Trajanowa T G, Gordowskaja N B, Lentschik W I, Magarow M K, Schilow E M, Tarejewa I E
Z Urol Nephrol. 1978 Jan;71(1):1-5.
On the one hand, the results of our investigation reveal a hypersensitivity to renal antigen in patients with GN and LN. On the other hand, they refer to a change of the number of lymphocytes of the peripheral blood with a decrease of their functional activity. In patients with GN the sensibilisation of lymphocytes appeared in the same degree to the antigens of the renal extract as well as to the antigens of the basal membrane of the glomerulus. In contrast to this in the group of patients with LN the sensibility to antigens of the basal membrane was found only in 2 among 17 examined patients. The expression of the sensibilisation of lymphocytes to renal antigens correlated with the activity of clinical diseases and was most frequently connected with a higher pathological activity in patients with GN as well as in patients with LN. The analysis of RMHL and BMK did not show such legitimacies. In signs of the cellular immunity there could not be found any essential differences also in the examination of clinicomorphological variants of the GN.
一方面,我们的调查结果显示,肾小球肾炎(GN)和狼疮性肾炎(LN)患者对肾抗原存在超敏反应。另一方面,这些结果表明外周血淋巴细胞数量发生变化,其功能活性降低。在GN患者中,淋巴细胞对肾提取物抗原以及肾小球基底膜抗原的致敏程度相同。与此形成对比的是,在LN患者组中,17例受检患者中仅有2例对基底膜抗原敏感。淋巴细胞对肾抗原的致敏表达与临床疾病活动度相关,并且在GN患者和LN患者中最常与较高的病理活动度相关。对肾髓质淋巴瘤(RMHL)和骨髓活检(BMK)的分析未显示出此类相关性。在细胞免疫指标方面,对GN的临床形态学变异型进行检查时也未发现任何本质差异。