Skip to main content

Abnormal binding of negatively charged serum proteins to diabetic basement membranes is largely a systemic phenomenon

Summary

Direct immunofluorescence employing goat anti-human IgG, IgA, IgM, C3 component of complement, fibrinogen, albumin, and polyvalent immunoglobulins was performed on postmortem samples of gingiva, parotid gland, thyroid, kidney, and pancreas tissue of 15 diabetic and 15 control patients.

Basement membrane thickness quantification of kidney tubules, gingival capillaries, and parotid gland ducts and acini was also done utilizing a calibrated magnifier on uniformly enlarged photomicrographs which had been specially stained to highlight basement membranes.

Results revealed binding of IgG, albumin, and polyvalent immunoglobulin to kidney glomerular and tubular basement membranes and parotid ductal and acinar basement membranes in all diabetic subjects. Thyroid follicular basement membranes were positive in 8 of 15 diabetic patients for the same antisera. All gingival and pancreatic tissue from diabetic and control patients was negative for binding of all serum proteins tested.

Basement membrane thickening in kidney tubules and gingival capillaries was observed in diabetic subjects; however, there was no apparent difference between diabetic and control patients in thickness of ductal or acinar basement membranes of the parotid gland.

This is a preview of subscription content, access via your institution.

References

  1. Ainsworth S, Hirsch H, Brackett N, Brissie R, Williams A, Hennigar G (1982) Diabetic glomerulopathy: histopathologic, immunofluorescent, and ultrastructural studies of 16 cases. Hum Pathol 13:470–478

    Google Scholar 

  2. Barbosa J, Chavers B, Steffes M, Szalapski E, Cohen R, Michael A, Hoogwerf B, Mauer M (1980) Muscle extracellular membrane immuno-fluorescence and HLA as possible markers of prediabetes. Lancet ii:330–333

    Google Scholar 

  3. Chavers B, Etzwiler D, Michael A (1981) Albumin deposition in dermal capillary basement membrane in insulin-dependent diabetes mellitus. Diabetes 30:275–278

    Google Scholar 

  4. Cohn R, Mauer S, Barbosa J, Michael A (1978) Immunofluorescence studies of skeletal muscle extracellular membranes in diabetes mellitus. Lab Invest 39:13–16

    Google Scholar 

  5. Del Prete G, Betterle C, Padovan D, Erle G, Toffolo A, Bersahi G (1977) Incidence and significance of islet cell autoantibodies in different types of diabetes mellitus. Diabetes 26:909–915

    Google Scholar 

  6. Ehrenreich T, Espinosa T (1971) Chromotrope silver methenamine stain of glomerular lesions. Am J Clin Pathol 56:448–451

    Google Scholar 

  7. Guenther WC (1965) Concepts of Statistical Interference, New York, Mc Graw-Hill Book Company, 151–154

    Google Scholar 

  8. Lin J, Duffy J, Roginsky M (1975) Microcirculation indiabetes mellitus: a study of gingival biopsies. Hum Pathol 6:77–97

    Google Scholar 

  9. Mauer S, Miller K, Goetz F, Barbosa J, Simmons R, Najarian J, Michael A (1976) Immunopathology of renal extracellular membranes in kidneys transplated into patients with diabetes mellitus. Diabetes 25:709–712

    Google Scholar 

  10. McManus JFA (1948) Stain Techn 23:99–108 (AFIP modification)

    Google Scholar 

  11. 11. Melvin T, Youngki K, Michael A (1984) Selective binding of IgG4 and other negatively charged plasma proteins in normal and diabetic human kidneys. Am J Pathol 115 (in press)

  12. Michael A, Scheinman J, Steffes M, Fish A, Brown D, Mauer S (1978) Studies on diabetic nephropathy. In: Kefalides N (ed) Biology and Chemistry of Basement Membranes, Academic Press, New York, pp 463–481

    Google Scholar 

  13. Miller K, Michael A (1976) Immunopathology of renal extracellular membranes in diabetes mellitus. Diabetes 25:701–708

    Google Scholar 

  14. Permin H, Juhl F, Wiik A (1979) Immunoglobulin deposits in the dermo-epidermal junction zone. Acta Med Scand 205:333–338

    Google Scholar 

  15. 15. Raij L, Michael A (1981) Immunofluorescent studies of thyroid gland in diabetes mellitus (letter). Lancet 671: (March 21)

  16. 16. Rohrbach D, Martin G (1982) Structure of basement membrane in normal and diabetic tissue. Annals of the New York Academy of Sciences 203–211

  17. Russotto S (1981) Asymptomatic parotid gland enlargement in diabetes mellitus. Oral Surg 52:594–598

    Google Scholar 

  18. Saadoun A (1980) Diabetes and periodontal disease: A review and update. J West Soc Periodont Abstr 28:116–139

    Google Scholar 

  19. Sheibani K, Tubbs R, Valenzuela R, Deodhar S (1979) Reliability of immunofluorescence of renal tissue obtained at autopsy. Am J Clin Pathol 72:222–224

    Google Scholar 

  20. Vracko R (1978) Effects of aging and diabetes on basal lamina thickness of six cell types. In: Kefalides N (ed) Biology and Chemistry of Basement Membranes, Academic Press, New York, pp 483–493

    Google Scholar 

  21. Waterhouse J, Squier C (1968) Measurements from electron micrographs of organelle size in relation to their shape: A refinement applied to the epidermal melanosome and basal lamella. J Micros (London) 89:195

    Google Scholar 

Download references

Author information

Affiliations

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Murrah, V., Crosson, J. & Sauk, J. Abnormal binding of negatively charged serum proteins to diabetic basement membranes is largely a systemic phenomenon. Vichows Archiv A Pathol Anat 405, 141–154 (1984). https://doi.org/10.1007/BF00694932

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00694932

Key words

  • Diabetes mellitus
  • Basement membrane
  • Immunofluorescence