IgA肾病患者血清刺激系膜细胞增殖与病理改变的关系
The Effects of Serum from Patients with IgA Nephropathy on Cultured Glomerular Mesangial Cells
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摘要: 本研究采用系膜细胞培养技术观察了38例IgA肾病患者血清对系膜细胞增殖的影响,并采用ELlSA方法检测了血清中循环免疫复合物(CIC)的浓度,结果发现,IgA肾病血清对系膜细胞的增殖有明显刺激作用,而且这种刺激作用与肾组织病理改变程度成正相关,IgA肾病血清中IgA-CIC和IgG-CIC均较正常人明显增高,但血中IgA水平与系膜增殖及病理改变程度无相关性。Abstract: In this paper. the effects of serum from 38 patients with IgA nephropathy on cultured gloumerular mesangial cells in vitro were studied. the IgA-CIC, IgG-CIC and IgM-CIC in the serum were measured by using ELISA. The results were summarized as follows: 1. the ~3H-TdR uptake into mesangial cells was markedly enhanced (P<0.01) by the serum of IgA nephropathy on culture medium, and the increment was closely related to the severity of glomerular pathological changes (r=0.429; 2. the levels of IgA-CIC and IgG-CIC increased in the serum of patients with IgA nephropathy than those in normal controls (P<0.05); and 3. there was a close relationship between the amount of urinary protein and the degree of renal pathological changes (r=0.616).
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