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自发性高血压大鼠实验性肾小球肾炎病程未加重。

No aggravation of the course of experimental glomerulonephritis in spontaneously hypertensive rats.

作者信息

Stein H D, Sterzel R B, Hunt J D, Pabst R, Kashgarian M

出版信息

Am J Pathol. 1986 Mar;122(3):520-30.

Abstract

Functional and morphologic glomerular alterations induced by antiglomerular basement membrane (anti-GBM) nephritis were investigated in spontaneously hypertensive rats (SHR) and normotensive Wistar Kyoto controls (WKY) for assessment of the role of systemic hypertension in immunologically mediated renal injury. Over a 6-week period serial measurements of systolic blood pressure (BP), serum creatinine (SCreat), creatinine clearance (CCreat), and urinary albumin excretion (UAlbV) were obtained with inulin clearances (CInulin) at the end of the study. Renal tissue was examined by light microscopy (LM), electron microscopy, immunofluorescence, flash 3H-thymidine autoradiography (AR), and staining for nonspecific esterase (NSE). Immunologic humoral response was evaluated by measurement of rat anti-rabbit IgG antibody production. At all time periods studied, SHR and WKY rats with anti-GBM nephritis demonstrated comparable elevations in SCreat and UAlb V as well as diminution of CCreat and CInulin as compared with non-nephritic control rats of each strain. In nephritic WKY rats mild hypertension developed, whereas in nephritic and control SHR rats marked elevations in BP developed. Morphologic injury as assessed by percent glomerular crescents and hypercellularity on LM, numbers of monocyte macrophages by NSE staining, immunofluorescence for IgG, C3, fibrinogen and Ia positivity, and numbers of glomerular 3H-thymidine-labeled cells by AR was notably comparable in both nephritic strains. Humoral antibody responses were also shown to be similar in all rats studied. These results demonstrate that the 5-week course of experimental anti-GBM nephritis is not exacerbated by systemic hypertension. Glomerular autoregulatory capacity may be important in determining the extent of immune-mediated renal injury.

摘要

为评估系统性高血压在免疫介导的肾损伤中的作用,研究了抗肾小球基底膜(anti-GBM)肾炎诱导的功能性和形态学肾小球改变,实验对象为自发性高血压大鼠(SHR)和血压正常的Wistar Kyoto对照大鼠(WKY)。在为期6周的时间里,连续测量收缩压(BP)、血清肌酐(SCreat)、肌酐清除率(CCreat)和尿白蛋白排泄率(UAlbV),并在研究结束时用菊粉清除率(CInulin)进行测量。通过光学显微镜(LM)、电子显微镜、免疫荧光、闪光3H-胸腺嘧啶核苷放射自显影(AR)和非特异性酯酶(NSE)染色对肾组织进行检查。通过测量大鼠抗兔IgG抗体产生来评估免疫体液反应。在所有研究时间段,与各品系的非肾炎对照大鼠相比,患有anti-GBM肾炎的SHR和WKY大鼠的SCreat和UAlb V均有类似升高,CCreat和CInulin均降低。在患肾炎的WKY大鼠中出现轻度高血压,而在患肾炎和对照的SHR大鼠中血压显著升高。通过LM上的肾小球新月体百分比和细胞增多、NSE染色的单核巨噬细胞数量、IgG、C3、纤维蛋白原和Ia阳性的免疫荧光以及AR检测的肾小球3H-胸腺嘧啶核苷标记细胞数量评估的形态学损伤在两种患肾炎品系中明显相似。在所有研究的大鼠中,体液抗体反应也显示相似。这些结果表明,实验性anti-GBM肾炎的5周病程不会因系统性高血压而加重。肾小球自身调节能力可能在决定免疫介导的肾损伤程度方面很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b362/1888211/982be0cac851/amjpathol00162-0155-a.jpg

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