五肽化合物PLNPK对被动型Heymann肾炎的治疗作用及机理研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
目的:
     建立大鼠被动型Heymann肾炎(PHN)模型,研究五肽化合物PLNPK对大鼠PHN的治疗作用,初步探讨其作用机制。
     方法:
     1.制备大鼠FX1A抗原,兔皮内免疫制备兔抗大鼠FX1A的抗血清,免疫双向扩散法检测抗血清效价;大鼠尾静脉注射不同剂量的抗血清,并设立正常对照。每两周检测各组大鼠24hrs尿蛋白、血清肌酐(CR)、尿素氮(BUN)、总甘油三脂(TC)、总胆固醇(TG)、白蛋白(ALB)等指标,观察各组肾脏病理学的改变,确定建立PHN模型所用抗FX1A抗血清的最适剂量。
     2.大鼠尾静脉注射兔抗大鼠FX1A抗血清,建立大鼠被动型Heymann肾炎模型。尾静脉注射次日腹腔注射PLNPK,持续10周。每两周检测各组大鼠24hrs尿蛋白、血清CR、BUN、TC、TG、ALB,观察PLNPK对PHN大鼠尿蛋白及肾脏功能的影响;观察PLNPK对PHN大鼠肾指数的影响;肾脏HE染色观察PLNPK对PHN大鼠病理学的影响;肾脏PASM染色观察PLNPK对PHN大鼠肾脏基底膜成分的影响。
     3.透射电镜检测PLNPK对PHN大鼠足细胞损伤的影响;RT-PCR和WesternBlot检测PLNPK对PHN大鼠足细胞nephrin和podocin mRNA和蛋白表达的影响;ELISA检测PLNPK对PHN大鼠C5b-9生成的影响;间接免疫荧光法检测PLNPK对PHN大鼠肾脏IgG沉积的影响。
     结果:
     1.免疫双向扩散结果显示兔抗大鼠FX1A抗血清效价达到1:32。3ml抗血清注射组大鼠24hrs尿蛋白及BUN、CR、TC、TG升高,ALB降低,与正常对照组比较,有统计学意义(P<0.05)。3ml抗血清注射组大鼠肾脏病理损伤明显,出现基底膜弥漫性增厚;1.6ml、2ml抗血清注射组大鼠24h尿蛋白及血清BUN、CR、TC、TG、ALB变化幅度较小,且有恢复趋势,病理改变不明显;3.6ml抗血清注射组大鼠死亡率较高,病理偶有蛋白管型出现。确定3ml抗血清为建立PHN模型的最适剂量。
     2.PLNPK(100、200、400μg/kg/d)可以显著降低PHN大鼠的24hrs尿蛋白水平(P<0.05);PLNPK(100、200、400μg/kg/d)可以显著降低PHN大鼠血清TC、TG、BUN、CR水平(P<0.05),并显著升高PHN大鼠血清ALB水平(P<0.05);病理结果表明:PLNPK可以改善PHN大鼠肾脏的病理损伤,减少毛细血管壁增厚和上皮细胞肿胀现象。
     3.PLNPK(100、200、400μg/kg/d)可以改善PHN大鼠足细胞损伤;可以明显升高PHN大鼠nephrin和podocin的蛋白表达(P<0.05);ELISA结果表明,PLNPK(100、200、400μg/kg/d)可以明显减少PHN大鼠尿中C5b-9含量(P<0.05);并减少PHN大鼠肾脏IgG沉积现象。
     结论:
     PLNPK可以通过减少PHN大鼠肾脏IgG的沉积,进一步减少C5b-9的生成,减轻肾组织免疫损伤,增高足细胞上裂孔蛋白nephrin和podocin的表达,改善足细胞的损伤,从而达到能有效地减少大量蛋白尿及治疗大鼠PHN的作用。
Objective:
     To set up animal model of rat passive Heymann nephritis(PHN),and to investigate the therapeutic effect of pentapeptide compound PLNPK on PHN and its possible mechanisms.
     Methods:
     1.Prepared the antigen of rat-FX1A,and immuned rabbit intraderrnally to get anti-FX1A serum,detected serum titer by two-way immune diffusion method; PHN model was induced in SD rats by an intravenous injection of anti-FX1A serum respectively,and establish normal control.24hrs urinine protein,serum creatinine,urea nitrogen,triglyceride(TG),total cholesterol(TC),albumin(ALB) was detected every two weeks,and observed pathological changes of each group, decided the optimum of anti-FX1A serum.
     2.PHN model was induced in SD rats by an intravenous injection of anti-FX1A serum,PLNPK were injected.ip from the 1st day to the end of the experiment. 24hrs urine protein,serum creatinine,urea nitrogen,triglyceride(TG),total cholesterol(TC),albumin(ALB)was detected every two weeks to observe the effect of PLNPK on rats urine protein and renal function with PHN;Observed the effect of PLNPK on rats renal index with PHN;Observed the effect of PLNPK on pathological changes of rats kidney by HE staining and the basement membrane components by PASM staining.
     3.Detected the effect of PLNPK on podocyte damage of PHN rats by transmission electron microscopy;Detected the effect of PLNPK on mRNA & protein of nephrin and podocin by RT-PCR and Western Blot;Detected the effect of PLNPK on C5b-9 of PHN rats by ELISA;Detected the effect of PLNPK on IgG sedimentation of PHN rats kidney by indirect immunofluorescence.
     Results:
     1.After 5 immunizations,immune diffusion showed that the serum titer was 1:32. 24hrs urine protein,BUN,CR,TC,TG of 3ml serum group were stepped up and ALB was stepped down vs normal control group(P<0.05).The renal damage of 3ml group showed thickened basal membrane widespreadly;The change extent of 24hrs urine protein,BUN,CR,TC,TG of 1.6ml and 2ml were small vs normal control group,and pathological changes were unobviously;The death rate of 3.6ml group was high, protein cast appeared occasionally.3ml serum was the optimum dose of PHN model establishment.
     2.PLNPK(100,200,400μg/kg/d)could degrade the level of 24hrs urine protein (P<0.05),could degrade the level of serum TC,TG,BUN,CR(P<0.05);pathological result indicated that PLNPK could ameliorate the renal change of PHN rat,and impaire the phenomenon of thickened capillary wall and podocyte swelling.
     3.PLNPK(100、200、400μg/kg/d)can ameliorate the podocyte damage;it can up-regulate protein expressions of nephrin and podocin with PHN rats(P<0.05);it can decrease the content of C5b-9 of PHN rats urine(P<0.05);and it can decrease the IgG sedimentation of PHN rats kidney.
     Conclusions:
     PLNPK can decrease the IgG sedimentation of PHN rats kidney,ameliorate renal immunization-pathology damage,up-regulate the expression of nephrin and podocin on podocyte,and ameliorate the damage of podocyte,can decrease the urine protein effectively and to cure the PHN.
引文
[1]Kelly WS.Therapeutic peptides:the devil is in the details[J].Bio Technol,1996,14(1):28-31.
    [2]Bidwell GL 3rd,Raucher D.Application of thermally responsive polypeptides directed against c-Myc transcriptional function for cancer therapy[J].Mol Cancer Ther,2005,4(7):1076-85.
    [3]卢海儒.复可托[J].中国新药杂志,1999,8(12):845.
    [4]王跃珍,刘林林,杜向慧,等.斯普林治疗放化疗所致血小板减少和改善症状的临床观察[J].肿瘤,2004,(5):234-236.
    [5]王铁君,程光惠,刘晓岚,等.放疗与斯普林联合治疗中晚期食管癌近期疗效观察及其对免疫功能的影响[J].中国肿瘤临床,2003,30(12):868-870.
    [6]Azad NS,Muzaffar S,Pervez S,et al.Demographic and Clinicopathologic features of membranous glomerulonephritis[J].J Coil Physicians Surg Pak,2004 Jan,14(1):35-8.
    [7]Booth AG,Kenny AJ.A rapid method for the preparation of microvilli from rabbit kidney[J].Biochem J,1974,142(3):575-81.
    [8]Kerjaschki D,Farquhar MG..The pathogenic antigen of Heymann nephritis is a membrane glycoprotein of the renal proximal tubule brush border[j].Proc Natl Acad Sci U S A,1982,79(18):5557-61.
    [9]Experimental membranous nephropathy redux[J].Am J Physiol Renal Physiol,2005,289(4):F660- 71.
    [10]Kaysen GA,Paukert TT,Menke D J,et al.Plasma volume expansion is necessary for edema formation in the rate with Heymann nephritis[J].Am J Physiol,1985,248(2 Pt 2):F247-53.
    [11]Azad NS,Muzaffar S,Pervez S,et al.Demographic and Clinicopathologic features of membranous glomerulonephritis[J].J Coll Physicians Surg Pak,2004,14(1):35-8.
    [12]Chen J,Li Y.Effect of Jinyingzi on experimental passive-Heymann nephritis in rats[j].Zhong Yao Cai,2005,28(5):408-10.
    [13]Shearer GC,Newman JW,Hammock BD,et al.Graded effects of proteinuria on HDL structure in nephrotic rats[J].J Am Soc Nephrol,2005,16(5):1309-19.
    [14]Zoja C,Corna D,Camozzi D,et al.How to fully protect the kidney in a severe model of progressive nephropathy:a multidrug approach[J].J Am Soc Nephrol,2002,13(12):2898-908.
    [15]Pruchno CJ,Burns MM,Schulze M,et al.Urinary excretion of the C5b-9membrane attack complex of complement is a marker of immune disease activity in autologous immune complex nephritis[J].Am J Pathol,1991,138(1):203-11.
    [16]Ngai HH,Sit WH,Jiang PP,et al.Serial changes in urinary proteome profile of membranous nephropathy:implications for pathophysiology and biomarker discovery[J].J Proteome Res,2006,5(11):3038-47.
    [17]Nakazawa K,Shimojo H,Komiyama Y,et al.Preexisting membranous nephropathy in allograft kidney[J].Nephron,1999,81(1):76-80.
    [18]Heymann W,Hackel D,Harwood S.Production of nephritic syndrome in rats by Freud's adjuvants and rat kidney suspensions[J].Proc Soc Exp Med,1959,100(4):660-4.
    [19]Edgington T S,Classock R J,Dixon F J.Autologous immune complex nephritis induced with renal tublar antigen[J].J Exp Med,1968,127(3):555-72.
    [20]Naruse T,Fukasawa T,Miyakawa Y.Laboratory model of membranous glomerulonephritis in rats induced by pronase-digested homologous renal tubular epithelial antigen[J].1975,33(2):141-6.
    [21]Raychowdhury R,Zheng G;Brown D,et al.Induction of Heymann nephritis with a gp330/megalin fusion protein.Am J Pathol,1996,148(5):1613-23.
    [22]Morals JC,Waldmann TA.Advances in intedeukin 2 receptor targeted treatment.Ann Rheum Dis,2000,59 Suppl 1:i109-14.
    [23]Hasegawa Y,Sawada M,Ozaki N,et al.Increased soluble tumor necrosis factor receptor levels in the serum of elderly people[J].Gerontology,2000,46(4):185-8.
    [24]Voronov E,Carmi Y,Apte RN.Role of IL-1-mediated inflammation in tumor angiogenesis[J].Adv Exp Med Biol,2007,601:265-70.
    [25]Wagrowska-Danilewicz M,Danilewicz M.Current position of electron microscopy in the diagnosis of glomerular diseases[J].Pol J Pathol,2007,58(2):87-92.
    [26]Rayat CS,Joshi K,Dey P,et al.Glomerular morphometry in biopsy evaluation of minimal change disease,membranous glomerulonephritis,thin basement membrane disease and Alport's syndrome[J].Anal Quant Cytol Histol,2007,29(3):173-82.
    [27]Arrizabalaga P.Slit diaphragm of glomerular filtration:diagnostic and therapeutic approach in nephrotic syndrome[J].Nefrologia,2005,25(4):361-2,364-8.
    [28]Nakatsue T,Koike H,Han GD,et al.Nephrin and podocin dissociate at the onset of proteinuria in experimental membranous nephropathy[J].Kidney Int,2005,67(6):2239-53.
    [29]Caddi G,Perfumo F,Ghiggeri GM.NPHS2(Podocin)mutations in nephrotic syndrome.Clinical spectrum and fine mechanisms.Pediatr Res,2005,57(5 Pt 2):54R-61R.
    [30]Akhtar M,Al Mana H.Molecular basis of proteinuria[J].Adv Anat Pathol,2004,11(6):304-9.
    [31]Niaudet P.Genetic forms of nephrotic syndrome[J].Pediatr Nephrol,2004,19(12):1313-8.
    [32]Kawachi H.Novel functional molecules of slit membrane[J].Nippon Rinsho,2004,62(10):1823-8.
    [33]Sako M,Nakanishi K,Obana M,et al.Analysis of NPHS1,NPHS2,ACTN4,and WT1 in Japanese patients with congenital nephrotic syndrome[J].Kidney Int,2005,67(4):1248-55.
    [34]Narita I,Goto S,Saito N,et al.Genetic polymorphism of NPHS 1 modifies the clinical manifestations oflg A nephropathy[J].Lab Invest,2003,83(8):1193-200.
    [35]Fan Q,Ding J,Zhang J,et al.Effect of the knockdown of podocin mRNA on nephrin and alpha-actinin in mouse podocyte[J].Exp Biol Med(Maywood),2004,229(9):964-70.
    [36]Luimula P,Sandstrom N,Novikov D,et al.Podocyte-associated molecules in puromycin aminonucleoside nephrosis of the rat[J].Lab Invest,2002,82(6):713-8.
    [37]Cybulsky AV,Takano T,Papillon J,et al.Activation of the extracellular signal-regulated kinase by complement C5b-9.Am J Physiol Renal Physiol,2005,289(3):F593-603.
    [38]Pippin JW,Durvasula R,Petermann A,et al.DNA damage is a novel response to sublytic complement C5b-9-induced injury in podocytes[J].J Clin Invest,2003,111(6):877-85.
    [39]Ogrodowski JL,Hebert LA,Sedmak D,et al.Measurement of SC5b-9 in urine in patients with the nephrotic syndrome[J].Kidney Int,1991,40(6):1141-7.
    [40]Pruchno C J,Bums MM,Schulze M,et al.Urinary excretion of the C5b-9membrane attack complex of complement is a marker of immune disease activity in autologous immune complex nephritis[J].Am J Pathol,1991,138(1):203-11.
    [41]Kerjaschki D,Schulze M,Binder S,PJ,et al.Transcellular transport and membrane insertion of the C5b-9 membrane attack complex of complement by glomerular epithelial cells in experimental membranous nephropathy[J].Immunol,1989,143(2):546-52.
    [42]Pruchno C J,Burns MW,Schulze M,et al.Urinary excretion of C5b-9 reflects disease activity in passive Heymann nephritis[J].Kidney Int,1989,36(1):65-71.
    [43]Schulze M,Baker PJ,Perkinson DT,et al.Increased urinary excretion of C5b-9distinguishes passive Heymann nephritis in the rat.Kidney Int,1989,35(1):60-8.
    [44]Susani M,Schulze M,Exner M,et al.Antibodies to glycolipids activate complement and promote proteinuria in passive Heymann nephritis[J].Am J Pathol,1994,144(4):807-19.
    [45]Nangaku M,Couser WG.Mechanisms of immune-deposit formation and the mediation of immune renal injury[J].Clin Exp Nephrol,2005,9(3):183-91.
    [46]Soares VA,Almeida DB.The long-term evolution of immune deposits in passive Heymann nephritis[J].Braz J Med Biol Res,1992,25(2):149-59.
    [47]Quigg R J,Abrahamson DR,Cybulsky AV,et al.Studies with antibodies to cultured rat glomerular epithelial cells.Subepithelial immune deposit formation after in vivo injection[J].Am J Pathol,1989,134(5):1125-33.
    [48]Makker SP,Tramontano A.Differential capacity of anti-RAP and anti-megalin antibodies to produce progressive passive Heymann nephritis-implications for the pathogenesis of idiopathic human membranous glomerulonephritis[J].J Pathol,2006,210(3):282-7.
    [49]Wang Y,Tong J,Tang R,et al.Inhibitory effects of ligustrazine,a modulator of thromboxane-prostacycline-nitric oxide balance,on renal injury in rats with passive Heyman nephritis[J].Nephron Physiol,2004,98(3):80-8.
    [50]Levidiotis V,Freeman C,Punler M,et al.A synthetic heparanase inhibitor reduces proteinuria in passive Heymann nephritis[J].J Am Soc Nephrol,2004,15(11):2882-92.
    [51]Kotnik V,Premzl A,Skobeme M,et al.Demonstration of apoptosis-associated cleavage products of DNA,complement activation products SC5b-9 and C3d/dg,and immune complexes CIC-C3d,CIC-IgA,and CIC-IgG in the urine of patients with membranous glomerulonephritis[J].Croat Med J,2003,44(6):707-11.
    [52]Takano T,Cybulsky AV,Cupples WA,et al.Inhibition of cyclooxygenases reduces complement-induced glomerular epithelial cell injury and proteinuria in passive Heymann nephritis[J].J Pharmacol Exp Ther,2003,305(1):240-9.
    [53]Cuuningham PN,Hack BK,Ren G,et al.Glomerular complement regulation is overwhelmed in passive Heymann nephritis[J].Kidney Int,2001,60(3):900-9.
    [54]Topham PS,Haydar SA,Kuphal R,et al.Complement-mediated injury reversibly disrupts glomerular epithelial cell actin microfilaments and focal adhesions[J].Kidney Int,1999,55(5):1763-75.
    [55]Dijkman HB,Cerlofs-Nijland ME.Podocyte Changes after Induction of Acute Albuminuria in Mice by Anti-Aminopeptidase A mAb[J].Nephron Exp Nephrol,2003,94(3):85-93.
    [56]Bertelli R,Ginevri F.Recurrence of focal segmental glomerulosclerosis after renal transplantation in patients with mutations of podocin[J].Am J Kidney Dis,2003,41(6):1314-21.
    [57]Caridi G,Bertelli R.Broadening the spectrum of diseases related to podocin mutations[J].J Am Soc Nephrol,2003,14(5):1278-86.
    [58]Yuan H,Takeuchi E,Salant DJ.Podocyte slit-diaphragm protein nephrin is linked to the actin cytoskeleton[J].Am J Physiol Renal Physiol,2002,282(4):17585-91.
    [59]Eiser J,Kriz W.The glomerular slit diaphragm is a modified adherens junction[J].J Am Soc Nephrol,2000,11(1):1-8.
    [60] Luimula P, Sandstrom N. Podocyte-associated molecules in puromycin aminonucleoside nephrosis of the rat[J]. lab Invest, 2002, 82(6):713-718.
    
    [61] Erke P, Huber TB. Homodimerization and Heterodimerization of the Glomerular Podocyte Proteins Nephrin and NEPH1 [J]. J Am Soc Nephrol, 2003,14(4): 918- 26.
    
    [62] Barletta GM, Kovaril A. Nephrin and Nephl co-localize at the podocyte foot process intercellular junction and form cis hetero-oligamers[J]. J Biol Chem, 2003,278(21): 199266-71.
    
    [63] Karen M, Liliane J, Sharon E, et al.Glomerular epithelial, mesangial, and endothelial cell lines from transgenic mice[J]. Kidney International, 1988, 33(3): 677-684.
    
    [64] Kubiak A, Niemir ZI. The role of podocytes in normal glomerular function and in the pathogenesis of glomerulonephritis. Part I. Phenotypic and functional characteristics of podocytes during their differentiation and maturity[J]. Postepy Hig Med Dosw, 2006,60: 248-58.
    
    [65] Ly J, Alexander M, Quaggin SE. A podocentric view of nephrology[J]. Curr Opin Nephrol Hypertens, 2004,13(3): 299- 305.
    
    [66] Quaggin SE. Transcriptional regulation of podocyte specification and differentiation[J]. Microsc Res Tech, 2002, 57(4):208-11.
    
    [67] Morello R, Lee B. Insight into podocyte differentiation from the study of human genetic disease: nail-patella syndrome and transcriptional regulation in podocytes[J].Pediatr Res, 2002, 51(5): 551-8.
    
    [68] Daniels BS. The role of the glomerular epithelial cell in the maintenance of the glomerular filtration barrier[J]. Am J Nephrol, 1993,13(5): 318- 23.
    
    [69] Kerjaschki D, Miettinen A, Farquhar MG. Initial events in the formation of immune deposits in passive Heymann nephritis. gp330-anti-gp330 immune complexes form in epithelial coated pits and rapidly become attached to the glomerular basement membrane[J]. J Exp Med, 1987,166(1):109- 28.
    
    [70] Stuart J., Jeffrey W., William G. Complement (C5b-9) induces glomerular epithelial cell DNA synthesis but not proliferation in vitro[J]. Kidney International,1999, 56: 538-548.
    
    [71] Couser WG, Schulze M, Pruchno CJ. Role of C5b-9 in experimental membranous nephropathy[J].Nephrol Dial Transplant,1992,7(1):25-31.
    [72]Cybulsky AV,Rennke HG,Feintzeig ID,et al.Complement-induced glomemlar epithelial cell injury.Role of membrane attack complex in rat membranous nephropathy[J].J Clin Invest,1986,77(4):1096-1107.
    [73]Kolb WP,Haxby JA,Arroyave CM,Muller-Eberhard HJ.Molecular analysis of the membrane attack mechanism of complement[J].J Exp Med,1972,135(3):549-66.
    [74]Kolb WP,Muller-Eberhard HJ.The membrane attack mechanism of complement.Verification of a stable C5-9 complex in free solution[J].J Exp Med,1973,138(2):438-51.
    [75]Bhakdi S,Ey P,Bhakdi-Lehnen B.Isolation of the terminal complement complex from target sheep erythrocyte membranes[J].Biochim Biophys Acta,1976,419(3):445-57.
    [76]Bhakdi S,Bhakdi-Lehnen B,Bjerrum OJ.Detection of amphiphilic proteins and peptides in complex mixtures.Charge-shift crossed immunoelectrophoresis and two-dimensional charge-shift electrophoresis[J].Biochim Biophys Acta,1977,470(1):35-44.
    [77]Bhakdi S,Bjerrum OJ,Bhakdi-Lehnen B,et al.Complement lysis:evidence for an amphiphilic nature of the terminal membrane C5b-9 complex of human complement[j].J Immunol,1978,121(6):2526-32.
    [79]Bhakdi S,Bhakdi-Lehnen B,Bjerrum O J,et al.Difference in antigenic reactivity and ultrastructure between fluid-phase C5b-9 and the C5b-9 membrane attack complex of human complement[J].FEBS Let-t,1979,99(1):15- 9.
    [80]Bjerrum OJ,Bhakdi S.Demonstration of binding of triton X-100 to amphiphilic proteins in crossed immunoelectrophoresis[J].FEB S Lett,1977,81(1):151-6.
    [81]BoRsos T,Dourmashkin RR,Humphrey JH.Lesions in erythrocyte membranes caused by immune haemolysis[J].Nature,1964,202:251-2.
    [1]Wasserstein AG.Membranous glomerulonephritis[J].J Am Soc Nephrol,1997,8:664-674.
    [2]Glassock RJ.Diagnosis and natural course of membranous nephropathy[J].Semin Nephrol,2003,23:324-332.
    [3]Imai H,Hamai K,Komatsuda A,et al:IgG subclasses in patients with membranoproliferative glomerulonephritis,membranous nephropathy,and lupus nephritis[J].Kidney Int,1997,51:270-276.
    [4]Noel LH,Aucouturier P,Monteiro RC,et al:Glomerular and serum immunoglobulin G subclasses in membranous nephropathy and anti-glomerular basement membrane nephritis[J].Clin Immunol mmunopathol,1988,46:186-194.
    [5]Squarer A,Lemley KV,Ambalavanan S,et al:Mechanisms of progressive glomerular injury in membranous nephropathy[J].J Am Soc Nephrol,1998,9:1389-1398.
    [6]Kerjaschki D.Pathogenetic concepts of membranous glomerulopathy(MGN)[J].J Nephrol,2000,13:S96-100.
    [7]Heymann W,Hackel DB,Harwood S,et al.Production of nephrotic syndrome in rats by Freund's adjuvants and rat kidney suspension[J].Proc Soc Exp Biol Med;1959,100:660-664.
    [8]Debiec H,Guigonis V,Mougenot M,et al.Antenatal membranous
    [8]Debiec H,Guigonis V,Mougenot M,et al.Antenatal membranous glomerulonephritis due to anti-neutral endopeptidase antibodies[J].N Engl J Med,2002,346:2053-2060.
    [9]Debiec H,Nauta J,Coulet F,et al.Role of truncating mutations in MME gene in feto-matemal allo-immunization and neonatal glomerulopathies[J].Lancet,2004,364:1252-1259.
    [10]Van Damme BJ,Fleuren GJ,Bakker WW,et al.Experimental glomerulonephritis in the rat induced by antibodies directed against tubular antigens.V.Fixed glomerular antigens in the pathogenesis of heterologous immune complex glomerulonephritis[J].Lab Invest,1978,38:502-510.
    [11]Couser WG,Steinmuller DR,Stilmant MM,et al.Experimental glomerulonephritis in the isolated perfused rat kidney[J].J Clin Invest,1978,62:1275-1287.
    [12]Kerjaschki D,Farquhar MG.The pathogenic antigen of Heymann nephritis is a membrane glycoprotein of the renal proximal tubule brush border[J].Proc Natl Acad Sci,1982,79:5557-5561.
    [13]Kerjaschki D,Farquhar MG.Immunocytochemical localization of the Heymann nephritis antigen(gp330)in glomerular epithelial cells of normal Lewis rats[J].J Exp Med,1983.157:667-686.
    [14]Kerjaschki D,Ullrich R,Exner M,et al.Induction of passive Heymann nephritis with antibodies specific for a synthetic peptide derived from the receptor-associated protein[J].J Exp Med,1996,183:2007-2015.
    [15]Sai.to A,Pietromonaco S,Loo AKC,et al.Complete cloning and sequencing of rat gp330/"megalin," a distinctive member of the low density lipoprotein receptor family[J].Proc Natl Acad Sci,1994,91:9725-9729.
    [16]Allegri L,Brianti E,Chatelet F,et al.Polyvalent antigen-antibody interactions are required for the formation of electron-dense immune deposits in passive Heymann's nephritis[J].Am J Pathol,1986,125:1-6.
    [17]Ronco P,Allegri L,Melcion C,Pirotsky E,Appay MD,Bariety J,Pontillon F,Verroust P:A monoclonal antibody to brush border and passive Heymann nephritis[J].Clin Exp Immunol,1984,55:319-332.
    [18]Ronco P,Allegri L,Brianti E,et al:Antigenic targets in epimembranous glomerulonephritis.Experimental data and potential application in human pathology[J].Appl Pathol,1989,7:85-98.
    [19]Assmann KJ,van Son JP,Dijkman HB,et al.A nephritogenic rat monoclonal antibody to mouse aminopeptidase A.Induction of massive albuminuria after a single intravenous injection[J].J Exp Med,1992,175:623-635
    [20]Chatelet F,Brianti E,Ronco P,et al.Ultrastructural localization by monoclonal antibodies of brush border antigens expressed by glomeruli.I.Renal distribution[J].Am J Pathol,1986,122:500-511.
    [21]Chatelet F,Brianti E,Ronco P,et al.Ultrastructural localization by monoclonal antibodies of brush border antigens expressed by glomeruli.Ⅱ.Extrarenal distribution[J].Am J Pathol,1986,122:512-519.
    [22]Assmann K J,Tangelder MM,Lange WP,et al.Membranous glomerulonephritis in the mouse[J].Kidney Int,1983,24:303-312.
    [23]Assmann KJ,Ronco P,Tangelder MM,et al.Comparison of antigenic targets involved in antibody-mediated membranous glomerulonephritis in the mouse and rat[j].Am J Pathol,1985,121:112-122.
    [24]Matsuo S,Fukatsu A,Taub ML,et al.Glomerulonephritis induced in the rabbit by antiendothelial antibodies[J].J Clin Invest,1987,79:1798-1811.
    [25]Ronco P,Ardaillou N,Verroust P,et al.Pathophysiology of the podocyte:A target and a major player in glomerulonephritis[J].Adv Nephrol Necker Hosp,1994,23:91-131.
    [26]Winfield JB,Faiferman I,Koffler D.Avidity of anti-DNA antibodies in serum and IgG glomerular eluates from patients with systemic lupus erythematosus.Association of high avidity antinative DNA antibody with glomerulonephritis[J].J Clin Invest,1977,59:90-96.
    [27]Van Bruggen MC,Kramers C,Walgreen B,et al.Nucleosomes and histones are present in glomerular deposits in human lupus nephritis[J].Nephrol Dial Transplant,1997,12:57-66.
    [28]Jordan SC,Buckingham B,Sakai R,et al.Studies of immune-complex glomerulonephritis mediated by human thyroglobulin[J].N Engl J Med,1991,304: 1212-1215.
    [29]Takekoshi Y,Tanaka M,Miyakawa Y,et al.Free "small" and IgG-associated "large" hepatitis B e antigen in the serum and glomerular capillary walls of two patients with membranous glomerulonephritis[J].N Engl J Med,1979,300:814-819.
    [30]Lai KN,Li PK,Lui SF,et al.Membranous nephropathy related to hepatitis B virus in adults[J].N Engl J Med,1991,324:1457-1463.
    [31]Gamble CN,Reardan JB.Immunopathogenesis of syphilitic glomerulonephritis.Elution of antitreponemal antibody from glomerular immune-complex deposits[J].N Engl J Med,1975,292:449-454.
    [32]Nagashima R,Maeda K,Yuda F,et al.Helicobacter pylori antigen in the glomeruli of patients with membranous nephropathy[J].Virchows Arch,1997,431:235-239.
    [33]Ronco PM:Paraneoplastic glomerulopathies:New insights into an old entity (clinical conference)[J].Kidney Int,1999,56:355-377.
    [34]Ho"rl WH,Kerjaschki D.Membranous glomerulonephritis(MGN)[J].J Nephrol,2000,13:291-316.
    [35]Naruse T,Kitamura D,Miyakawa Y,et al:Deposition of renal tubular epithelial antigens along the renal glomerular capillary walls of patients with membranous glomerulonephdtis[J].J Immunol,1973,110:1163-1169.
    [36]Douglas MFS,Rabideau DP,Schwartz MM,et al.Evidence of autologous immune complex nephritis[J].N Engl J Med,1981,305:1326-1329.
    [37]Zanetti M,Mandet C,Duboust A,et al:Demonstration of a passive Heymann-nephritis like mechanism in human kidney transplants[J].Clin Nephrol,1981,15:272-288.
    [38]Ivanyi B,Haszon I,Endreffy E,et al.Childhood membranous nephropathy,circulating antibodies to the 58-kD TIN antigen,and anti-tubular basement membrane nephritis:An 11-year follow-up[J].Am J Kidney Dis,1998,32:1068-1074.
    [39]Nelson TR,Charonis AS,Mclvor RS,Butkowski RJ:Identification of a eDNA encoding tubulointerstitial nephritis antigen[J].J Biol Chem,1995,270:16265-16270.
    [40]Butkowski RJ,Kleppel MM,Katz A,et al:Distribution of tubulointerstitial nephritis antigen and evidence for multiple forms[J]. Kidney Int, 1991,40: 838-846.
    
    [41] Habib R, Beziau A, Goulet O, et al: Renal involvement in autoimmune enteropathies[J]. Ann Pediatr, 1993,40:103-107.
    
    [42] Couser WG, Salant DJ. In situ immune complex formation and glomerular injury[J]. Kidney Int, 1980,17: 1-13.
    
    [43] Nauta J, de Heer E, Baldwin WM 3rd, et al. Transplacental induction of membranous nephropathy in a neonate[J]. Pediatr Nephrol, 1990,4:111-116.
    
    [44] Tauc M, Chatelet F, Verroust P, et al. Characterization of monoclonal antibodies specific for rabbit renal brush-border hydrolases: Application to immunohistological localization[J]. J Histochem Cytochem, 1988,36: 523- 532.
    
    [45] Matsuo S, Caldwell PRB, Brentjens JR, et al. In vivo interactions of antibodies with cell surface antigens. A mechanism responsible for in situ formation of immune deposits in the zona pellucida of rabbit oocytes[J]. J Clin Invest, 1985, 75:1369-1380.
    
    [46] Adler S, Baker PJ, Pritzl P, et al: Detection of terminal complement components in experimental immune glomerular injury[J]. Kidney Int, 1984,26: 830-837.
    
    [47] Shah SV. Evidence suggesting a role for hydroxyl radical in passive Heymann nephritis in rats. Am J Physiol, 1988,254: F337- F344.
    
    [48] Neale TJ, Ullrich R, Ojha P, et al: Reactive oxygen species and neutrophil respiratory burst cytochrome b558 are produced by kidney glomerular cells in passive Heymann nephritis[J]. Proc Natl Acad Sci, 1993, 90: 3645-3649.
    
    [49] Neale TJ, Ojha PP, Exner M, et al. Proteinuria in passive Heymann nephritis is associated with lipid peroxidation and formation of adducts on type IV collagen[J]. J Clin Invest, 1994, 94: 1577-1584.
    
    [50] Kerjaschki D. Pathomechanisms and molecular basis of membranous glomerulopathy[J]. Lancet, 2004, 364: 1194-1196.
    
    [51] Pippin JW, Durvasula R, Petermann A, et al. DNA damage is a novel response to sublytic complement C5b-9-induced injury in podocytes[J]. J Clin Invest, 2003, 111:877-885.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700