Morley A R, Wheeler J
J Pathol. 1985 Apr;145(4):315-27. doi: 10.1002/path.1711450405.
Crescentic glomerulonephritis in man, irrespective of aetiology, indicates severe glomerular damage and carries a poor prognosis. The importance of the presence of macrophages in the development of glomerular crescents is well established, but the contribution of cellular proliferation in both macrophages and epithelial cells has received little attention. The purpose of this investigation was to develop a model of crescentic glomerulonephritis in mice, which will be suitable for cell kinetic studies. Preliminary studies are described, involving immunization with rabbit anti-mouse glomerular basement membrane (GBM) antiserum after pre-immunization with rabbit immunoglobulin G, both with and without treatment with a fibrinolytic inhibitor, Cyklokapron. Extensive glomerular damage, with crescent formation, was induced with four daily intravenous injections of rabbit anti-mouse GBM antiserum, after pre-immunization with rabbit IgG. The effect was shown to be dose dependent and was seen within 3 days of the last injection. Linear deposits of rabbit IgG were detected in all glomeruli by immunofluorescence and both linear and granular deposits of mouse IgG were also found. There was a significant increase in glomerular size and in the numbers of cells in Bowman's capsule (P less than 0.01), and increases in mitotic indices to 0.8 per cent were seen by day 13.
人类的新月体性肾小球肾炎,无论病因如何,均表明肾小球严重受损且预后不良。巨噬细胞在肾小球新月体形成过程中的重要性已得到充分证实,但巨噬细胞和上皮细胞的细胞增殖所起的作用却很少受到关注。本研究的目的是建立一种适用于细胞动力学研究的小鼠新月体性肾小球肾炎模型。文中描述了初步研究,包括在用兔免疫球蛋白G进行预免疫后,用兔抗小鼠肾小球基底膜(GBM)抗血清进行免疫,同时给予和不给予纤溶抑制剂氨甲环酸治疗。在用兔IgG进行预免疫后,每日静脉注射4次兔抗小鼠GBM抗血清,诱导出广泛的肾小球损伤并伴有新月体形成。结果显示该效应具有剂量依赖性,且在最后一次注射后3天内即可观察到。通过免疫荧光法在所有肾小球中均检测到兔IgG的线性沉积,同时也发现了小鼠IgG的线性和颗粒状沉积。肾小球大小和鲍曼囊内细胞数量显著增加(P<0.01),到第13天时有丝分裂指数增加至0.8%。