Mori S, Nose M, Miyazawa M, Kyogoku M, Wolfinbarger J B, Bloom M E
Department of Pathology, Tohoku University School of Medicine, Sendai, Japan.
Am J Pathol. 1994 Jun;144(6):1326-33.
Aleutian mink disease (AD) has been characterized by immune complex glomerulonephritis associated with persistent infection of Aleutian mink disease parvovirus (ADV). Histopathological examination of kidneys from ADV-infected mink in this study revealed that interstitial nephritis characterized by prominent damage of renal tubuli and lymphocyte infiltration was also common in AD along with glomerulonephritis. By using strand-specific in situ molecular hybridization technique, replication of ADV was observed in tubular epithelial cells, in addition to epithelial cells of Bowman's capsules and some glomerular cells of the infected mink. Analysis of tubular lesions by a combination of immunohistochemistry and in situ hybridization revealed that the renal tubuli positive for virion DNA or replicative form DNA/mRNA of ADV were also positive for an activation marker of immunocompetent cells, which is shared by B lymphocytes and thymic epithelial cells. Infiltration of a subpopulation of T lymphocytes around infected renal tubuli were observed but deposition of immune complexes in these tubular lesions was not demonstrable. ADV replication in epithelial cells of renal tubuli and cell-mediated immune responses to the infected epithelial cells may play a role in the pathogenesis of interstitial nephritis in Aleutian mink disease.
阿留申水貂病(AD)的特征是免疫复合物性肾小球肾炎,与阿留申水貂病细小病毒(ADV)的持续感染有关。本研究中对感染ADV的水貂肾脏进行组织病理学检查发现,除了肾小球肾炎外,以肾小管显著损伤和淋巴细胞浸润为特征的间质性肾炎在阿留申水貂病中也很常见。通过使用链特异性原位分子杂交技术,除了感染水貂的鲍曼囊上皮细胞和一些肾小球细胞外,还在肾小管上皮细胞中观察到了ADV的复制。通过免疫组织化学和原位杂交相结合的方法对肾小管病变进行分析发现,ADV病毒体DNA或复制形式DNA/mRNA呈阳性的肾小管,对于B淋巴细胞和胸腺上皮细胞共有的免疫活性细胞激活标志物也呈阳性。观察到感染的肾小管周围有T淋巴细胞亚群浸润,但在这些肾小管病变中未发现免疫复合物沉积。ADV在肾小管上皮细胞中的复制以及对感染上皮细胞的细胞介导免疫反应可能在阿留申水貂病间质性肾炎的发病机制中起作用。