Mechanisms of Immune Complex Injury

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Pediatric Nephrology

Part of the book series: Developments in Nephrology ((DINE,volume 3))

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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

  1. Merrill, J.P.: Glomerulonephritis, NEJM 290: 257–266, 1974.

    Article  PubMed  CAS  Google Scholar 

  2. Couser, W.G. and Salant, D.J.: In situ complex formation and glomerular injury. Kidney Int. 17: 1–13, 1980.

    Article  PubMed  CAS  Google Scholar 

  3. 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.

    Google Scholar 

  4. Dixon, F.J., Vazquez, J.J. Weigel, W.O., Cochrane, C.J.: Pathogenesis of serum sickness. Arch. Pathol. 68: 18–28, 1958.

    Google Scholar 

  5. 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.

    Article  PubMed  CAS  Google Scholar 

  6. Pincus, T., Haberkern, R., Christian, C.L.: Experimental chronic glomerulitis. J. Exp. Med. 127:819–831, 1968.

    Article  PubMed  CAS  Google Scholar 

  7. 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.

    Google Scholar 

  8. 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.

    PubMed  CAS  Google Scholar 

  9. 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.

    Google Scholar 

  10. 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.

    Article  PubMed  CAS  Google Scholar 

  11. Haakenstad, A.O., Mannik, M.: Saturation of the reticuloendothelial system with soluble immune complexes. J. Immunol. 112: 1939–1948, 1974.

    PubMed  CAS  Google Scholar 

  12. Cochrane, C.G.: Mechanisms involved in the deposition of immune complexes in tissues. J. Exp. Med, 134: 79s - 89s, 1971.

    Article  Google Scholar 

  13. 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.

    PubMed  Google Scholar 

  14. 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.

    PubMed  CAS  Google Scholar 

  15. 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.

    CAS  Google Scholar 

  16. Edgington, T.S., Glassock, R.J., Dixon, F.J,: Autologous immune complex pathogenesis of experimental allergic glomerulonephritis. Science 155: 1432–1434, 1967.

    Article  PubMed  CAS  Google Scholar 

  17. 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.

    Google Scholar 

  18. 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.

    PubMed  Google Scholar 

  19. 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.

    Article  CAS  Google Scholar 

  20. Neal, T.J., Wilson, C.B., Couser, W.G., Salant, D.J.: Personal communication.

    Google Scholar 

  21. 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.

    Google Scholar 

  22. 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.

    Article  PubMed  CAS  Google Scholar 

  23. Venkatachalam, M.A., Rennke, H.G.: The structural and molecular basis of glomerular filtration. Circ. Res. 43: 337–347, 1978.

    PubMed  CAS  Google Scholar 

  24. 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.

    Google Scholar 

  25. 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.

    Google Scholar 

  26. 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.

    Article  PubMed  CAS  Google Scholar 

  27. 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.

    Article  PubMed  CAS  Google Scholar 

  28. 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.

    Article  PubMed  CAS  Google Scholar 

  29. 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.

    Article  PubMed  CAS  Google Scholar 

  30. 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.

    Article  PubMed  CAS  Google Scholar 

  31. 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.

    Article  PubMed  CAS  Google Scholar 

  32. 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.

    PubMed  CAS  Google Scholar 

  33. Neale, T.J., Wilson, C.B.: Non-GBM glomerular antigen in spontaneous nephritis in rabbits. Kidney Int. 14: 715, 1978.

    Google Scholar 

  34. Seelig, H.P., Seelig, R., Roth, E: Antibodies reacting with the glomerular mesangium. Isolation and immunopathology. Virchows Arch (Pathol Anat) 306: 313–330, 1975.

    Article  Google Scholar 

  35. Hoyer, J.R.: Tubulointerstitial immune complex nephritis in rats immunized with Tamm-Horsfall protein. Kidney Int. 17: 284–292, 1980.

    Article  PubMed  CAS  Google Scholar 

  36. 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.

    Google Scholar 

  37. 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.

    Google Scholar 

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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

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-009-8321-2

  • Online ISBN: 978-94-009-8319-9

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