Summary
Glomerular involvements during acute rejection of canine renal allografts were studied by immunofluorescence, light, and electron microscopy.
The immunofluorescence disclosed diffuse glomerular localizations of IgG and IgM with a granular or linear pattern in considerable numbers of grafts examined at day 3, 5, and 7 after transplantation. In these grafts, electron microscopy revealed splitting of the glomerular basement membrane (GBM) with subendothelial deposits resembling those described in human cases, which in turn resulted in endothelial exfoliation and finally in thrombotic lesions. In contrast, GBM alterations were minimal in the remaining grafts which showed only focal glomerular fluorescence, suggesting a significant role of humoral antibodies in the initiation of the GBM changes.
A progressive glomerular hypercellularity due largely to accumulation of monocytes was seen regardless of the immunofluorescence findings. However, in the fluorescence positive glomeruli, the migrant cells were often adherent to the GBM, exhibiting characteristic behaviors similar to those observed in Masugi nephritis.
Similar content being viewed by others
References
Andres, G. A., Accinni, L., Hsu, K. C., Penn, I., Porter, K. A., Rendall, J. M., Seegal, B. C., Starzl, T. E.: Human renal transplants. III. Immunopathologic studies. Lab. Invest.,22, 588–604 (1970)
Bariety, J., Richer, D., Appay, M. D., Grossetete, J., Callard, P.: Frequency of intraendothelial ‘virus-like’ particles: An electron microscopy study of 376 human renal biopsies. J. clin. Path.,26, 21–25 (1973)
Busch, G. J., Galvanek, E. G., Reynolds, E. S.: Human renal allografts. Analysis of lesions in long-term survivors. Human Path.,2, 253–298 (1971a)
Busch, G. J., Reynolds, E. S., Galvanek, E. G., Braun, W. E., Damin, G. J.: Human renal allografts. The role of vascular injury in early graft failure. Medicine (Baltimore),50, 29–83 (1971b)
Colman, R. W., Braun, G. J., Busch, G. J., Dammin, G. J., Merrill, J. P.: Coagulation studies in the hyperacute and other forms of renal-allograft rejection. New Engl. J. Med.281, 685–691 (1969)
Corson, J. M.: The pathologist and the kidney transplant. In: Path. Ann., edit. by Sommers, S. C., p. 251–292, New York: Meredith Co. 1972
Dixon, F. J., Feldman, J. D., Vazquez, J. J.: Experimental glomerulonephritis. The pathogenesis of a laboratory model resembling the spectrum of glomerulonephritis. J. exp. Med.113, 899–920 (1961)
Dixon, F. J., McPhaul, J. J., Lerner, R.: Recurrence of glomerulonephritis in the transplanted kidneys. Arch. intern. Med.,123, 554–557 (1969)
Feldman, J. D., Hammer, D., Dixon, F. J.: Experimental glomerulonephritis. III. Pathogenesis of glomerular ultrastructural lesions in nephrotoxic serum nephritis. Lab. Invest.12, 748–763 (1963)
Feldman, J. D., Lee, S.: Renal homotransplantation in rats. I. Allogeneic recipients. J. exp. Med.,126, 783–794 (1967)
Fish, A. J., Herdman, R. C., Kelly, W. D., Good, R. A.: Glomerular changes in well-functioning human renal homografts. Transplantation,5, 1338–1343 (1967)
Fish, A. J., Michael, A. F., Vernier, R. L., Good, R. A.: Acute serum sickness nephritis in the rabbit. An immune deposit disease. Amer. J. Path.,49, 997–1022 (1966)
Fujimoto, S.: Immunoglobulins of dog. Jap. J. Allergol.,18, 1–15 (1969)
Glassock, R. J., Feldman, D., Reynolds, E. S., Dammin, G. J., Merrill, J. P.: Human renal isografts: A clinical and pathological analysis. Medicine (Baltimore),47, 411–454 (1968)
Guttman, R. D., Lindquist, R. R., Parker, R. M., Carpenter, C. B., Merrill, J. P.: Renal transplantation in the inbred rat. I. Morphologic, immunologic, and functional alterations during acute rejection. Transplantation,5, 668–681 (1967)
Hallenbeck, G. A., Shorter, R. G., Titus, J. L., Thomford, N. R., Johnson, W. J., De Weed, J. H.: Apparent glomerulonephritis in a homotransplant. Surgery,59, 522–526 (1965)
Hamburger, J., Crosnier, J., Dermont, J.: Observations in patients with a well-tolerated homotransplanted kidney: Possibility of a new secondary disease. Ann. N.Y. Acad. Sci.120, 558–577 (1964)
Horowitz, R. E., Burrows, L., Paronetto, F., Dreiling, D., Kark, A. E.: Immunologic observations on homografts. II. The canine kidney. Transplantation,3, 318–325 (1965)
Jeannet, M., Pinn, V. W., Flax, M. H., Winn, H. J., Russell, P. S.: Humoral antibodies in renal allotransplantation in man. New Engl. J. Med.,282, 111–117 (1970)
Kissmeyer-Nielsen, F., Olsen, S., Petersen, V. P., Fjeldborg, O.: Hyperacute rejection of kidney allografts associated with preexisting humoral antibodies against donor cells. Lancet,1966 II, 662–665
Kondo, Y., Shigematsu, H.: Cellular aspects of rabbit Masugi nephritis. I. Cell kinetics in recoverable glomerulonephritis. Virchows Arch. Abt. B Zellpath.,10, 40–50 (1972)
Kondo, Y., Shigematsu, H., Kobayashi, Y.: Cellular aspects of rabbit Masugi nephritis. II. Progressive glomerular injuries with crescent formation. Lab. Invest.,27, 620–631 (1972)
Kountz, S. L., Williams, M. A., Williams, P. L., Kapros, C., Dempster, W. J.: Mechanism of rejection of homotransplanted kidney. Nature (Lond.),199, 257–260 (1963)
Lerner, R. A., Glassock, R. J., Dixon, F. J.: The role of anti-glomerular basement membrane antibody in the pathogenesis of human glomerulonephritis. J. exp. Med.126, 989–1004 (1967)
Lindquist, R. R., Guttmann, R. D., Merrill, J. P.: Renal transplantation in the inbred rat. II. An immunohistochemical study of acute allograft rejection. Amer. J. Path.52, 531–545 (1968)
Lindquist, R. R., Guttmann, R. D., Merrill, J. P., Dammin, G. J.: Human renal allografts. Interpretation of morphologic and immunohistochemical observations. Amer. J. Path.53, 851–881 (1968)
McKenzie, I. F. C., Whittingham, S.: Deposits of immunoglobulin and fibrin in human allografted kidneys. Lancet1968 II, 1313–1316
McPhaul, J. J., Dixon, F. J., Brettschneider, L., Starzl, T. E.: Immunofluorescent examination of biopsies from long-term renal allografts. New Engl. J. Med.,282, 412–417 (1970)
Movat, H. Z., McGregor, D. D., Steiner, J. W.: Studies of nephrotoxic nephritis. II. The fine structure of the glomerulus in acute nephrotoxic nephritis of dogs. Amer. J. clin. Path.36, 306–321 (1961)
Murray, M., Path, M. R. C., Wright, N. G., Path, M. R. C.: A morphologic study of canine glomerulonephritis. Lab. Invest.,30, 213–221 (1974)
Olsen, S., Bohman, S.-O., Petersen, V. P.: Ultrastructure of the glomerular basement membrane in long term renal allografts with transplant glomerular disease. Lab. Invest.30, 176–189 (1974)
Pasternack, A., Linder, E.: Biopsies from human renal allografts studied by immunofluorescence. Acta path. microbiol. scand. B,79, 1–11 (1971)
Petersen, V. P., Olsen, S., Kissmeyer-Nielsen, F., Fjeldborg, O.: Transmission of glomerulonephritis from host to human-kidney allotransplant. New Engl. J. Med.,275, 1269–1273 (1966)
Porter, K. A.: Renal transplantation: Experimental. In the kidney, morphology, biochemistry, physiology, edit. by Rouiller, C., Muller, A. F., vol. IV, p. 297–395. New York and London: Academic Press 1971
Porter, K. A., Andres, G. A., Calder, M. W., Dossetor, J. B., Hsu, K. C., Rendall, J. M., Seegal, B. C., Starzl, T. E.: Human renal transplants. III. Immunofluorescent and immunoferritin studies. Lab. Invest.18, 159–171 (1968)
Porter, K. A., Dossetor, J. B., Marchioro, T. L., Peart, W. S., Rendall, J. M., Starzl, T. E., Terasaki, P. I.: Human renal transplants. I. Glomerular changes. Lab. Invest.16, 153–181 (1967)
Porter, K. A., Thomson, W. B., Owen, K., Kenyon, J. R., Mowbray, J. F., Peart, W. S.: Obliterative vascular changes in four human kidney homotransplants. Brit. med. J.1963 II, 639–645
Rosenau, W., Lee, J. C., Najarian, J. S.: A light, fluorescence, and electron microscopic study of functioning human renal transplants. Surg. Gynec. Obstet.128, 62–76 (1969)
Rosenfeld, J., Levi, J., Robson, W., Ben-Bassat, M.: Fulminatingly progressive recurrent glomerulonephritis in a renal allograft. Amer. J. Med.,49, 563–567 (1970)
Sakaguchi, H., Suzuki, Y., Yamaguchi, T.: Electron microscopic study of Masugi nephritis. I. Glomerular changes. Acta path. jap.7, 53–66 (1957)
Shigematsu, H.: Glomerular events during the initial phase of rat Masugi nephritis. Virchows Arch. Abt. B Zellpath.,5, 187–200 (1970)
Shigematsu, H., Kobayashi, Y.: The formation and fate of immune deposits in the glomerulus during the secondary phase of rat Masugi nephritis. Virchows Arch. Abt. B Zellpath.8, 83–95 (1971)
Williams, G. M., Hume, D. M., Hudson, R. P., Morris, P. J., Kano, K., Milgrom, F.: “Hyperacute” renal homograft rejection in man. New Engl. J. Med.279, 611–618 (1968)
Williams, G. M., Lee, H. M., Weymouth, R. F., Holden, K. R., Stanley, C. M., Millington, G. A., Hume, D. M.: Studies in hyperacute and chronic homograft rejection in man. Surgery62, 204–212 (1967)
Wood, B. T., Thompson, S. H., Goldstein, G.: Fluorescent antibody staining. III. Preparation of fluorescein-isothiocyanate-labeled antibodies. J. Immunol.,95, 225–229 (1965)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kondo, Y., Okamura, T., Nishijima, H. et al. Glomerular changes in acute renal allograft rejection in the dog. Virchows Arch. B Cell Path. 17, 63–78 (1975). https://doi.org/10.1007/BF02912836
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02912836