Possible involvement of mast cells in renal fibrosis in patients with IgA nephropathy

被引:26
作者
Sakamoto-Ihara, T. [1 ]
Suzuki, Y. [1 ]
Kurusu, A. [1 ]
Yamashita, M. [1 ]
Horikoshi, S. [1 ]
Tomino, Y. [1 ]
机构
[1] Juntendo Univ, Sch Med, Dept Internal Med,Div Nephrol, Bunkyo Ku, Tokyo 1138421, Japan
关键词
mast cell; chymase; angiotensin II; renal fibrosis; IgA nephropathy;
D O I
10.1007/s00011-007-6145-z
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Objective: The objective of the present study is to investigate whether human mast cells (MC) contribute to renal damage through local activation of the renin-angiotensin system, by assessing their numbers in renal biopsy specimens from patients with IgA nephropathy (IgAN) or minimal change nephrotic syndrome (MCNS). Methods: In patients with IgAN and MCNS, the numbers of tryptase-positive MC (MC(T)) and MC positive for both tryptase and chymase (MC(TC)) were examined histopathologically. Serum creatinine level, mean blood pressure and the severity of glomerular and tubulointerstitial lesions were also determined. Results: MC(TC) numbers differed between IgAN patients and MCNS patients. IgAN patients had more MC(TC) than MC(T). MC were found around but not in the conglomerate of the AngiotensinII (AngII)-positive cells. In the IgAN patients with the most severe pathology, the number of AngII-positive cells was correlated with that of MC(TC) and MC(T). Conclusion: Chymase-dependent AngII synthesis due to human MC may be involved in the inflammatory and fibrotic processes of IgAN.
引用
收藏
页码:421 / 427
页数:7
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