Albini B, Nisengard R J, Glurich I, Neiders M E, Stinson M W
Am J Pathol. 1985 Mar;118(3):408-18.
Intravenous administration of disrupted Streptococcus mutans into rabbits over 23-76 weeks led to severe nephritis involving glomeruli, tubules, and interstitium. Light-microscopic observation of glomeruli documented diffuse endocapillary proliferative glomerulonephritis accompanied often (65%) by epithelial crescents. Electron-microscopic observation revealed humps in glomeruli of 70% of kidney specimens. In the glomeruli of some rabbits, extensive fibrin deposits and sclerosis were evident. Immunofluorescence showed linear, granular, often ribbonlike or patchy immune deposits encompassing, in order of decreasing frequency, C3, IgG, streptococcal antigen, IgA, and IgM. The histopathologic and immunohistologic features of the nephritis seen in rabbits given S mutans thus shows many features of Streptococcus-associated nephritides in man, in particular, the diffuse glomerular nephritis encountered in subacute bacterial endocarditis. Further, analysis of nephritis induced by administration of S mutans may have implications for the evaluation and purification of dental caries vaccines.
在23至76周的时间里,给兔子静脉注射破碎的变形链球菌,导致严重的肾炎,累及肾小球、肾小管和间质。肾小球的光镜观察记录显示为弥漫性毛细血管内增生性肾小球肾炎,常伴有(65%)上皮新月体形成。电镜观察发现70%的肾脏标本肾小球中有驼峰状沉积物。在一些兔子的肾小球中,可见广泛的纤维蛋白沉积和硬化。免疫荧光显示线性、颗粒状,常呈带状或斑片状免疫沉积物,按出现频率递减依次为C3、IgG、链球菌抗原、IgA和IgM。因此,给兔子注射变形链球菌后出现的肾炎的组织病理学和免疫组织学特征显示出许多人类链球菌相关性肾炎的特征,特别是亚急性细菌性心内膜炎中遇到的弥漫性肾小球肾炎。此外,对注射变形链球菌诱导的肾炎的分析可能对龋齿疫苗的评估和纯化有影响。