Abstract
There has been a marked resurgence of interest in the general topic of immune complex glomerulonephritis in the past two to three years. Several factors account for this phenomenon, including the recent availability of assays for circulating immune complexes in human renal disease, but the major reason is that several basic observations made in the laboratory have prompted important revisions in the way we now think about immune complex nephritis. These changes have occurred particularly in two areas. First, there have been important changes in the concepts of how these granular deposits form in glomeruli. Secondly, there have also been some new discoveries with respect to the mechanisms by which these deposits mediate glomerular injury. This presentation will review some of these observations and give you some idea, at least from our prospective, of current thinking about the pathogenesis of immune complex glomerulonephritis.
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References
Merrill, J.P.: Glomerulonephritis, NEJM 290: 257–266, 1974.
Couser, W.G. and Salant, D.J.: In situ complex formation and glomerular injury. Kidney Int. 17: 1–13, 1980.
Germuth, F.G., Jr., Rodriguez, E.: Immunopathology of the renal glomerulus: Immune complex deposit and anti-basement membrane disease. Boston, Little Brown and Co. 1973.
Dixon, F.J., Vazquez, J.J. Weigel, W.O., Cochrane, C.J.: Pathogenesis of serum sickness. Arch. Pathol. 68: 18–28, 1958.
J. Dixon, F.J., Feldman, J.D. Vazquez, J.J.: Experimental glomerulonephritis: The pathogenesis of a laboratory model resembling the spectrum of human glomerulonephritis. J. Exp. Med. 113: 899–920, 1961.
Pincus, T., Haberkern, R., Christian, C.L.: Experimental chronic glomerulitis. J. Exp. Med. 127:819–831, 1968.
Okumura K., Kondo, Y., Tada, T.: Studies of passive serum sickness I. The glomerular fine structure of serum sickness nephritis induced by pre-formed antigen-antibody complexes in the mouse. Lab. Invest. 24: 283–391, 1971.
Koyama, A., Niwa, Y., Shigematsu, H., Taniguchi, M., Tada, T.: Studies on passive serum sickness. II. Factors determining the localization of antigen antibody complexes in the murine renal glomerulus. Lab. Invest. 38: 253–262, 1978.
Ward, H.J., Kamil, E.S., Cohen, A.H., Border, W.A.: Role of electrical charge in the pathogenesis of experimental membranous nephropathy. Abstracts of the American Society of Nephrology, 1980.
Hebert, L.A., Allheiser, C.L., Koethe, S.M.: Some hemodynamic determinants of immune complex trap** by the kidney. Kidney Int. 14: 452–465, 1978.
Haakenstad, A.O., Mannik, M.: Saturation of the reticuloendothelial system with soluble immune complexes. J. Immunol. 112: 1939–1948, 1974.
Cochrane, C.G.: Mechanisms involved in the deposition of immune complexes in tissues. J. Exp. Med, 134: 79s - 89s, 1971.
Germuth, F.G.Jr., Rodriguez, E., Lorelle, C.A., Trump, E.I., Milano, L.L., Wise, O.: Passive immune complex glomerulonephritis in mice, models for various lesions found in human disease. II. Low avidity complexes and diffuse proliferative glomerulonephritis with subepithelial deposits. Lab. Invest. 41: 366–371, 1979.
Couser, W.G., Stilmant, M.M., Darby, C,: Autologous immune complex nephropathy: I. Sequential study of immune complex deposition, ultra-structural changes, proteinuria and alterations in glomerular sialoprotein. Lab. Invest. 34: 23–30, 1976.
Barabas, A.Z., Lannigan, R.: Induction of an autologous immune-complex glomerulonephritis in the rat by intravenous injection of heterologous anti-rat kidney tubular antibody: I. Production of chronic progressive immune complex glomerulonephritis. Brit, J. Exp. Pathol. 55: 47–55, 1974.
Edgington, T.S., Glassock, R.J., Dixon, F.J,: Autologous immune complex pathogenesis of experimental allergic glomerulonephritis. Science 155: 1432–1434, 1967.
Van Damme, B., Fleuren, G.J., Bakker, W.W., Hoedemaeker, P.J., and Vernier, R.L.: Fixed glomerular antigens in the pathogenesis of heterologous immune complex glomerulonephritis. Kidney Int. 10: 551, 1976.
Van Damme, B.J.C., Fleuren, G.J., Bakker, W.W., Vernier, R.L., Hoedemaeker, P.J.: Experimental glomerulonephritis in the rat induced by antibodies directed against tubular antigens: IV. Fixed glomerular antigens in the pathogenesis of heterologous immune complex glomerulonephritis. Lab. Invest. 38: 502–510, 1978.
Couser, W.G., Steinmuller, D.R., Stilmant, M.M., Salant, D.J., Lowenstein L.M.: Glomerulonephritis in the isolated perfused rat kidney. J, Clin. Invest. 62: 1275–1287, 1978.
Neal, T.J., Wilson, C.B., Couser, W.G., Salant, D.J.: Personal communication.
Madaio, M.P., Salant, D.J., Stilmant, M.M., Darby, C. Capparell, N. Couser, W.G.: Comparative study of subepithelial immune deposit formation in active and passive Heymann nephritis. Abstracts of the American Society of Nephrology, 1980.
Salant, D.J., Darby, C., Couser, W.G.: Experimental membranous glomerulonephritis in rats. Quantitative studies of glomerular immune deposit formation in isolated glomeruli and whole animals. J. Clin. Invest. 66: 71–81, 1980.
Venkatachalam, M.A., Rennke, H.G.: The structural and molecular basis of glomerular filtration. Circ. Res. 43: 337–347, 1978.
Salant, D.J., Capparell, N., Darby, C., Stilmant, M.M., Couser, W.G.: Effect of antibody size on subepithelial immune deposit formation. Kidney Int. 16: 801, 1979.
Madaio, M.P., Salant, D.J., Causer, W.G., Darby, C., Capparell, N.: Influence of antibody charge and concentration on subepithelial immune deposit formation. Abstracts of the American Society of Nephrology, 1980.
Mauer, S.M., Sutherland, D.E.R., Howard, R.J., Fish, A.J., Najarian, J.S., Michael, A.F.: The glomerular mesangium: III. Acute immune mesangial injury: A new model of glomerulonephritis. J. Exp. Med. 137: 553–570, 1973.
Golbus, S., Wilson, C.B.: Experimental glomerulonephritis induced by in situ formation of immune complexes in glomerular capillary wall. Kidney Int. 16: 148–157, 1979.
Fleuren, G., Grond, J., Hoedemaeker, P.J.: In situ formation of sub-epithelial glomerular immune complexes in passive serum sickness. Kidney Int. 17: 631–637, 1980.
Friend, P.S., Kim, Y., Michael, A.F., Donadio, J.V.: Pathogenesis of membranous nephropathy in systemic lupus erythematosis: Possible role of non-precipitating DNA antibody. Brit. Med. J. 1: 25, 1977.
Ooi, B.S., Ooi, Y.M., Hsu, A., Hurtubise, P.E.: Diminished synthesis of immunoglobulin by peripheral lymphocytes of patients with idiopathic membranous glomerulonephropathy. J. Clin. Invest. 65: 789–797, 1980.
Rennke, H.G., Cotran, R.S., Venkatachalam, M.A.: Role of molecular charge in glomerular permeability. Tracer studies with cationized ferritins. J. Cell Biol. 67: 638–645, 1975.
Seiler, M.W., Rennke, H.G., Venkatachalam, M.A., Cotran, R.S.: Pathogenesis of polycation-induced alteration (“fusion”) of glomerular epithelium. Lab. Invest. 36: 48–58, 1977.
Neale, T.J., Wilson, C.B.: Non-GBM glomerular antigen in spontaneous nephritis in rabbits. Kidney Int. 14: 715, 1978.
Seelig, H.P., Seelig, R., Roth, E: Antibodies reacting with the glomerular mesangium. Isolation and immunopathology. Virchows Arch (Pathol Anat) 306: 313–330, 1975.
Hoyer, J.R.: Tubulointerstitial immune complex nephritis in rats immunized with Tamm-Horsfall protein. Kidney Int. 17: 284–292, 1980.
Wilson, C.B., Holdsworth, S.R., Neale, T.J.: Abrogation of immune glomerulonephritis in rabbits by anti-macrophage serum, Abstracts of the American Society of Nephrology, 1980.
Salant, D.J., Belok, S., Madaio, M.P., Couser, W.G.: A new role for complement in experimental membranous nephropathy in rats. J. Clin. Invest. 66:Dec., 1980.
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© 1981 Martinus Nijhoff Publishers, The Hague
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Couser, W.G., Salant, D.J., Madaio, M.P., Adler, S. (1981). Mechanisms of Immune Complex Injury. In: Gruskin, A.B., Norman, M.E. (eds) Pediatric Nephrology. Developments in Nephrology, vol 3. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-8319-9_4
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DOI: https://doi.org/10.1007/978-94-009-8319-9_4
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