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大鼠实验性膜性肾小球肾炎。对分离肾小球和完整动物中肾小球免疫沉积物形成的定量研究。

Experimental membranous glomerulonephritis in rats. Quantitative studies of glomerular immune deposit formation in isolated glomeruli and whole animals.

作者信息

Salant D J, Darby C, Couser W G

出版信息

J Clin Invest. 1980 Jul;66(1):71-81. doi: 10.1172/JCI109837.

Abstract

Quantitation of immune deposit formation in glomeruli and correlation with immunohistologic and functional changes has been accomplished only in models of anti-glomerular basement membrane antibody-induced nephritis, or indirectly in immune complex disease by measuring radiolabeled antigen deposition. The kinetics of subepithelial immune deposit formation and the relationship between the quantity of antibody deposited and proteinuria are defined here for the first time in an established model of membranous immune complex nephritis (passive Heymann nephritis) induced by a single intravenous injection of (125)I-labeled sheep immunoglobulin (Ig)G antibody to rat tubular brush border antigen (Fx1A). Measurement of antibody deposition in glomeruli (GAb) isolated from rats injected with 10 mg of anti-Fx1A demonstrated a mean of 12 mug GAb in 4 h, which increased linearly to 48 mug in 5 d. GAb represented only 20 and 44% of total kidney antibody binding at these times. Proteinuria occurred only after 4-5 d of antibody deposition in rats with total kidney antibody binding exceeding approximately 200 mug/2 kidneys. Steroid treatment and vasoactive amine blockade did not significantly alter the quantity or localization of immune deposits. It was also demonstrated that isolated rat glomeruli specifically bound nephritogenic quantities of anti-Fx1A in vitro within hours. Analysis of the quantitative aspects of glomerular antibody deposition in vivo and glomerular antibody binding in vitro provides additional evidence that subepithelial immune deposits in passive Heymann nephritis may form in situ by reaction of free antibody with antigenic constitutents of the normal rat glomerulus. The observed kinetics of deposit formation differ markedly from those in anti-glomerular basement membrane disease and suggest a role for factors in addition to antigen-antibody interaction in determining this unique pattern of glomerular immune deposit formation.

摘要

肾小球中免疫沉积物形成的定量分析及其与免疫组织学和功能变化的相关性,仅在抗肾小球基底膜抗体诱导的肾炎模型中得以实现,或在免疫复合物疾病中通过测量放射性标记抗原沉积进行间接分析。在此,首次在由单次静脉注射针对大鼠肾小管刷状缘抗原(Fx1A)的(125)I标记羊免疫球蛋白(Ig)G抗体诱导的膜性免疫复合物肾炎(被动型海曼肾炎)既定模型中,明确了上皮下免疫沉积物形成的动力学以及沉积抗体量与蛋白尿之间的关系。对注射10mg抗Fx1A的大鼠分离出的肾小球中抗体沉积(GAb)进行测量,结果显示4小时内平均为12μg GAb,5天时线性增加至48μg。此时GAb仅占总肾抗体结合量的20%和44%。在总肾抗体结合量超过约200μg/2个肾脏的大鼠中,蛋白尿仅在抗体沉积4 - 5天后出现。类固醇治疗和血管活性胺阻断并未显著改变免疫沉积物的量或定位。还证实,分离出的大鼠肾小球在体外数小时内可特异性结合致肾炎量的抗Fx1A。体内肾小球抗体沉积和体外肾小球抗体结合的定量分析提供了额外证据,表明被动型海曼肾炎中的上皮下免疫沉积物可能通过游离抗体与正常大鼠肾小球抗原成分的反应原位形成。观察到的沉积物形成动力学与抗肾小球基底膜疾病中的明显不同,提示除抗原 - 抗体相互作用外,其他因素在决定这种独特的肾小球免疫沉积物形成模式中也发挥作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d9/371507/f0d5b7a7f171/jcinvest00691-0084-a.jpg

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