Poskitt T R, Fortwengler H P, Bobrow J C, Roth G J
Am J Pathol. 1974 Jul;76(1):145-64.
Light, immunofluorescence and electron microscopic studies were carried out on renal biopsies from 32 randomly selected adult monkeys (Macaca irus). Histopathology was limited to glomeruli and consisted of mild to moderate segmental increases in mesangial cells, mesangial matrix, and/or glomerular basement membrane (GBM) thickness in 41% of the animals. Granular deposits of IgM were present in the mesangial region and along the GBM in 72% of the monkeys, whereas IgG, C1q, C4 and C3 were detected in approximately 30%. Electrondense deposits were seen predominantly in epithelial foot processes adjacent to the GBM and, to a lesser extent, in the mesangium. Those monkeys with the heaviest IgM deposition were found to have decreased serum levels of C3, IgM and IgA. Follow-up biopsies over a period of 3 to 11 months revealed that the disease process was persistent yet nonprogressive. No correlation with age or sex was noted. All animals examined were clinically healthy and had normal renal function. This is the first documented occurrence of spontaneous immune-complex glomerulonephritis in a large monkey population. It appears to be a persistent disease which does not progress to renal insufficiency and which may serve as an investigative model for mild nonprogressive forms of human glomerulonephritis.
对32只随机选取的成年猕猴(食蟹猴)的肾活检组织进行了光学、免疫荧光和电子显微镜研究。组织病理学仅限于肾小球,41%的动物表现为系膜细胞、系膜基质和/或肾小球基底膜(GBM)厚度轻度至中度节段性增加。72%的猕猴系膜区和沿GBM存在IgM颗粒沉积,而IgG、C1q、C4和C3的检出率约为30%。电子致密沉积物主要见于与GBM相邻的上皮足突,系膜区较少见。发现IgM沉积最重的猕猴血清C3、IgM和IgA水平降低。3至11个月的随访活检显示,疾病过程持续但无进展。未发现与年龄或性别相关。所有检查的动物临床健康,肾功能正常。这是首次在大量猕猴群体中记录到自发性免疫复合物性肾小球肾炎。它似乎是一种持续性疾病,不会发展为肾功能不全,可作为人类轻度非进行性肾小球肾炎的研究模型。