Immunopathological studies were performed to determine whether the glo
merular injuries in ddY mice, a model for IgA nephropathy (Berger's di
sease), are influenced by treatment with mizoribine, a new immunosuppr
essive agent. The ddY mice were treated with a low (0.05 mg/ml) or a h
igh (0.1 mg/ml) dose of mizoribine for 35 weeks. Flow cytometry analys
is showed that there was a marked decrease in the number of B cells an
d IgA-bearing B cells. In immunofluorescence, the deposition of IgA in
the glomerular mesangial areas and capillary walls of the high-dose m
izoribine-treated ddY mice was markedly decreased as compared with tha
t of control ddY mice receiving drinking water. The glomerular mesangi
al expansion in the high-dose mizoribine-treated ddY mice was milder t
han that found in the control ddY mice. In 45-week-old ddY mice, the a
verage number of intraglomerular cells in the high-dose and low-dose m
izoribine-treated ddY mice was slightly lower than that in drinking wa
ter treated ddY mice. The levels of urinary protein excretion in the h
igh-dose mizoribine-treated ddY mice were also lower than those in the
low-dose mizoribine-treated or drinking water treated ddY mice. It ap
pears that treatment of mizoribine might influence the proliferation o
f B cells, especially IgA-bearing B cells, and improve the glomerular
IgA deposition and glomerular expansion in early-stage IgA nephropathy
of ddY mice.