International Urology and Nephrology

, Volume 21, Issue 1, pp 97–104 | Cite as

Immunoperoxidase autopsy study of crescentic glomerulonephritis with extracapillary proliferation

  • T. Tóth
Article
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Abstract

Twenty-five cases of extracapillary crescentic glomerulonephritis were examined immunohistologically. The peroxidase-antiperoxidase (PAP) method was used, the presence of immunoglobulin, complement factors and fibrin was analysed and glomerular positivity was found in all but two cases. Two types of reaction could be discerned: linear and granular, which can be considered as evidence of the pathomechanism. Surprisingly, IgG and IgM positivity was seen most frequently. The author emphasizes the importance of immunoperoxidase examination in the renal histology. This method can be easily applied in paraffin-embedded samples and gives many useful information.

Keywords

Glomerulonephritis Glomerular Basement Membrane International Urology Crescentic Glomerulonephritis Membranous Glomerulonephritis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Abreo, K., Abreo, F., Mitchell, B., Schloemer, G.: Idiopathic crescentic membranous glomerulonephritis.Am. J. Kidney Dis., 8, 257 (1986).PubMedGoogle Scholar
  2. 2.
    Abuelo, J. G., Esparza, A. R., Matarese, R. A., Endreny, R. G., Carvalho, J. S., Allegra, S. R.: Crescentic IgA nephropathy.Medicine, 63, 396 (1984).PubMedCrossRefGoogle Scholar
  3. 3.
    Bacani, R. A., Velasquez, F., Kanter, A., Pirani, C. L., Pollak, V. E.: Rapidly progressive (nonstreptococcal) glomerulonephritis.Ann. Intern. Med., 69, 463 (1968).PubMedGoogle Scholar
  4. 4.
    Beirne, G. J., Octaviano, G. N., Kapp, W. L., Burns, R. O.: Immunohistopathology of the lung in Goodpasture's syndrome.Ann. Intern. Med., 69, 1207 (1968).PubMedGoogle Scholar
  5. 5.
    Beirne, G. J., Wagnild, J. P., Zimmerman, S. W., Macken, P. D., Burkholder, P. M.: Idiopathic crescentic glomerulonephritis.Medicine, 56, 349 (1977).PubMedCrossRefGoogle Scholar
  6. 6.
    Bhuyan, U. N., Dash, S. C., Srivastava, R. N., Sharma, R. K., Malhatra, K. K.: Immunopathology, extent and course of glomerulonephritis with crescent formation.Clin. Nephrol., 18, 280 (1982).PubMedGoogle Scholar
  7. 7.
    Davies, D. R., Clark, A. E.: Demonstration of immunoglobulin containing deposits in glomerular basement membrane in experimental chronic serum sickness using horseradish peroxidase labelled antiserum.Br. J. Exp. Path., 56, 28 (1975).Google Scholar
  8. 8.
    Denk, H., Syré, G., Weirich, E.: Immunomorphologic methods in routine pathology. Application of immunofluorescence and the unlabelled antibody-enzyme (peroxidase-antiperoxidase) technique to formalin fixed paraffin embedded kidney samples.Beitr. Pathol., 160, 187 (1977).PubMedGoogle Scholar
  9. 9.
    Freedman, P., Meister, H. P., Lee, H. J., Smith, E. C., Co. B. S., Nidus, B. D.: The renal response to streptococcal infections.Medicine, 49, 433 (1970).PubMedCrossRefGoogle Scholar
  10. 10.
    Glassock, R. J.: A clinical and immunopathologic study of rapidly progressive glomerulonephritis.Nephron, 22, 253 (1978).PubMedGoogle Scholar
  11. 11.
    Goldstein, J., Halpern, B., Robert, L.: Immunological relationship between streptococcus A polysaccharide and the structural glycoproteins of heart valves.Nature, 213, 44 (1967).CrossRefGoogle Scholar
  12. 12.
    Heptinstall, R. H.: Pathology of the Kidney. 2nd Edition. Little, Brown and Co., Boston 1974.Google Scholar
  13. 13.
    Hogg, R. J.: A clinicopathologic study of crescentic glomerulonephritis in 50 children. A report of the Southwest Pediatric Nephrology Study Group.Kidney Int., 27, 450 (1985).Google Scholar
  14. 14.
    Kalvis, G., Drommer, W.: Goodpasture's syndrome and effects of benzene.Arch. Toxikol., 26, 40 (1970).CrossRefGoogle Scholar
  15. 15.
    Krakower, C. A., Grenspon, S. A.: The localization of nephrotoxic antigen(s) in extraglomerular tissues: Observations including a measure of its concentration in certain locales.Arch. Pathol., 66, 364 (1958).Google Scholar
  16. 16.
    Lerner, R. A., Dixon, F. J.: The induction of acute glomerulonephritis in rabbits with soluble antigens isolated from normal homologous and autologous urine.J. Immunol., 100, 1277 (1968).PubMedGoogle Scholar
  17. 17.
    Lewis, E. J., Cavallo, T., Harrington, J. T., Cotran, R. S.: An immunopathologic study of rapidly progressive glomerulonephritis in the adult.Hum. Pathol., 2, 185 (1971).PubMedCrossRefGoogle Scholar
  18. 18.
    MacIver, A. G., Mepham, B. L.: Immunoperoxidase techniques in human renal biopsy.Histopathology, 6, 249 (1982).PubMedGoogle Scholar
  19. 19.
    McKluskey, R. T.: The value of immunofluorescence in the study of human renal disease.J. Exp. Med., 134, 242 (1971).CrossRefGoogle Scholar
  20. 20.
    Morel-Maroger, L., Sraer, J.-D., Herreman, G., Godeau, P.: Kidney in subacute endocarditis.Arch. Pathol., 94, 205 (1972).PubMedGoogle Scholar
  21. 21.
    Morrin, P. A. F., Hinglais, N., Nabarra, B., Kreis, H.: Rapidly progressive glomerulonephritis.Am. J. Med., 65, 446 (1978).PubMedCrossRefGoogle Scholar
  22. 22.
    Olsen, S., Petersen, V. P., Hansen, E. S.: Immunofluorescence studies of extracapillary glomerulonephritis.Acta Pathol. Microbiol. Scand. [A], 82, Suppl.249, 20 (1974).Google Scholar
  23. 23.
    Ramirez, F., Travis, L. B., Cunningham, R. J., Cavallo, T., Rajarman, S., Brouhard, B. H., Ellis, E. N.: Focal segmental glomerulosclerosis crescent, and rapidly progressive renal failure.Int. J. Pediatr. Nephrol., 3, 175 (1982).PubMedGoogle Scholar
  24. 24.
    Sinclair, R. A., Burns, J., Dunnill, M. S.: Immunoperoxidase staining of formalin fixed, paraffin embedded, human renal biopsies with a comparison of the peroxidase-antiper-oxidase (PAP) and indirect methods.J. Clin. Pathol., 34, 859 (1981).PubMedGoogle Scholar
  25. 25.
    Sorger, K., Balun, J., Hübner, F. K., Köhler, H., Olbing, H., Schulz, W., Seybold, D., Thoenes, G. H., Thoenes, W.: The garland type of acute postinfectious glomerulonephritis: morphological characteristics and follow-up studies.Clin. Nephrol., 20, 17 (1983).PubMedGoogle Scholar
  26. 26.
    Spargo, B. H., Ordonez, N. G., Ringus, J. C.: The differential diagnosis of crescentic glomerulonephritis.Hum. Pathol., 8, 187 (1977).PubMedCrossRefGoogle Scholar
  27. 27.
    Stillmant, M. M., Bolton, W. K., Sturgill, B. C., Schmitt, G. W., Couser, W. G.: Crescentic glomerulonephritis without immune deposits: clinicopathologic features.Kidney Int., 15, 184 (1979).Google Scholar
  28. 28.
    Teague, C. A., Doak, P. B., Simpson, I. J., Rainer, S. P., Herdson, P. B.: Goodpasture's syndrome: an analysis of 29 cases.Kidney Int., 13, 492 (1978).PubMedGoogle Scholar
  29. 29.
    Vassali, P., McKluskey, R. I. The pathogenic role of the coagulation process in rabbit Masugi nephritis.Am. J. Pathol., 45, 653 (1964).Google Scholar
  30. 30.
    Vassali, P., McKluskey, R. I.: The coagulation process and glomerular disease.Am. J. Med., 39, 179 (1965).CrossRefGoogle Scholar
  31. 31.
    Weber, M., Köhler, H., Fries, J., Thoenes, W., Meyer zum Büschenfelde, K. H.: Rapidly progressive glomerulonephritis in IgA, IgG cryoglobulinemia.Nephron, 41, 258 (1985).PubMedCrossRefGoogle Scholar
  32. 32.
    Willoughby, W. F., Dixon, F. J.: Experimental hemorrhagic pneumonitis produced by heterologous antilung antibody.J. Immunol., 104, 28 (1970).PubMedGoogle Scholar
  33. 33.
    Wilson, C. B.: Immunological mechanisms of glomerulonephritis.Calif. Med., 116, 47 (1972).Google Scholar
  34. 34.
    Wilson, C. B., Dixon, F. J.: Diagnosis of immunopathologic renal disease.Kidney Int., 5, 381 (1974).Google Scholar
  35. 35.
    Wilson, C. B., Smith, R. C.: Goodpasture's syndrome associated with influenza A2 virus infection.Ann. Intern. Med., 76, 91 (1972).PubMedGoogle Scholar
  36. 36.
    Zimmerman, S. W., Groehler, K., Beirne, G. J.: Hydrocarbon exposure and chronic glomerulonephritis.Lancet, 2, 199 (1975).PubMedCrossRefGoogle Scholar
  37. 37.
    Zollinger, H. U., Mihatsch, M. J.: Renal Pathology in Biopsy. Springer-Verlag, Berlin-Heidelberg-New York 1978.Google Scholar
  38. 38.
    Yeung, C. K., Wong, W. S., Ng M. T., Chan, K. W., Ng, W. L.: Crescentic lupus glomerulonephritis.Clin. Nephrol., 21, 251 (1984).PubMedGoogle Scholar

Copyright information

© Akadémiai Kiadó 1989

Authors and Affiliations

  • T. Tóth
    • 1
  1. 1.Department of PathologyCounty Hospital SzolnokHungary

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