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带负电荷的血清蛋白与糖尿病患者基底膜的异常结合在很大程度上是一种全身性现象。

Abnormal binding of negatively charged serum proteins to diabetic basement membranes is largely a systemic phenomenon.

作者信息

Murrah V, Crosson J, Sauk J

出版信息

Virchows Arch A Pathol Anat Histopathol. 1984;405(1):141-54. doi: 10.1007/BF00694932.

DOI:10.1007/BF00694932
PMID:6438897
Abstract

Direct immunofluorescence employing goat anti-human IgG, IgA, IgM, C3 component of complement, fibrinogen, albumin, and polyvalent immunoglobulins was performed on postmortem samples of gingiva, parotid gland, thyroid, kidney, and pancreas tissue of 15 diabetic and 15 control patients. Basement membrane thickness quantification of kidney tubules, gingival capillaries, and parotid gland ducts and acini was also done utilizing a calibrated magnifier on uniformly enlarged photomicrographs which had been specially stained to highlight basement membranes. Results revealed binding of IgG, albumin, and polyvalent immunoglobulin to kidney glomerular and tubular basement membranes and parotid ductal and acinar basement membranes in all diabetic subjects. Thyroid follicular basement membranes were positive in 8 of 15 diabetic patients for the same antisera. All gingival and pancreatic tissue from diabetic and control patients was negative for binding of all serum proteins tested. Basement membrane thickening in kidney tubules and gingival capillaries was observed in diabetic subjects; however, there was no apparent difference between diabetic and control patients in thickness of ductal or acinar basement membranes of the parotid gland.

摘要

对15名糖尿病患者和15名对照患者的牙龈、腮腺、甲状腺、肾脏和胰腺组织的尸检样本进行了直接免疫荧光检测,检测试剂包括山羊抗人IgG、IgA、IgM、补体C3成分、纤维蛋白原、白蛋白和多价免疫球蛋白。利用校准放大镜,在经过特殊染色以突出基底膜的均匀放大的显微照片上,对肾小管、牙龈毛细血管以及腮腺导管和腺泡的基底膜厚度进行了量化。结果显示,在所有糖尿病受试者中,IgG、白蛋白和多价免疫球蛋白与肾小球和肾小管基底膜以及腮腺导管和腺泡基底膜结合。在15名糖尿病患者中,有8名患者的甲状腺滤泡基底膜对相同抗血清呈阳性反应。糖尿病患者和对照患者的所有牙龈和胰腺组织对所有检测的血清蛋白结合均呈阴性。在糖尿病受试者中观察到肾小管和牙龈毛细血管基底膜增厚;然而,糖尿病患者和对照患者在腮腺导管或腺泡基底膜厚度上没有明显差异。

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1
Abnormal binding of negatively charged serum proteins to diabetic basement membranes is largely a systemic phenomenon.带负电荷的血清蛋白与糖尿病患者基底膜的异常结合在很大程度上是一种全身性现象。
Virchows Arch A Pathol Anat Histopathol. 1984;405(1):141-54. doi: 10.1007/BF00694932.
2
Parotid gland basement membrane variation in diabetes mellitus.糖尿病患者腮腺基底膜的变化
J Oral Pathol. 1985 Mar;14(3):236-46. doi: 10.1111/j.1600-0714.1985.tb00487.x.
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Changes of human glomerular basement membrane in diabetes mellitus.糖尿病患者肾小球基底膜的变化
J Clin Chem Clin Biochem. 1984 Mar;22(3):223-7. doi: 10.1515/cclm.1984.22.3.223.
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Immunopathology of renal extracellular membranes in diabetes mellitus. Specificity of tubular basement-membrane immunofluorescence.糖尿病中肾细胞外膜的免疫病理学。肾小管基底膜免疫荧光的特异性。
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Selective binding of IgG4 and other negatively charged plasma proteins in normal and diabetic human kidneys.IgG4及其他带负电荷血浆蛋白在正常和糖尿病患者人肾脏中的选择性结合
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C3d fragment of complement interacts with laminin and binds to basement membranes of glomerulus and trophoblast.补体C3d片段与层粘连蛋白相互作用,并结合至肾小球和滋养层的基底膜。
J Cell Biol. 1986 Sep;103(3):1091-100. doi: 10.1083/jcb.103.3.1091.
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Diabetes. 1982 Aug;31(8 Pt 1):738-41. doi: 10.2337/diab.31.8.738.
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Selective proteinuria in diabetic nephropathy in the rat is associated with a relative decrease in glomerular basement membrane heparan sulphate.大鼠糖尿病肾病中的选择性蛋白尿与肾小球基底膜硫酸乙酰肝素的相对减少有关。
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Thickening of glomerular basement membrane in spontaneously diabetic rats.自发性糖尿病大鼠肾小球基底膜增厚。
Diabetologia. 1978 Oct;15(4):309-12. doi: 10.1007/BF02573824.

引用本文的文献

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A comparison of perineurial and vascular basal laminal changes in diabetic neuropathy.糖尿病性神经病变中神经束膜和血管基底膜变化的比较。
Acta Neuropathol. 1994;88(5):426-32. doi: 10.1007/BF00389494.

本文引用的文献

1
Histological and histochemical uses of periodic acid.高碘酸的组织学和组织化学用途。
Stain Technol. 1948 Jul;23(3):99-108. doi: 10.3109/10520294809106232.
2
Diabetic glomerulonephropathy: histopathologic, immunofluorescent, and ultrastructural studies of 16 cases.糖尿病肾小球肾病:16例的组织病理学、免疫荧光及超微结构研究
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Albumin deposition in dermal capillary basement membrane in insulin-dependent diabetes mellitus. A preliminary report.胰岛素依赖型糖尿病患者真皮毛细血管基底膜中的白蛋白沉积。初步报告。
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Structure of basement membrane in normal and diabetic tissue.正常组织和糖尿病组织中基底膜的结构。
Ann N Y Acad Sci. 1982;401:203-11. doi: 10.1111/j.1749-6632.1982.tb25719.x.
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Asymptomatic parotid gland enlargement in diabetes mellitus.
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Diabetes and periodontal disease: a review and update.糖尿病与牙周病:综述与更新
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Selective binding of IgG4 and other negatively charged plasma proteins in normal and diabetic human kidneys.IgG4及其他带负电荷血浆蛋白在正常和糖尿病患者人肾脏中的选择性结合
Am J Pathol. 1984 Jun;115(3):443-6.
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Immunofluorescence studies of thyroid gland in diabetes mellitus.糖尿病患者甲状腺的免疫荧光研究。
Lancet. 1981 Mar 21;1(8221):671. doi: 10.1016/s0140-6736(81)91593-2.
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Muscle extracellular membrane immunofluorescence and HLA as possible markers of prediabetes.肌肉细胞外膜免疫荧光和人类白细胞抗原作为糖尿病前期可能的标志物。
Lancet. 1980 Aug 16;2(8190):330-3. doi: 10.1016/s0140-6736(80)90337-2.
10
Measurements from electron micrographs of organelle size in relation to their shape: a refinement applied to the epidermal melanosome and basal lamella.细胞器大小与其形状相关的电子显微镜测量:应用于表皮黑素体和基底层的改进方法。
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