Zheng H, Hu Y
Department of Pathology, Zunyi Medical College.
Zhonghua Bing Li Xue Za Zhi. 1996 Feb;25(1):36-8.
Tubulointerstitial nephritis (TIN) model was successfully induced in female Wistar rats by immunization with rabbit tubular basement membrane (TBM) etc. By using immunohistochemistry and computer assisted image processing, characterization of mononuclear cells in the TIN models were determined, and the relationship between Ia antigen expression of renal tissue and TIN studied. The results showed: TIN was characterized by deposition of IgG in a linear pattern along TBM and mononuclear cells infiltrates, which suggests the production of anti-TBM antibodies. Among the mononuclear cells, most are T cells. Granuloma formation was observed in parts of TIN. B cells gradually decreased while monocytes gradually increased. The renal tissue lesions show tubular atrophy and peritubular fibrosis. This model strongly suggests that cellular immune responses play an important role in the development of TIN. Ia antigen expression is higher in cells of the tubular epithelium and Bowman's capsule of lesion site than in control group (P < 0.01). This is strong evidence that the abnormal expression of Ia antigen may be affected by the production and development of TIN.
通过用兔肾小管基底膜(TBM)等进行免疫,在雌性Wistar大鼠中成功诱导出肾小管间质性肾炎(TIN)模型。利用免疫组织化学和计算机辅助图像处理技术,确定了TIN模型中单核细胞的特征,并研究了肾组织Ia抗原表达与TIN之间的关系。结果显示:TIN的特征是IgG沿TBM呈线性沉积以及单核细胞浸润,这提示抗TBM抗体的产生。在单核细胞中,大多数是T细胞。在部分TIN中观察到肉芽肿形成。B细胞逐渐减少而单核细胞逐渐增多。肾组织病变表现为肾小管萎缩和肾小管周围纤维化。该模型有力地表明细胞免疫反应在TIN的发生发展中起重要作用。病变部位肾小管上皮细胞和肾小囊细胞中Ia抗原表达高于对照组(P<0.01)。这有力地证明Ia抗原的异常表达可能受TIN的发生发展影响。