Sawtell N M, Hartman A L, Weiss M A, Pesce A J, Michael J G
Department of Pathology, University of Cincinnati Medical Center, Ohio.
Lab Invest. 1988 Mar;58(3):287-93.
This study examines the role of complement in a murine model of accelerated nonproliferative immune complex glomerulopathy. Two C5 deficient strains (DBA/2J and B10.D2oSnJ) as well as normocomplementemic mice consistently develop heavy proteinuria and glomeruli show loss of normal visceral epithelial cell architecture within 4 days of intravenous antigen administration. In contrast, animals depleted of C3 with cobra venom factor fail to develop proteinuria and retain discrete foot processes. Semiquantitative evaluation of antigen and antibody in glomeruli shows equivalent deposition in mice from all groups. The localization of these deposits, however, is different in C3-depleted mice. There is extensive accumulation of deposits along the subepithelial aspect of the glomerular basement membrane of normocomplementemic and C5 deficient mice while deposits in glomeruli of C3-depleted animals accumulate in the subendothelial region and do not cross the glomerular basement membrane. These data demonstrate that in this model, glomerular injury is dependent on complement components generated up thru C3 but not C5 or latter components. In addition, our data suggest that C3 is important in the movement of immune complexes across the glomerular basement membrane. Although the mechanism by which complement is mediating injury in this model is not known, it does not appear to involve an inflammatory cell infiltrate or the terminal complement components.
本研究在加速性非增殖性免疫复合物肾小球病的小鼠模型中考察补体的作用。两种C5缺陷品系(DBA/2J和B10.D2oSnJ)以及补体正常的小鼠在静脉注射抗原后4天内均持续出现大量蛋白尿,肾小球显示正常脏层上皮细胞结构丧失。相比之下,用眼镜蛇毒因子消耗C3的动物未出现蛋白尿,且保留离散的足突。对肾小球中的抗原和抗体进行半定量评估显示,所有组小鼠中的沉积情况相当。然而,这些沉积物的定位在C3消耗的小鼠中有所不同。在补体正常和C5缺陷小鼠的肾小球基底膜上皮下方面有大量沉积物积累,而C3消耗动物的肾小球中的沉积物在内皮下区域积累,且不穿过肾小球基底膜。这些数据表明,在该模型中,肾小球损伤取决于直至C3产生的补体成分,而非C5或后续成分。此外,我们的数据表明,C3在免疫复合物穿过肾小球基底膜的过程中很重要。虽然在该模型中补体介导损伤的机制尚不清楚,但似乎不涉及炎性细胞浸润或补体末端成分。