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犬钩端螺旋体病:犬型钩端螺旋体所致间质性肾炎的免疫病理学研究

Canine leptospirosis: an immunopathological study of interstitial nephritis due to Leptospira canicola.

作者信息

Morrison W I, Wright N G

出版信息

J Pathol. 1976 Oct;120(2):83-9. doi: 10.1002/path.1711200204.

Abstract

In an attempt to define the pathogenetic mechanisms involved in acute interstitial nephritis due to Leptospira canicola the kidneys of 14 dogs were subjected to histological immunofluorescence and elution studies. Leptospiral antigen was found in three sites within the kidney; as discrete organisms in the proximal tubules, as granular deposits in the cytoplasm of macrophages and in large extracellular clumps in the interstitium. Deposits of IgG were also detected in the latter site and in plasma cells found in the surrounding cellular infiltrate. Anti-leptospiral antibody, mainly of the IgG class, was detected in renal eluates using both agglutination-lysis and indirect immunofluorescence. From these findings it was considered that the cellular infiltrates found in the kidneys of dogs suffering from acute leptospiral nephritis have two main functions; firstly, the local production of anti-leptospiral antibody and, secondly, phagocytosis.

摘要

为了确定犬钩端螺旋体所致急性间质性肾炎的发病机制,对14只犬的肾脏进行了组织学、免疫荧光和洗脱研究。在肾脏的三个部位发现了钩端螺旋体抗原:在近端小管中为离散的病原体,在巨噬细胞的细胞质中为颗粒状沉积物,在间质中为大的细胞外团块。在后者部位以及周围细胞浸润中发现的浆细胞中也检测到了IgG沉积物。使用凝集溶解和间接免疫荧光法在肾脏洗脱液中检测到了主要为IgG类的抗钩端螺旋体抗体。根据这些发现,认为患有急性钩端螺旋体肾炎的犬肾脏中的细胞浸润有两个主要功能:第一,局部产生抗钩端螺旋体抗体;第二,吞噬作用。

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