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在血清病性肾炎中,随着致敏时间延长,肾小球组织学表现从系膜病变型转变为膜性病变型。

Conversion of glomerular histology from a mesangiopathic to a membranopathic pattern in serum sickness nephritis with prolonged sensitization.

作者信息

Yang X, Nakazawa K, Katoh M, Itoh N, Shigematsu H

机构信息

Department of Pathology, Shinshu University School of Medicine, Matsumoto, Japan.

出版信息

Pathol Int. 1995 Jan;45(1):26-33. doi: 10.1111/j.1440-1827.1995.tb03376.x.

Abstract

In order to examine the effect of prolonged sensitization on glomerular injury, serum sickness nephritis was induced in Fischer rats by administration of egg albumin (EA). Animals were divided into A, B and C groups with 4-week, 6-week and 8-week sensitization, respectively. The experimental results were as follows: Both group A (4 weeks) and group B (6 weeks) showed mesangial immune complex deposition with proliferation (mesangiopathic pattern), but in the latter both the size and the amount of the deposits were larger than those in the former; while group C (8 weeks) demonstrated predominant distribution of deposition along the capillary walls (membranopathic pattern). It is suggested that such conversion of deposition from mesangiopathic to membranopathic pattern after prolonged repeated sensitization may be the result of the change of the host immune response to antigen, and/or the character of the antibody.

摘要

为了研究长期致敏对肾小球损伤的影响,通过给予卵清蛋白(EA)在Fischer大鼠中诱导血清病肾炎。将动物分为A、B和C组,分别进行4周、6周和8周的致敏。实验结果如下:A组(4周)和B组(6周)均显示系膜免疫复合物沉积并伴有增殖(系膜病变模式),但在B组中,沉积物的大小和数量均大于A组;而C组(8周)表现为沉积物沿毛细血管壁的主要分布(膜性病变模式)。提示长期反复致敏后这种沉积模式从系膜病变向膜性病变的转变可能是宿主对抗原免疫反应变化和/或抗体特性改变的结果。

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