Radounikli A, Stahl R A, Bergmann L, Schoeppe W, Thaiss F
University Hospital, Department of Internal Medicine, Frankfurt, Germany.
Nephrol Dial Transplant. 1995;10(2):185-90.
Bone marrow-derived inflammatory cells contribute to glomerular damage in experimental glomerulonephritis. The time sequential appearance and the pattern of inflammatory cells in the diseased glomerulus is, however, unclear. We therefore characterized the inflammatory cell infiltrate in a model of unilateral in situ immune complex glomerulonephritis. The cellular infiltrate was specific for the diseased kidney and independent of changes in peripheral blood or spleen. We found an influx of leukocyte common antigen (LCa)-positive and ED1-positive (monocytes/macrophages) cells in isolated glomeruli as early as 24 h after induction of the disease. Lymphocytes of the CD4-, CD8- and CD20-positive phenotypes were present in diseased glomeruli at Day 10. Complement depletion prevented the influx of monocytes/macrophages at 24 h in the glomerulus, which indicates that complement activation is important for the glomerular cell infiltrate at this early time point. The results demonstrate that the inflammatory cell infiltrate is regulated in situ at the glomerular level and not accompanied by similar changes in peripheral blood and spleen cells.
骨髓来源的炎性细胞在实验性肾小球肾炎中会导致肾小球损伤。然而,患病肾小球中炎性细胞的时序出现情况及模式尚不清楚。因此,我们对单侧原位免疫复合物性肾小球肾炎模型中的炎性细胞浸润进行了特征描述。细胞浸润是患病肾脏所特有的,且与外周血或脾脏的变化无关。我们发现,早在疾病诱导后24小时,分离出的肾小球中就有白细胞共同抗原(LCa)阳性和ED1阳性(单核细胞/巨噬细胞)细胞流入。在第10天时,患病肾小球中存在CD4、CD8和CD20阳性表型的淋巴细胞。补体耗竭可在24小时时阻止单核细胞/巨噬细胞流入肾小球,这表明补体激活在这个早期时间点对肾小球细胞浸润很重要。结果表明,炎性细胞浸润在肾小球水平原位受到调节,且外周血和脾细胞未出现类似变化。