
In order to investigate the participation of monocytes/macrophages(Mo/M phi) in the progression of various kidney diseases of children, Mo/M phi in urine and that infiltrating renal tissue were both measured as the number of CD68 positive Mo/M phi (CD68+ Mo/M phi), using anti-CD68 antibody. The number of CD68+ Mo/M phi infiltrating in one glomerulus was significantly higher in Henoch-Schönlein purpura nephritis(HSPN) (p < 0.01) in comparison with that in minimal change nephrotic syndrome(MCNS) (p < 0.01), and a high tendency was found in IgA nephropathy (IgAN), proliferative glomerulonephritis (non-IgAN), focal segmental glomerulosclerosis(FSGS) and membranoproliferative glomerulonephritis (MPGN), respectively. The number of CD68+ Mo/M phi infiltrating one mm2 of tubulo-interstitium area was significantly higher in HSPN(p < 0.05), FSGS(p < 0.01), Alport's syndrome(p < 0.01), respectively, than that in MCNS. The number of CD68+ Mo/M phi in one milliliter of urine correlated significantly with both that infiltrating the glomerulus and the tubulo-interstitium(both p < 0.01). Moreover the number of urine CD68+ Mo/M phi in a clinically active stage was significantly higher than that in an inactive stage in the AGN(p < 0.05), IgAN(p < 0.05), HSPN(p < 0.05), non-IgAN(p < 0.01) and MPGN groups(p < 0.05), respectively. From these results, 1) It was suggested that the Mo/M phi infiltrating renal tissue participated in the development of various kidney diseases. 2) It was predicted that CD68+ Mo/M phi in urine reflected both the number of Mo/M phi infiltrating the glomerulus and that in the tubulo-interstitium. 3) It was suggested that the number of CD68+ Mo/M phi in urine indicated clinical activity in proliferative glomerulonephritis groups of children.
Male, Antigen Presentation, Adolescent, Macrophages, urinary macrophage, infiltrating macrophage, podocyte, kidney diseases, children, Antigens, Differentiation, Myelomonocytic, Infant, Cell Count, Urine, Kidney, Monocytes, Antigens, CD, Child, Preschool, Disease Progression, CD68 Molecule, Cytokines, Humans, Female, Kidney Diseases, Child, Biomarkers
Male, Antigen Presentation, Adolescent, Macrophages, urinary macrophage, infiltrating macrophage, podocyte, kidney diseases, children, Antigens, Differentiation, Myelomonocytic, Infant, Cell Count, Urine, Kidney, Monocytes, Antigens, CD, Child, Preschool, Disease Progression, CD68 Molecule, Cytokines, Humans, Female, Kidney Diseases, Child, Biomarkers
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