Bogomazova S Iu, Gladskikh O P, Ivanov A A, Atakheev I B, Shilov E M, Gitel' E P, Pal'tsev M A
I.M. Sechenov Moscow Medical Academy.
Arkh Patol. 1997 Nov-Dec;59(6):45-50.
An acute stage of both immune (nephrotoxic nephritis) and non-immune (puromycin-aminonucleoside nephrosis) damage is characterized by an affected area infiltration with mononuclear leucocytes which produce cytokines that control mesangial cells proliferation and their production of the extracellular matrix components. This mononuclear infiltration is very intensive in the immune kidney damage and rather weak in the non-immune damage. Accumulation of the extracellular matrix in a chronic stage of puromycin-aminonucleoside nephrosis is very slight against the background of a weak mononuclear infiltration of the kidney glomeruli. Nephrotoxic nephritis is characterized by intensive infiltration of a glomerulus with mononuclear leukocytes and this results in high proliferation of mesangial cells and an extracellular matrix accumulation with appearance of an atypical interstitial collagen of types I and III. The absence or excessive number of mononuclear leukocytes in the affected area may result in metabolism disturbances of the extracellular matrix components with an increasing risk of glomerulosclerosis.
免疫性(肾毒性肾炎)和非免疫性(嘌呤霉素-氨基核苷肾病)损伤的急性期,其特征是受累区域有单核白细胞浸润,这些细胞产生控制系膜细胞增殖及其细胞外基质成分产生的细胞因子。这种单核细胞浸润在免疫性肾损伤中非常强烈,而在非免疫性损伤中则较弱。在嘌呤霉素-氨基核苷肾病的慢性期,在肾小球单核细胞浸润较弱的背景下,细胞外基质的积累非常轻微。肾毒性肾炎的特征是肾小球有强烈的单核白细胞浸润,这导致系膜细胞高度增殖和细胞外基质积累,并出现I型和III型非典型间质胶原。受累区域单核白细胞的缺失或过多可能导致细胞外基质成分的代谢紊乱,增加肾小球硬化的风险。