Sugahara Go, Naito Ichiro, Miyagawa Yuichi, Komiyama Takaaki, Takemura Naoyuki, Kobayashi Ryosuke, Mineshige Takayuki, Kamiie Junichi, Shirota Kinji
Laboratory of Veterinary Pathology, School of Veterinary Medicine, Azabu University, 1-17-71 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa 252-5201, Japan.
J Vet Med Sci. 2015 Sep;77(9):1175-8. doi: 10.1292/jvms.15-0117. Epub 2015 Apr 17.
The renal biopsy tissue from a 9-month-old, male Pyrenean Mountain dog with renal disorder and severe proteinuria was examined. Ultrastructural examination revealed multilaminar splitting and fragmentation of the glomerular basement membrane (GBM) and diffuse podocyte foot process effacement. Immunofluorescent staining for α(IV) chains revealed presence of α5(IV) and complete absence of α3(IV) and α4(IV) chains in the GBM. Immunohistochemistry also revealed decreased and altered expression of nephrin and podocin in the glomeruli compared with normal canine glomeruli. These results suggested that the glomerular disease of the present case might be consistent with canine hereditary nephropathy resembling human Alport syndrome caused by genetic defect of type IV collagen, and indicated possible contribution of podocyte injury to severe proteinuria in this case.
对一只患有肾脏疾病和严重蛋白尿的9个月大雄性比利牛斯山犬的肾活检组织进行了检查。超微结构检查显示肾小球基底膜(GBM)出现多层分裂和断裂,以及弥漫性足细胞足突消失。α(IV)链的免疫荧光染色显示GBM中存在α5(IV)链,而完全不存在α3(IV)和α4(IV)链。免疫组织化学还显示,与正常犬肾小球相比,肾小球中nephrin和podocin的表达减少且发生改变。这些结果表明,本病例的肾小球疾病可能与由IV型胶原基因缺陷引起的、类似于人类Alport综合征的犬遗传性肾病一致,并表明足细胞损伤可能是导致该病例严重蛋白尿的原因。