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大鼠膜性肾病中补体、白细胞非依赖性蛋白尿与类花生酸合成

Complement and leukocyte independent proteinuria and eicosanoid synthesis in rat membranous nephropathy.

作者信息

Rahman M A, Liu C N, Dunn M J, Emancipator S N

机构信息

Department of Medicine, Hines Veterans Administration Hospital, Illinois.

出版信息

Lab Invest. 1988 Oct;59(4):477-83.

PMID:3050273
Abstract

We examined the effect of complement depletion and leukocyte depletion on an experimental model of membranous nephropathy. Nephrosis was induced in 200-gm male Sprague-Dawley rats by priming with cationic bovine gamma-globulin in adjuvant on day 1 followed by intravenous challenge with antigen starting on day 10. No naive control rats had immunofluorescent deposits in glomeruli; urine protein was less than 10 mg/24 hour and glomerular thromboxane synthesis was 658 +/- 64 ng/mg glomerular dry weight. In contrast, all rats primed and challenged with cationic bovine gamma-globulin had intense granular capillary wall deposits of rats IgG, bovine gamma-globulin, C3 and C5; severe proteinuria (183 +/- 24 mg/24 hour) was observed, associated with a 3-fold increase in glomerular thromboxane (2,393 +/- 574 ng/mg, all p less than 0.01 versus naive controls). In some rats, administration of cobra venom factor and antiserum to rat C3, starting on day 8 was used to deplete complement; hemolytic C3 and C5 were less than 2% of normal at sacrifice. These rats had IgG and bovine gamma-globulin deposits, whereas they lacked glomerular C3 or C5. Proteinuria (209 +/- 28 mg/24 hour) and glomerular thromboxane (2,087 +/- 394 ng/mg) were markedly increased compared with control, but no different from normocomplementemic rats primed and challenged with cationic bovine gamma-globulin. In other rats, depletion of leukocytes was achieved by 1,000 R x-irradiation on day 7; at sacrifice, irradiated rats had 1,270 +/- 462 wbc/microliter versus 10,375 +/- 1,652 in nephrotic rats given no other treatment, with unaltered differentials. These rats had glomerular deposits of rat IgG, bovine gamma-globulin, C3 and C5 indistinguishable from nephrotic rats with normal leukocyte counts in intensity and distribution. Proteinuria (202 +/- 30) and glomerular thromboxane (2,358 +/- 189 ng/mg) were markedly elevated compared with naive controls, but were not different from the normocomplementemic or complement-depleted groups primed and challenged with antigen. An additional control group included rats primed with ovalbumin on day 1, irradiated with 1,000 R on day 7, and challenged with cationic bovine gamma-globulin starting on day 10. This group had granular capillary wall deposits of bovine gamma-globulin, but not deposits of IgG, C3, or C5; urine protein excretion (less than 10 mg/24 hours) and glomerular thromboxane synthesis (613 +/- 90) were not different from naive controls. Glomerular prostaglandin E2 synthesis did not differ among the five groups.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

我们研究了补体耗竭和白细胞耗竭对膜性肾病实验模型的影响。在第1天用阳离子牛γ球蛋白加佐剂致敏200克雄性Sprague-Dawley大鼠,然后从第10天开始静脉注射抗原诱导肾病。未致敏的对照大鼠肾小球中没有免疫荧光沉积物;尿蛋白低于10毫克/24小时,肾小球血栓素合成量为658±64纳克/毫克肾小球干重。相比之下,所有用阳离子牛γ球蛋白致敏和攻击的大鼠都有强烈的大鼠IgG、牛γ球蛋白、C3和C5颗粒状毛细血管壁沉积物;观察到严重蛋白尿(183±24毫克/24小时),伴有肾小球血栓素增加3倍(2393±574纳克/毫克,与未致敏对照相比,所有p均小于0.01)。在一些大鼠中,从第8天开始给予眼镜蛇毒因子和抗大鼠C3抗血清以耗竭补体;处死时溶血C3和C5低于正常水平的2%。这些大鼠有IgG和牛γ球蛋白沉积物,但缺乏肾小球C3或C5。与对照相比,蛋白尿(209±28毫克/24小时)和肾小球血栓素(2087±394纳克/毫克)明显增加,但与用阳离子牛γ球蛋白致敏和攻击的正常补体大鼠没有差异。在其他大鼠中,通过在第7天进行1000拉德x射线照射实现白细胞耗竭;处死时,照射大鼠的白细胞计数为1270±462/微升,而未接受其他治疗的肾病大鼠为10375±1652/微升,分类未改变。这些大鼠的大鼠IgG、牛γ球蛋白、C3和C5的肾小球沉积物在强度和分布上与白细胞计数正常的肾病大鼠没有区别。与未致敏对照相比,蛋白尿(202±30)和肾小球血栓素(2358±189纳克/毫克)明显升高,但与用抗原致敏和攻击的正常补体或补体耗竭组没有差异。另一个对照组包括在第1天用卵清蛋白致敏、在第7天接受1000拉德照射并从第10天开始用阳离子牛γ球蛋白攻击的大鼠。该组有牛γ球蛋白的颗粒状毛细血管壁沉积物,但没有IgG、C3或C5沉积物;尿蛋白排泄(低于10毫克/24小时)和肾小球血栓素合成(613±90)与未致敏对照没有差异。五组之间肾小球前列腺素E2合成没有差异。(摘要截断于400字)

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