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用人肾小球基底膜免疫诱导绵羊产生的肾小球肾炎。

Glomerulonephritis induced in sheep by immunization with human glomerular basement membrane.

作者信息

Bygren P, Wieslander J, Heinegärd D

出版信息

Kidney Int. 1987 Jan;31(1):25-31. doi: 10.1038/ki.1987.4.

Abstract

The specificity of the anti-glomerular basement membrane (GBM) antibodies in experimental nephritis in sheep (Steblay's nephritis) was studied and compared with the specificity of antibodies in human anti-GBM nephritis (Goodpasture's syndrome). Sheep were injected monthly with isolated human GBM and antibody reactivities with isolated human and sheep GBM proteins were quantified with ELISA. Expectedly, the sheep had high titers of antibodies against several human GBM antigens. These antibodies remained for the most part in the circulation. In contrast, circulating antibody levels against sheep GBM antigens remained low for a long period of time, but a significant and progressive increase coincided with the development of acute nephritis. These antibodies accumulated in the kidneys of the nephritic sheep and could be eluted from diseased kidneys. They represent auto-antibodies immunologically cross-reacting with antigens of both sheep and human GBM. The specificity of auto-antibodies eluted from the kidneys was analyzed by immunoblotting and ELISA. The major populations reacted with one subunit, termed M2, of the globular domain of collagen IV. The same subunit contains the major antigen in Goodpasture's syndrome. It is concluded that the M2 subunit of the globular domain of collagen IV is recognized by IgG antibodies that primarily bind to the glomerular basement membrane in both Steblay's nephritis and Goodpasture's syndrome, indicating that it is a main nephritogen in both diseases.

摘要

研究了绵羊实验性肾炎(斯特布莱氏肾炎)中抗肾小球基底膜(GBM)抗体的特异性,并与人类抗GBM肾炎(古德帕斯丘综合征)中抗体的特异性进行了比较。每月给绵羊注射分离出的人GBM,并用酶联免疫吸附测定(ELISA)对分离出的人和绵羊GBM蛋白的抗体反应性进行定量。不出所料,绵羊针对几种人GBM抗原具有高滴度抗体。这些抗体大部分保留在循环系统中。相比之下,针对绵羊GBM抗原的循环抗体水平在很长一段时间内保持较低,但随着急性肾炎的发展出现了显著且渐进性的升高。这些抗体在患肾炎绵羊的肾脏中积累,并可从患病肾脏中洗脱出来。它们代表了与绵羊和人GBM抗原发生免疫交叉反应的自身抗体。通过免疫印迹法和ELISA分析从肾脏洗脱的自身抗体的特异性。主要群体与IV型胶原球状结构域的一个亚基(称为M2)发生反应。同一亚基包含古德帕斯丘综合征中的主要抗原。得出的结论是,IV型胶原球状结构域的M2亚基可被IgG抗体识别,这些抗体在斯特布莱氏肾炎和古德帕斯丘综合征中主要结合肾小球基底膜,表明它是这两种疾病中的主要致肾炎因子。

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