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自发性糖尿病大鼠肾小球病变的演变

Evolution of glomerular lesions in rats with spontaneous diabetes.

作者信息

Yagihashi S, Kaseda N, Kakizaki M, Goto Y

出版信息

Tohoku J Exp Med. 1979 Apr;127(4):359-67. doi: 10.1620/tjem.127.359.

Abstract

The development of glomerular lesions associated with ageing was investigated electron microscopically in rats with spontaneous diabetes. In young diabetic rats at eight weeks of age, there was no particular difference in ultrastructure from age-matched control rats showing an even contour of glomerular basement membrane, whereas in the diabetic rats at 12 weeks of age thickening of basement membrane with irregular protrusion of the epithelial side of lamina densa and accumulation of basement membrane-like materials in the mesangial regions could be observed. After 16 to 24 weeks of age in the diabetic rats, hemispherical thickening in addition to diffuse thickening of glomerular basement membrane was noted. The thickening of basement membrane was due to widening of lamina densa consisting of accumulation of basement membrane-materials on the epithelial side of the lamina densa, all the way along the peripheral capillary loops. These features of glomerular lesions in the diabetic rats were progressively accentuated accompanying ageing. The early glomerular ultrastructural alterations in the diabetic rats were very compatible with those seen in the elder control rats. The results indicated that the development of diabetic glomerulopathy might be destined very early in life of the spontaneously diabetic rats supposedly by their diabetic genes.

摘要

利用电子显微镜对自发性糖尿病大鼠肾小球病变与衰老相关的发展情况进行了研究。在8周龄的年轻糖尿病大鼠中,其超微结构与年龄匹配的对照大鼠并无特别差异,肾小球基底膜轮廓均匀;而在12周龄的糖尿病大鼠中,可观察到基底膜增厚,致密层上皮侧有不规则突起,系膜区有基底膜样物质积聚。糖尿病大鼠16至24周龄后,除了肾小球基底膜弥漫性增厚外,还出现了半球形增厚。基底膜增厚是由于致密层加宽,这是由致密层上皮侧基底膜物质积聚所致,沿外周毛细血管袢全程如此。糖尿病大鼠肾小球病变的这些特征随着衰老而逐渐加重。糖尿病大鼠早期的肾小球超微结构改变与老年对照大鼠所见非常相符。结果表明,自发性糖尿病大鼠糖尿病肾病的发展可能在其生命早期就由其糖尿病基因决定。

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