Kurtz J M, Russell S W, Lee J C, Slauson D O, Schechter R D
Am J Pathol. 1972 Jun;67(3):471-82.
The 8 dogs with glomerulonephritis in this study had progressive renal disease characterized by proteinuria, azotemia and hypoalbuminemia, without peripheral edema and ascites. Observed by light, fluorescence and electron microscopy, the glomeruli were diffusely but irregularly involved. By light microscopy, there was focal mesangial proliferation, and the peripheral portions of many glomerular capillary loops were thickened by eosinophilic material along the endothelial sides of basement membranes. Immunofluorescence studies demonstrated granular deposits of IgG and beta1C-globulin outlining glomerular basement membranes and within the mesangium. Ultrastructurally, there were electron-dense deposits in the mesangium and within the endothelial side of glomerular basement membranes. Subepithelial deposits were never seen. The majority of clinical and morphologic features suggested a glomerulonephritis of immune-complex type. However, the unique aspects of the ultrastructural lesion precluded this assumption based solely on morphologic criteria.
本研究中的8只患有肾小球肾炎的犬有进行性肾病,其特征为蛋白尿、氮质血症和低白蛋白血症,无外周水肿和腹水。通过光镜、荧光镜和电子显微镜观察,肾小球呈弥漫性但不规则受累。光镜下,有局灶性系膜增生,许多肾小球毛细血管袢的外周部分沿基底膜内皮侧被嗜酸性物质增厚。免疫荧光研究显示IgG和β1C球蛋白的颗粒状沉积物勾勒出肾小球基底膜并位于系膜内。超微结构上,系膜和肾小球基底膜内皮侧有电子致密沉积物。从未见到上皮下沉积物。大多数临床和形态学特征提示为免疫复合物型肾小球肾炎。然而,超微结构病变的独特之处排除了仅基于形态学标准的这一假设。