Sekse I, Iversen B M, Matre R, Ofstad J
Medical Department A, University of Bergen, Haukeland Sykehus, Norway.
Nephron. 1989;53(4):364-72. doi: 10.1159/000185783.
The acute renal hemodynamic changes during induction of passive Heymann nephritis (PHN) may be of importance for the understanding of the pathogenesis of this model. We studied the renal blood flow (RBF) and glomerular filtration rate (GFR) during and after infusion of anti-FxlA into the left renal artery of rats for 10 min. 3 control groups were given 0.9% NaCl, 1 and 2 mg of normal rabbit IgG, respectively. The experimental groups were given 1 and 2 mg IgG fraction of anti-FxlA. Compared to controls, both RBF and GFR were substantially reduced during the first 20-30 min after infusion and remained unaltered for the rest of the observation period. After 20-30 min, RBF in the 1-mg group was 4.8 +/- 0.77 ml/min/g kidney weight versus control, 6.4 +/- 1.23 (NS), and in the 2-mg group, 3.5 +/- 0.65 ml/min/g versus control, 6.4 +/- 1.07 (p less than 0.05). Similarly, in the 1-mg group, GFR was 0.40 +/- 0.08 ml/min/g versus control, 0.76 +/- 0.11 (p less than 0.05), and in the 2-mg group, 0.14 +/- 0.05 versus control, 0.77 +/- 0.12 (p less than 0.0001). The reductions were greater in the 2-mg than in the 1-mg infused experimental groups, but this difference did not reach statistical significance. Immunofluorescence showed typical granular fluorescence of rabbit IgG along the glomerular basement membrane, and electron microscopy showed subepithelial immune deposits. This indicates that in the initial phase of PHN, corresponding with the formation of immune complexes, a pronounced fall in RBF and GFR occurs.
被动型海曼肾炎(PHN)诱导过程中的急性肾血流动力学变化可能对理解该模型的发病机制具有重要意义。我们研究了在大鼠左肾动脉内输注抗FxlA 10分钟期间及之后的肾血流量(RBF)和肾小球滤过率(GFR)。3个对照组分别给予0.9%氯化钠、1毫克和2毫克正常兔免疫球蛋白G(IgG)。实验组给予1毫克和2毫克抗FxlA的IgG组分。与对照组相比,输注后最初20 - 30分钟内RBF和GFR均显著降低,且在观察期的其余时间保持不变。20 - 30分钟后,1毫克组的RBF为4.8±0.77毫升/分钟/克肾重,对照组为6.4±1.23(无显著性差异);2毫克组为3.5±0.65毫升/分钟/克,对照组为6.4±1.07(p<0.05)。同样,1毫克组的GFR为0.40±0.08毫升/分钟/克,对照组为0.76±0.11(p<0.05);2毫克组为0.14±0.05,对照组为0.77±0.12(p<0.0001)。2毫克输注实验组的降低幅度大于1毫克输注实验组,但这种差异未达到统计学显著性。免疫荧光显示兔IgG沿肾小球基底膜呈典型颗粒状荧光,电子显微镜显示上皮下免疫沉积物。这表明在PHN的初始阶段,与免疫复合物的形成相对应,RBF和GFR会出现明显下降。