Hall C L, Colvin R B, Carey K, McCluskey R T
J Exp Med. 1977 Nov 1;146(5):1246-60. doi: 10.1084/jem.146.5.1246.
Initiation of an autoimmune tubulointerstitial disease was achieved in strain XIII guinea pigs by passive transfer of functionally pure IgG1 or IgG2 fractions of isologous anti-tubular basement membrane (TBM) serum. IgG2 appeared to be somewhat more effective than IgG1. The immunopathologic features in the IgG1 and IgG2 recipients were similar at the time of sacrifice, 14 days after transfer. The recipients that developed disease had higher than expected anti-TBM titers at 14 days. Furthermore, anti-TBM antibodies were of both IgG isotypes. In contrast, simultaneously administered IgG1 or IgG2 anti-BGG antibodies declined in titer in the recipients and were never found in the isotype fraction that had not been transferred. These findings indicate that the recipients of anti-TBM antibodies of either IgG1 or IgG2 isotype were stimulated to produce anti-TBM autoantibodies, which participated in the pathogenesis of the renal disease. The model demonstrates that autoantibodies may provide a mechanism (autoimmune amplification) for the intensification and perpetuation of antibody-mediated autoimmune diseases.
通过被动转移同种抗肾小管基底膜(TBM)血清的功能纯IgG1或IgG2组分,在XIII品系豚鼠中引发了自身免疫性肾小管间质性疾病。IgG2似乎比IgG1更有效。在转移后14天处死时,IgG1和IgG2受体中的免疫病理特征相似。发病的受体在14天时抗TBM滴度高于预期。此外,抗TBM抗体为两种IgG同种型。相比之下,同时给予的IgG1或IgG2抗BGG抗体在受体中的滴度下降,且从未在未转移的同种型组分中发现。这些发现表明,IgG1或IgG2同种型的抗TBM抗体受体被刺激产生抗TBM自身抗体,其参与了肾脏疾病的发病机制。该模型表明,自身抗体可能为抗体介导的自身免疫性疾病的强化和持续存在提供一种机制(自身免疫放大)。