PMID: 2496520Jan 1, 1989Paper

Immunoelectron microscopic localization of membrane attack complex and hepatitis B e antigen in membranous nephropathy

Virchows Archiv. A, Pathological Anatomy and Histopathology
N AkanoS Maki

Abstract

Immunoelectron microscopy was used to localize membrane attack complex (MAC) and hepatitis B e (HBe) antigen in renal tissue specimens from a total of 9 patients with membranous nephropathy (MN); 6 with MN associated with a hepatitis B virus (HBV) infection, 2 with idiopathic MN, and 1 with lupus nephritis. All the patients were proteinuric, and 2 patients were classified as stage I-II, 6 as stage II, and 1 as stage IV. MAC, along with IgG and C3, was distributed within the subepithelial electron dense deposits in all the stages. MAC was also stained in the striated membranous structures within the glomerular basement membrane and mesangial matrix of some patients. In HBV-associated MN, HBe antigen was localized in the subepithelial electron dense deposits of 5 patients, while it was absent from the subepithelial deposits in a patient that was sero-positive for hepatitis B s antigen but negative for HBe antigen. This patient also lacked MAC deposition in these loci. These results suggest that MAC is associated with the formation of subepithelial deposits and proteinuria in MN. In HBV-associated MN, HBe antigen-antibody immune complex makes up the subepithelial deposits and is likely to activate the terminal components of comple...Continue Reading

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Citations

Sep 12, 2007·Seminars in Immunopathology·Saraladevi NaickerStewart Goetsch
Mar 2, 2021·Frontiers in Immunology·Jacob J E KoopmanCees van Kooten

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