De Brito T, Carneiro C R, Nakhle M C, Lima D M, Abrantes-Lemos C P, Sandoval M, Silva A M
Institute of Tropical Medicine, São Paulo University Medical School, Brazil.
Exp Nephrol. 1998 Jul-Aug;6(4):368-76. doi: 10.1159/000020544.
Adult worm antigen (AWA) and soluble egg antigen (SEA) were localized ultrastructurally by immunoelectron microscopy using two monoclonal antibodies in the glomeruli of hamsters infected with Schistosoma mansoni cercariae or injected with S. mansoni eggs. AWA was detected in all cercaria-infected groups from the 30th day on and was present mainly in cytoplasm of mesangial cells, mesangial matrix, and glomerular basement membrane, either as isolated gold particles or in small electron-dense deposits of probable immune origin. AWA was encountered also on the inner side of the glomerular basal membrane, close to endothelial cells, and in the foot processes of the glomerular epithelial cells. SEA was detected at similar sites, apparently in lesser amounts, in uninfected hamsters inoculated with S. mansoni eggs into the jugular vein. Schistosomal antigens are apparently processed mainly bymesangial cells which are considered to be critical in the pathogenesis of S. mansoni associated glomerulopathy. Mesangioproliferative glomerulonephritis, immunoglobulin (IgG and IgM), and C3 deposits were observed in hamsters in which AWA and SEA were visualized. During early phases of the infection and in hamsters in which granulomatous pneumonitis was induced by S. mansoni eggs, glomeruli were unchanged or showed a slight mesangial proliferation. Our findings suggests that egg antigens also contribute to the pathogenesis of experimental glomerulopathy in the hamster.
使用两种单克隆抗体,通过免疫电子显微镜在感染曼氏血吸虫尾蚴或注射曼氏血吸虫卵的仓鼠肾小球中对成虫虫体抗原(AWA)和可溶性虫卵抗原(SEA)进行超微结构定位。从第30天起,在所有感染尾蚴的组中均检测到AWA,其主要存在于系膜细胞的细胞质、系膜基质和肾小球基底膜中,呈孤立的金颗粒或可能源于免疫反应的小电子致密沉积物形式。在肾小球基底膜靠近内皮细胞的内侧以及肾小球上皮细胞的足突中也发现了AWA。在经颈静脉接种曼氏血吸虫卵的未感染仓鼠中,在类似部位也检测到了SEA,但其含量明显较少。血吸虫抗原显然主要由系膜细胞处理,而系膜细胞被认为在曼氏血吸虫相关性肾小球病的发病机制中起作用。在观察到AWA和SEA的仓鼠中,可见系膜增生性肾小球肾炎、免疫球蛋白(IgG和IgM)以及C3沉积。在感染的早期阶段以及在由曼氏血吸虫卵诱发肉芽肿性肺炎的仓鼠中,肾小球未发生变化或仅表现出轻微的系膜增生。我们的研究结果表明,虫卵抗原也参与了仓鼠实验性肾小球病的发病过程。