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探讨了卡介苗(BCG)对象兔系膜增殖性肾炎(MsPGN)模型的保护作用及其机理。20只家兔随机分为A,B,C三组,A,B两组注射小牛血清白蛋白(BSA)建立MsPGN模地;C组作为正常对照。在静注BSA3周前,A组先注射BCG,B组注射等渗盐水,于第10周结束实验。结果:A组循环免疫复合物、肾小球细胞数、lgG沉积程度比B组明显减少(P<0.01),光镜和电镜下A组的病变也明显较轻,而B组电子致密物较多。刀豆素-A诱导的T淋巴细胞转化试验A组较B组增强(P<0.05)。A,B两组24h尿蛋肉、血肌酐和抗BSA抗体滴度差异不明显。结果表明BCG能促进CIC清除,使IC在小球沉积减少,减轻小球系膜增殖性炎症,同时还能增强T细胞淋转功能。其保护机理可能通过增强单核巨噬细胞系统吞噬功能和抑制性T细胞(Ts)功能实现。
The protective effect and mechanism of BCG on rabbit model of mesangial proliferative glomerulonephritis (MsPGN) were explored. Twenty rabbits were randomly divided into three groups (A, B and C). A and B groups were injected with bovine serum albumin (BSA) to establish MsPGN model. C group was used as normal control. Group A was injected with BCG 3 weeks before intravenous injection of BSA. Group B was injected with isotonic saline and the experiment was finished at week 10. Results: The levels of circulating immune complex, glomerulus cells and lgG deposition in group A were significantly lower than those in group B (P <0.01). The lesions in group A under light and electron microscopy were also significantly lighter, while the group B electron density More things. Concanavalin-A-induced T lymphocyte transformation test in group A was better than that in group B (P <0.05). There was no significant difference in the titers of egg, serum creatinine and anti-BSA between groups A and B at 24 hours. The results show that BCG can promote CIC removal, IC deposition in the pellet to reduce, reduce mitochondrial proliferative inflammation, but also can enhance T lymphocyte function. Its protective mechanism may be through enhanced monocyte-macrophage system phagocytosis and suppressive T-cell (Ts) function.