Matsuo S, Fukatsu A, Taub M L, Caldwell P R, Brentjens J R, Andres G
J Clin Invest. 1987 Jun;79(6):1798-811. doi: 10.1172/JCI113021.
The effects of interaction between endothelial angiotensin converting enzyme (ACE) and goat anti-rabbit ACE (GtARbACE) antibodies were studied in rabbit glomeruli. By immunofluorescence ACE was not detectable in normal glomeruli. However, when kidneys were perfused with GtARbACE antibodies glomerular bound IgG was seven times higher than that of non-immune IgG and granular deposits of goat IgG were found on the endothelium of glomeruli and arteries. Rabbits injected intravenous for 4 d with GtARbACE antibodies showed on day 1 granular deposits of goat IgG on the glomerular endothelium; from day 3 to 24 there was gradual development of subepithelial deposits of goat IgG, rabbit IgG and C3. When GtARbACE antibodies were similarly injected into proteinuric rabbits there was formation of subepithelial granular deposits of goat IgG and ACE. The results document that a glomerular endothelial antigen is redistributed in vivo by a specific ligand, an event associated with formation of immune deposits. Furthermore, if the glomerular permeability is artificially increased, immune complexes shed from nonglomerular endothelia into the circulation can contribute to form subepithelial immune deposits.
在兔肾小球中研究了内皮血管紧张素转换酶(ACE)与山羊抗兔ACE(GtARbACE)抗体之间相互作用的影响。通过免疫荧光法,在正常肾小球中未检测到ACE。然而,当用GtARbACE抗体灌注肾脏时,肾小球结合的IgG比非免疫IgG高7倍,并且在肾小球和动脉的内皮上发现了山羊IgG的颗粒状沉积物。静脉注射GtARbACE抗体4天的兔子在第1天显示肾小球内皮上有山羊IgG的颗粒状沉积物;从第3天到第24天,山羊IgG、兔IgG和C3的上皮下沉积物逐渐形成。当将GtARbACE抗体类似地注射到蛋白尿兔中时,形成了山羊IgG和ACE的上皮下颗粒状沉积物。结果证明,肾小球内皮抗原在体内被一种特异性配体重新分布,这一事件与免疫沉积物的形成有关。此外,如果人为地增加肾小球通透性,从非肾小球内皮脱落进入循环的免疫复合物可有助于形成上皮下免疫沉积物。