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Histopathological analysis of the tubulo-interstitial lesions in various renal glomerular diseases

Research Project

Project/Area Number 01570180
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Human pathology
Research InstitutionThe Jikei University, School of Medicine

Principal Investigator

AIZAWA Shigeo  Jikei Univ., Sch. of Med., Patholgy, Professor, 医学部, 教授 (10056575)

Co-Investigator(Kenkyū-buntansha) SUZUKI Masafumi  Jikei Univ., Sch. of Med., Pathology, Lecturer, 医学部, 講師 (70119816)
INOMATA Izuru  Jikei Univ., Sch. of Med., Pathology, Lecturer, 医学部, 講師 (30057046)
YAMAGUCHI Yutaka  Jikei Univ., Sch. of Med., Pathology, Lecturer, 医学部, 講師 (60057073)
Project Period (FY) 1989 – 1991
Project Status Completed (Fiscal Year 1991)
Budget Amount *help
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1991: ¥200,000 (Direct Cost: ¥200,000)
Fiscal Year 1990: ¥200,000 (Direct Cost: ¥200,000)
Fiscal Year 1989: ¥1,700,000 (Direct Cost: ¥1,700,000)
Keywordskidney / pathology / immunohistochemistry / electron microscopy / glomerular disease / tubulo-interstitium / acute renal failure / interstitial nephritis / 腎系球体疾患 / 移植腎 / 急性拒絶反応 / 超微形態学 / 間質細胞 / 溶血性尿毒症性症候群 / 後糸球体血流 / 蛋白尿 / 膜性糸球体腎炎 / 泡沫細胞 / 予後 / 腎糸球体疾患 / 尿細管・間質 / 病理学 / 組織化学 / レクチン / 腎生検
Research Abstract

Tubulo-interstitial lesion(TIL)is often accompanied by glomerular sclerosis in various glomerular diseases,
and its extent is correlated to renal function deterioration. To evaluate the characteristics and histogenesis of TIL in various renal diseases, histopathological analysis by means of lmmunohistochemistry, light and electron microscopy, and morphometry was carried out using renal biopsy specimens obtained from the patients with various renal diseases.
In IgA- and membranoproliferative glomerulonephritis, the extent of TIL was generally much milder than the that of glomerular lesions at the Initial biopsy, and subsequently became wider as glomerular sclerosis progressed. There was a correlation between the extent of TIL and age, suggesting that the vulnerability against Injuries might play a role In tissue. repair In younger generation. However, In focal glomerular sclerosis(FGS), we often found TIL around the segmental lesions at the Initial biopsy, and the TIL was more extensive t … More han that observed In other glomerular diseases. The fact suggested that the formation of TIL in FGS could be related with some other factors which are yet to be clarifled. In lupus nephritis, extra-glomerular Immune deposition which was predominant in active state, might be connected with the formation of TIL. In acute tubular necrosis, tubular injuries were often accompanied by the alteration of peritubular capillary walls followed by interstitial edema and inflammatory cellular infiltration. Frequent deposition of Tamm-Horsfall protein in interstitium and venuies suggested of participation of intrarenal reflux. In hemolytic uremic syndrome, the TIL was significantly correlated with glomerular lesions and arteriolar thrombosis, indicating that it was caused by the reduction of postglomerular blood flow. In interstitial nephritis and in acute cellular rejection, the expansion of interstitial spaces was due to high grade inflammatory cell infiltration and edema. "Tubulitis" was pathognomonic in association with tubular epithelial injuries. Tubular atrophy and reduction of peritubular capillary flow might induce TIL. Cytoplasmic interconnection between neighboring interstitial cells formed a network of drainage channel system. The interstitial cells were thought to be capable of transformation into fibroblast/fibrocyte. Less

Report

(4 results)
  • 1991 Annual Research Report   Final Research Report Summary
  • 1990 Annual Research Report
  • 1989 Annual Research Report
  • Research Products

    (52 results)

All Other

All Publications (52 results)

  • [Publications] 山口 裕: "尿細管・間質性腎炎の病理" 腎と透析. 27. 603-611 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Kensuke Joh: "Experimental Drug-induced Allergic Nephritis Mediated by Anti-human Antibody." Int.Atch.Allergy Appl Immunol.88. 337-344 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 山口 裕: "慢性腎炎の病理所見と予後" 小児内科. 22. 882-886 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Kensuke Joh: "Drug-indruced hypersensitivity nephritis:Lymphocyte stimulation testing and renal biopsy in 10 cases." Am.J.Nephrol. 10. 222-230 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Shigeo Aizawa: "A comparative clinicopathological study on MPGN in children and adults." XVII Int.Congr.IAP. (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 山口 裕: "溶血性尿毒症性症候群(HUS)にみられる尿細管間質病変の解析" 第80回 日本病理学会総会誌. 349 (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 監沢 茂雄: "現代病理学大系15A.Focal segmental glomerulonephritis" 中山書店, 23 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 監沢 茂雄他: "外科病理学第2版" 文光堂, 43 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Shigeo Aizawa: "Focal segmental glomerulonephritis (Current Encyclopedia of Pathology, 15A)" Nakayama-Shoten, Tokyo. 158-180 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Shigeo Aizawa: "Hereditary nephritis (Current Encyclopedia of Pathology, 15A)" Nakayama-Shoten, Tokyo. 273-298 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yutaka Yamaguchi: "Histopathology of tubulointerstitial nephritis" Kidney & Dialysis. 27. 603-611 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Shigeo Aizawa: "A comparative clinicopathological study on MPGN in children and adults" XVII Int. Congr. IAP Dublin. (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Izuru Inomata: "Clinicopathological analysis of 104 renal biopsy specimens for 2 years after the opening of hospital" Jpn. J. Nephrol. 32. 578 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yutaka Yamaguchi: "Morphological study of the tubulointerstitial changes in acute renal failure" Jpn. J. Nephrol. 32. 610 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yutaka Yamaguchi: "Immunohistochemical Study of the tubulointerstitial changes in acute renal failure" Tr. Soc. Pathol. Jpn.79. 126 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yutaka Yamaguchi: "Correlation between the morphological findings and prognosis of chronic glomerulonephritis" Jpn. J. Ped. Med.22. 882-886 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Shigeo Aizawa: "Pathology of renal cystic diseases" Kidney & Dialysis. 28. 369-373 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yutaka Yamaguchi: "Morphometrical study of tubulointerstitial damage in focal glomerular sclerosis" XIth Int. Congr. Nephol. Abstr. 355A (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Kensuke Joh: "Drug-induced hypersensitivity nephritis : lymphocyte stimulation testing and renal biopsy in 10 cases" Am. J. Nephrol.10. 222-230 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Shigeo Aizawa: "Kidney diseases in Surgical Pathology, 2nd Ed." Bunkodo, Tokyo. 537-579 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Takamune Takahashi: "Clinicopathological analysis of membranous glomerulonephritis with severe tubulo-intersititial lesions" Tr. Soc. Pathol. Jpn.80. 347 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yutaka Yamaguchi: "Morphorogical study of the tubulointerstitial lesions in hemolytic uremic syndrome" Tr. Soc. Pathol. Jpn.80. 349 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yutaka Yamaguchi: "Histopathology of acute renal failure" Kidney & Dialysis. 31. 125-130 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yutaka Yamaguchi: "Histopathology of juxtaglomerular apparatus" Kindey & Dialysis. 31. 741-747 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Kensuke Joh: "Focal segmental glomerulosclerosis associated with infantile spasms in five mentally retarded children ; A morphological analysis on mesangiolysis." Am. J. Kid. Dis. 17. 569-577 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yutaka Yamaguchi: "Ultrastructure of interstitial nephritis" Congr. Jpn. Soc. Nephol Okayama. 34th. (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yutaka Yamaguchi: "Ultrastructural study of the tubulointerstitial changes in acute rejection" Congr. Jpn. Soc. Pathol. Sendai. 81st. (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Shigeo Aizawa: "Immunohistochemistry in urology" Jpn. J. Clin. Urol.46. 97-107 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 藍沢 茂雄: "泌尿器疾患における免疫染色の意義" 臨床泌尿器科. 46. 97-107 (1992)

    • Related Report
      1991 Annual Research Report
  • [Publications] 山口 裕: "急性腎不全の病理組織学的解析" 腎と透析. 31. 125-130 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 山口 裕: "傍系球体装置の表態(病理)" 腎と透析. 31. 741-747 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 山口 裕: "シクロスポリン腎症" 腎と透析“腎疾患モデル". 31. 481-485 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] Kensuke Joh: "Focal segmental glomerulosclerosis associated with infantile spasms in five mentally retarded children;A morphological analysis on mesangiolysis." Am.J.Kid.Dis.17. 569-577 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 山口 裕: "間質性腎炎の超微形態像" 第34回日本腎臓学会総会. (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 山口 裕: "移植腎の拒絶反応にみられる尿細胞間質病変の電顕的観察" 第81回日本病理学会総会. (1992)

    • Related Report
      1991 Annual Research Report
  • [Publications] 太田 和夫 他: "ABO血液型不適合腎移植" 日本医学館, 5 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 山口 裕: "急性腎不全例にみる尿細管間質変化の組織化学的解析" 日本病理学会会誌. 79. 126 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 山口 裕: "慢性腎炎の病理所見と予後" 小児内科. 22. 882-886 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] Yutaka Yamaguchi: "morphometrical study of tubulointerstitial damage in focal glomerular sclerosis" XIth International Congress of Nephrology. (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] Kensuke Joh: "Drugーindruced hypersensitivity nephritis:Lymphocyte stimulation testing and renal biopsy in 10 cases" Am. J. Nephrol.10. 222-230 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 山口 裕: "溶血性尿毒症性症候群(HUS)にみられる尿細管間質病変の解析" 第80回日本病理学会総会. (1991)

    • Related Report
      1990 Annual Research Report
  • [Publications] 高橋 孝宗: "顕著な尿細管間質病変を伴う膜性糸球体腎炎の臨床病理学的検討" 第80回日本病理学会総会. (1991)

    • Related Report
      1990 Annual Research Report
  • [Publications] 石川 栄世 他: "外科病理学 第2版" 文光堂, 43 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 丸茂 文昭 他: "腎・尿路疾患診断指針'90" 東京医学社, 3 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 大越英毅: "ル-プス腎炎にみる尿細管間質沈着物の病理学的解析" 腎と透析. 27. 354-360 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 山口裕: "尿細管・間質性腎炎の病理" 腎と透析. 27. 603-611 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 山口裕: "急性腎不全に見る尿細管・間質病変の病理学的研究" 第32回日本腎臓学会総会. (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 山口裕: "急性腎不全例に見る尿細管・間質病変の組織化学的解析" 第79回日本病理学会総会. (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] 猪股出: "開院2年の腎生検材料104例の臨床病理学的分析" 第32回日本腎臓学会総会. (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] Kensuke Joh: "Experimental Drug-induced Allergic Nephritis Mediated by Anti-human Antibody." Int.Arch.Allergy Appl Immunol.88. 337-344 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 藍沢茂雄、山口裕: "現代病理学大系15A.Focal segmental glomerulonephritis" 中山書店, 23 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 藍沢茂雄、浜口欣一: "現代病理大系15A,遺伝性腎疾患" 中山書店, 26 (1989)

    • Related Report
      1989 Annual Research Report

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Published: 1989-04-01   Modified: 2016-04-21  

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