Significance of mast cell renal infiltration in patients with anti-GBM nephritis

To investigate the role of mast cells (MCs) renal infiltration in the progression of human anti-GBM nephritis, 38 patients diagnosed with anti-GBM nephritis were enrolled. Renal biopsies were performed. Immunohistochemistry was conducted to detect MCs in renal tissues. Patients were divided into gro...

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Veröffentlicht in:Renal failure 2016-07, Vol.38 (6), p.906-913
Hauptverfasser: Wu, Xiao-Mei, Zhang, Yi-Yan, Zhang, Ming-Chao, Zhang, Li-Hua, Zeng, Cai-Hong, Liu, Zhi-Hong, Tang, Zheng
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container_end_page 913
container_issue 6
container_start_page 906
container_title Renal failure
container_volume 38
creator Wu, Xiao-Mei
Zhang, Yi-Yan
Zhang, Ming-Chao
Zhang, Li-Hua
Zeng, Cai-Hong
Liu, Zhi-Hong
Tang, Zheng
description To investigate the role of mast cells (MCs) renal infiltration in the progression of human anti-GBM nephritis, 38 patients diagnosed with anti-GBM nephritis were enrolled. Renal biopsies were performed. Immunohistochemistry was conducted to detect MCs in renal tissues. Patients were divided into group 1 (MCs 
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Renal biopsies were performed. Immunohistochemistry was conducted to detect MCs in renal tissues. Patients were divided into group 1 (MCs &lt;50 mm −2 , n = 18) and group 2 (MCs ≥50 mm −2 , n = 20) according to the infiltrating renal MC count. The clinical-pathological indices were compared. And, correlation between MCs and the clinical-pathological indices was analyzed. Patients of group 2 had more severe renal dysfunctions, expressed as higher levels of serum creatinine (SCr 8.95 ± 3.66 vs. 4.75 ± 2.73 mg/dL, p &lt; 0.001), urine retinol-binding protein (RBP 29.8 ± 13.9 vs. 15.7 ± 11.5 mg/dL, p = 0.005), and lower urinary osmotic pressure. Pathologically, patients of group 2 had a higher percentage of fibrous/fibrocellular crescents (66.7 ± 21.9 vs. 47.0 ± 33.6%, p = 0.037) but a lower percentage of cellular crescents. More CD8 (268 mm −2 vs. 180 mm −2 , p = 0.045) and CD68 (268 mm −2 vs. 180 mm −2 , p = 0.045) positive cells infiltrating the interstitium were observed in group 2. Furthermore, renal MCs correlated significantly with the total number of crescents and the tubular interstitial CD8 and CD68 positive cells. And, the number of MCs was associated with the histological types. The renal function was significantly different between the two groups at presentation. However, at 3 and 6 month follow-up, the patient outcome was associated with the histological types. Our study showed that MC infiltrations were associated with chronic lesions in anti-GBM nephritis and may be involved in the loss of renal function with pathological changes.</description><identifier>ISSN: 0886-022X</identifier><identifier>EISSN: 1525-6049</identifier><identifier>DOI: 10.3109/0886022X.2016.1164184</identifier><identifier>PMID: 27095326</identifier><language>eng</language><publisher>England: Taylor &amp; Francis</publisher><subject>Adult ; Anti-GBM nephritis ; Anti-Glomerular Basement Membrane Disease - pathology ; Chronic Disease ; chronic inflammation ; chronic lesions ; Creatinine - blood ; Female ; Fibrosis ; Humans ; Immunohistochemistry ; Kidney - pathology ; Male ; mast cells ; Mast Cells - cytology ; Middle Aged ; Osmotic Pressure ; renal function ; Retinol-Binding Proteins - urine ; Young Adult</subject><ispartof>Renal failure, 2016-07, Vol.38 (6), p.906-913</ispartof><rights>2016 Informa UK Limited, trading as Taylor &amp; Francis Group 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-46390b8eb52b702b128e2a6efd63ac391203d2c46875209a5f799288e14c0e0d3</citedby><cites>FETCH-LOGICAL-c413t-46390b8eb52b702b128e2a6efd63ac391203d2c46875209a5f799288e14c0e0d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27095326$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Xiao-Mei</creatorcontrib><creatorcontrib>Zhang, Yi-Yan</creatorcontrib><creatorcontrib>Zhang, Ming-Chao</creatorcontrib><creatorcontrib>Zhang, Li-Hua</creatorcontrib><creatorcontrib>Zeng, Cai-Hong</creatorcontrib><creatorcontrib>Liu, Zhi-Hong</creatorcontrib><creatorcontrib>Tang, Zheng</creatorcontrib><title>Significance of mast cell renal infiltration in patients with anti-GBM nephritis</title><title>Renal failure</title><addtitle>Ren Fail</addtitle><description>To investigate the role of mast cells (MCs) renal infiltration in the progression of human anti-GBM nephritis, 38 patients diagnosed with anti-GBM nephritis were enrolled. Renal biopsies were performed. Immunohistochemistry was conducted to detect MCs in renal tissues. Patients were divided into group 1 (MCs &lt;50 mm −2 , n = 18) and group 2 (MCs ≥50 mm −2 , n = 20) according to the infiltrating renal MC count. The clinical-pathological indices were compared. And, correlation between MCs and the clinical-pathological indices was analyzed. Patients of group 2 had more severe renal dysfunctions, expressed as higher levels of serum creatinine (SCr 8.95 ± 3.66 vs. 4.75 ± 2.73 mg/dL, p &lt; 0.001), urine retinol-binding protein (RBP 29.8 ± 13.9 vs. 15.7 ± 11.5 mg/dL, p = 0.005), and lower urinary osmotic pressure. Pathologically, patients of group 2 had a higher percentage of fibrous/fibrocellular crescents (66.7 ± 21.9 vs. 47.0 ± 33.6%, p = 0.037) but a lower percentage of cellular crescents. More CD8 (268 mm −2 vs. 180 mm −2 , p = 0.045) and CD68 (268 mm −2 vs. 180 mm −2 , p = 0.045) positive cells infiltrating the interstitium were observed in group 2. Furthermore, renal MCs correlated significantly with the total number of crescents and the tubular interstitial CD8 and CD68 positive cells. And, the number of MCs was associated with the histological types. The renal function was significantly different between the two groups at presentation. However, at 3 and 6 month follow-up, the patient outcome was associated with the histological types. Our study showed that MC infiltrations were associated with chronic lesions in anti-GBM nephritis and may be involved in the loss of renal function with pathological changes.</description><subject>Adult</subject><subject>Anti-GBM nephritis</subject><subject>Anti-Glomerular Basement Membrane Disease - pathology</subject><subject>Chronic Disease</subject><subject>chronic inflammation</subject><subject>chronic lesions</subject><subject>Creatinine - blood</subject><subject>Female</subject><subject>Fibrosis</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Kidney - pathology</subject><subject>Male</subject><subject>mast cells</subject><subject>Mast Cells - cytology</subject><subject>Middle Aged</subject><subject>Osmotic Pressure</subject><subject>renal function</subject><subject>Retinol-Binding Proteins - urine</subject><subject>Young Adult</subject><issn>0886-022X</issn><issn>1525-6049</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFKAzEQhoMotlYfQcnRy9Yku8lmb2rRKigKKngL2d3ERnaTmqSUvr1Z2nr0NDPw_TPDB8A5RtMco-oKcc4QIZ9TgjCbYswKzIsDMMaU0IyhojoE44HJBmgETkL4RghTXpJjMCIlqmhO2Bi8vpkva7RppG0UdBr2MkTYqK6DXlnZQWO16aKX0TibBrhMnbIxwLWJCyhtNNn89hlatVx4E004BUdadkGd7eoEfNzfvc8esqeX-ePs5ilrCpzHrGB5hWquakrqEpEaE66IZEq3LJdNXmGC8pY0BeMlJaiSVJdVRThXuGiQQm0-AZfbvUvvflYqRNGbMPwtrXKrIHDiKU2KaELpFm28C8ErLZbe9NJvBEZikCn2MsUgU-xkptzF7sSq7lX7l9rbS8D1FkiSnO_l2vmuFVFuOue1T0ZNGPb_d-MXcGSC-w</recordid><startdate>20160702</startdate><enddate>20160702</enddate><creator>Wu, Xiao-Mei</creator><creator>Zhang, Yi-Yan</creator><creator>Zhang, Ming-Chao</creator><creator>Zhang, Li-Hua</creator><creator>Zeng, Cai-Hong</creator><creator>Liu, Zhi-Hong</creator><creator>Tang, Zheng</creator><general>Taylor &amp; Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160702</creationdate><title>Significance of mast cell renal infiltration in patients with anti-GBM nephritis</title><author>Wu, Xiao-Mei ; Zhang, Yi-Yan ; Zhang, Ming-Chao ; Zhang, Li-Hua ; Zeng, Cai-Hong ; Liu, Zhi-Hong ; Tang, Zheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-46390b8eb52b702b128e2a6efd63ac391203d2c46875209a5f799288e14c0e0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Anti-GBM nephritis</topic><topic>Anti-Glomerular Basement Membrane Disease - pathology</topic><topic>Chronic Disease</topic><topic>chronic inflammation</topic><topic>chronic lesions</topic><topic>Creatinine - blood</topic><topic>Female</topic><topic>Fibrosis</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Kidney - pathology</topic><topic>Male</topic><topic>mast cells</topic><topic>Mast Cells - cytology</topic><topic>Middle Aged</topic><topic>Osmotic Pressure</topic><topic>renal function</topic><topic>Retinol-Binding Proteins - urine</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Xiao-Mei</creatorcontrib><creatorcontrib>Zhang, Yi-Yan</creatorcontrib><creatorcontrib>Zhang, Ming-Chao</creatorcontrib><creatorcontrib>Zhang, Li-Hua</creatorcontrib><creatorcontrib>Zeng, Cai-Hong</creatorcontrib><creatorcontrib>Liu, Zhi-Hong</creatorcontrib><creatorcontrib>Tang, Zheng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Renal failure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Xiao-Mei</au><au>Zhang, Yi-Yan</au><au>Zhang, Ming-Chao</au><au>Zhang, Li-Hua</au><au>Zeng, Cai-Hong</au><au>Liu, Zhi-Hong</au><au>Tang, Zheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Significance of mast cell renal infiltration in patients with anti-GBM nephritis</atitle><jtitle>Renal failure</jtitle><addtitle>Ren Fail</addtitle><date>2016-07-02</date><risdate>2016</risdate><volume>38</volume><issue>6</issue><spage>906</spage><epage>913</epage><pages>906-913</pages><issn>0886-022X</issn><eissn>1525-6049</eissn><abstract>To investigate the role of mast cells (MCs) renal infiltration in the progression of human anti-GBM nephritis, 38 patients diagnosed with anti-GBM nephritis were enrolled. Renal biopsies were performed. Immunohistochemistry was conducted to detect MCs in renal tissues. Patients were divided into group 1 (MCs &lt;50 mm −2 , n = 18) and group 2 (MCs ≥50 mm −2 , n = 20) according to the infiltrating renal MC count. The clinical-pathological indices were compared. And, correlation between MCs and the clinical-pathological indices was analyzed. Patients of group 2 had more severe renal dysfunctions, expressed as higher levels of serum creatinine (SCr 8.95 ± 3.66 vs. 4.75 ± 2.73 mg/dL, p &lt; 0.001), urine retinol-binding protein (RBP 29.8 ± 13.9 vs. 15.7 ± 11.5 mg/dL, p = 0.005), and lower urinary osmotic pressure. Pathologically, patients of group 2 had a higher percentage of fibrous/fibrocellular crescents (66.7 ± 21.9 vs. 47.0 ± 33.6%, p = 0.037) but a lower percentage of cellular crescents. More CD8 (268 mm −2 vs. 180 mm −2 , p = 0.045) and CD68 (268 mm −2 vs. 180 mm −2 , p = 0.045) positive cells infiltrating the interstitium were observed in group 2. Furthermore, renal MCs correlated significantly with the total number of crescents and the tubular interstitial CD8 and CD68 positive cells. And, the number of MCs was associated with the histological types. The renal function was significantly different between the two groups at presentation. However, at 3 and 6 month follow-up, the patient outcome was associated with the histological types. Our study showed that MC infiltrations were associated with chronic lesions in anti-GBM nephritis and may be involved in the loss of renal function with pathological changes.</abstract><cop>England</cop><pub>Taylor &amp; Francis</pub><pmid>27095326</pmid><doi>10.3109/0886022X.2016.1164184</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Anti-GBM nephritis
Anti-Glomerular Basement Membrane Disease - pathology
Chronic Disease
chronic inflammation
chronic lesions
Creatinine - blood
Female
Fibrosis
Humans
Immunohistochemistry
Kidney - pathology
Male
mast cells
Mast Cells - cytology
Middle Aged
Osmotic Pressure
renal function
Retinol-Binding Proteins - urine
Young Adult
title Significance of mast cell renal infiltration in patients with anti-GBM nephritis
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