EXCRETION OF EPIDERMAL GROWTH FACTOR-LIKE MATERIAL IN ACUTE HENOCH-SCHONLEIN PURPURA NEPHRITIS

被引:15
作者
GOODYER, PR
FATA, J
GOODYER, CG
机构
[1] Department of Pediatrics, McGill University, Montreal Children's Hospital, Montreal, H3H 1P3, Quebec
关键词
Crescentic glomerulonephritis; Epidermal growth factor; Henoch-Schönlein purpura; Monocyte; Transforming growth factor-alpha;
D O I
10.1007/BF00858818
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
In Henoch-Schönlein purpura nephritis (HSPN), glomeruli may develop cellular "crescents" composed of infiltrating monocytes and proliferating renal epithelia. In this study, we demonstrate that peripheral human monocytes can release an epidermal growth factor (EGF)-like substance detectable by a radioreceptor assay, which recognizes both EGF and transforming growth factor-alpha (TGF-alpha), but not with a radioimmunoassay, which recognizes only EGF. Furthermore, we report that urine from pediatric patients during the acute phase of HSPN contains a similar EGF-like species in addition to the endogenous EGF which is normally present. The EGF-like material was not present in urine from nine healthy children or from six children with acute post-streptococcal glomerulonephritis. The extent of crescent formation in our patients is uncertain, since renal biopsy was performed in only one case. However, we speculate that the urinary material resembling TGF-alpha which appears during the acute phase of HSPN may derive from monocytes infiltrating the kidney. © 1990 IPNA.
引用
收藏
页码:101 / 104
页数:4
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