中国寄生虫学与寄生虫病杂志 ›› 1986, Vol. 4 ›› Issue (1): 14-17.

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日本血吸虫免疫复合物肾病的实验研究

严自助,Agnes Hochman,周中源,李咪凤,童培哲   

  1. 中国预防医学科学院寄生虫病研究所; 世界卫生组织免疫研究与培训中心; 上海市第四人民医院; 上海市第四人民医院; 上海市第四人民医院
  • 收稿日期:2017-01-12 修回日期:2017-01-12 出版日期:1986-02-28 发布日期:2017-01-12

IMMUNE-COMPLEX NEPHROPATHY IN MICE INFECTED WITH SCHISTOSOMA JAPONICUM

  • Received:2017-01-12 Revised:2017-01-12 Online:1986-02-28 Published:2017-01-12

摘要: 为了探究血吸虫感染后免疫复合物肾病的发生、发展和预后,为临床及防治实践提供线索,本文对小鼠感染日本血吸虫及经有效药物治疗后不同时期肾脏内免疫复合物沉积和病理变化进行了观察。结果表明小鼠感染后18天,肾小球已出现微量的IgG和C_3沉积,感染后25天,反应增强并能检到IgM;感染后40天至2月,反应趋向高峰。至感染后3个月,IgG、IgM的沉积仍很明显,但补体的沉积开始减弱。用间接荧光抗体试验在肾切片上耒发现日本血吸虫抗原。感染后4周至2月,光镜下见肾小球毛细血管球萎缩,肾小球囊腔扩大,基底膜增厚,肾小管内有少量管型。电镜下见肾小球基底膜增厚,有色素沉积,电子密度的沉积呈驼峰样病变,提示有免疫复合物沉积。治疗后上述肾小球病变减轻,以致消失。

关键词: 日本血吸虫, 免疫复合物沉积, 实验研究, 感染后, 肾小球毛细血管, 肾病, 日本血吸虫抗原, 基底膜, 血吸虫感染, 肾小球病变

Abstract: Pathological changes and immune complex deposits in the kidneys of mice infected With Schistosoma japonicum were studied from 18 days to 5 months post infection and after treatment.In immunofluorescent preparations, deposits of small amounts of IgG and C3 followed by IgM in glomerulus appeared on day 18-25 after infection, with increasing in tensicy from day 40 till the end of the second month after infection. No schistosome antigen could be found on frozen sections of kidneys by indirect fluorescent test.Pathological observation revealed that from the fourth week to two months after infection a large number of glomeruli were affected, showing diffuse hyper-cellular enlargement of Bowman's capsule and thickening of glomerular capillary wall. Granular casts were also found in some of the tubules.Electron microscopic studies have shown the presence of pigment deposits and electron-Cense deposits resembling the humps along the thickened basement membrane, suggesting that the glomerular lesions corresponded quite closely to the immune complex deposits. After treatment most of the lesions disappeared within 2 months.