M. Nangaku et al., RENAL MICROVASCULAR INJURY-INDUCED BY ANTIBODY TO GLOMERULAR ENDOTHELIAL-CELLS IS MEDIATED BY C5B-9, Kidney international, 52(6), 1997, pp. 1570-1578
We have recently developed a model of thrombotic microangiopathy with
injury to the glomerular endothelial cell (GEN) induced by heterologou
s antibody to rat GEN. In addition to GEN injury rats developed glomer
ular platelet aggregation and fibrin deposition, acute renal failure,
and acute tubular necrosis with interstitial inflammation. To study th
e role of complement in mediating this lesion, we induced the disease
in normal complement PVG rats and measured the effects of generalized
complement depletion with cobra venom factor (CVF) and of selective C6
deficiency using genetically C6 deficient PVG animals. Complement suf
ficient rats developed severe endothelial injury accompanied by platel
et aggregation, fibrin deposition, decrease in endothelial cells asses
sed by antibody staining in the glomerulus, and macrophage infiltratio
n. These changes were associated with marked reduction in renal functi
on. These features were either absent or markedly diminished in comple
ment depleted or C6 deficient rats. This demonstrates that C5b-9, the
terminal product of activation of the complement cascade, plays an imp
ortant role in the pathogenesis of this immune renal microvascular end
othelial injury model. Thus, the complement system may play a pathogen
ic role in renal microvascular diseases such as thrombotic microangiop
athy.