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白细胞去除对急性肾小球免疫损伤时肾小球动力学的影响。

Effect of leukocyte depletion on glomerular dynamics during acute glomerular immune injury.

作者信息

Tucker B J, Gushwa L C, Wilson C B, Blantz R C

出版信息

Kidney Int. 1985 Jul;28(1):28-35. doi: 10.1038/ki.1985.114.

Abstract

Large doses of anti-glomerular basement membrane antibody (AGBM-Ab) have been shown consistently to decrease both single nephron filtration rate (SNGFR) and the glomerular ultrafiltration coefficient (LpA) within 60 min of administration of the antibody. Both the decrease in SNGFR and LpA may be the result of infiltration of leukocytes blocking capillary loops and/or endothelial cell separation from the glomerular basement membrane through leukocyte dependent activated cytotoxic products or by mechanisms associated with leukocyte activation and infiltration. Administration of 2.5 micrograms/g body wt AGBM-Ab was performed in 10 control Munich-Wistar rats and in six Munich-Wistar rats in which 3 to 5 days prior to micropuncture experiments the rats were splenectomized and then irradiated to produce leukocyte depletion. Micropuncture measurements were performed in a condition of plasma volume expansion both prior to and after AGBM-Ab administration. In the control group, SNGFR decreased from 64 +/- 3 to 48 +/- 2 nl/min X g kidney wt after AGBM-Ab administration due to a decrease in LpA from 0.13 to 0.06 nl X sec-1 X mm Hg-1 X g kidney wt-1. This decrease in either SNGFR or LpA did not occur in the leukocyte depleted group. Linear deposits of IgG and C3 were similar in both groups. Polymorphonuclear leukocytes were significantly decreased in glomerulus from 7.4 +/- 0.7 in control vs. 0.7 +/- 0.3 in leukocyte depletion (P less than 0.01). There was no difference in glomerular dynamics between controls and leukocyte depleted rats prior to AGBM-Ab administration.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

大剂量抗肾小球基底膜抗体(AGBM-Ab)已被证实,在给予该抗体后60分钟内,可使单肾单位滤过率(SNGFR)和肾小球超滤系数(LpA)均降低。SNGFR和LpA的降低可能是白细胞浸润阻塞毛细血管袢,和/或通过白细胞依赖性活化细胞毒性产物,或与白细胞活化和浸润相关的机制,导致内皮细胞与肾小球基底膜分离的结果。对10只对照慕尼黑-维斯特大鼠以及6只慕尼黑-维斯特大鼠注射2.5微克/克体重的AGBM-Ab,后一组大鼠在微穿刺实验前3至5天进行脾切除,然后接受照射以造成白细胞减少。在AGBM-Ab给药前后,均在血浆容量扩充的条件下进行微穿刺测量。在对照组中,给予AGBM-Ab后,SNGFR从64±3降至48±2纳升/分钟×克肾重,原因是LpA从0.13降至0.06纳升×秒⁻¹×毫米汞柱⁻¹×克肾重⁻¹。白细胞减少组未出现SNGFR或LpA的这种降低。两组中IgG和C3的线性沉积相似。肾小球中的多形核白细胞显著减少,对照组为7.4±0.7,白细胞减少组为0.7±0.3(P<0.01)。在给予AGBM-Ab之前,对照组和白细胞减少大鼠的肾小球动力学没有差异。(摘要截取自250字)

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