很少穿透GBM的整个深度。(2)与对照动物相比,给予IC的动物中,不仅在致密层(LD),而且在外疏松层(LRE)都可见到更多的铁蛋白颗粒。(3)免疫电子显微镜(IEM)显示,在整个GBM中,每个NF颗粒都伴有aNFab,后者被发现是过氧化物酶阳性物质。(4)基于IC是在抗原大量过量的情况下制备的,提示在GBM中见到的IC是由低亲和力抗体组成,抗原/抗体比例低,可能是Ag1Ab1。从这些结果提示,循环中的IC对于在GBM上发生IC沉积是必要的,并且NF和aNFab作为IC在整个GBM中共同存在。我们得出结论,上皮下IC沉积源自循环,并且在GBM捕获后,循环中的小尺寸IC可以穿过LD到达GBM的上皮下侧。