Presently, the pathogenesis of nephritis is considered to be the allergic changes produced by antigen-antibody reaction. Various kinds of nephritis have been reported up to present such as Masugi's nephritis, γ-globulin nephritis, the nephritis caused by repeated administration of hemolytic streptococcus etc.
Based on the findings that fibrinolysis appears in the blood of the patients of both acute and chronic nephritis, an investigation was made, whether nephritis does develop in the animals administered of the fibrinolysin or not.
After injection of this substance into the renal artery of rabbits, Fujisawo and Tsuruta recognized the development of nephritis by the use of blue globulin substance, which had a strong filrinolytic activity, while white globulin substance which had no activity gave no findings suggestive of the development of nephritis. Since this globulin substance isolated from canine plasma is a heterogeneous protein to rabbits, similar experiments were repeated on the male dog from which fibninolysine was obtained. Results obtained were as follows :
1. Blue globulin substance which possessed a strong fibrinolytic activity (potency 32 units) was isolated from a dog and injected into the renal artery of the same dog. Clinically, findings suggestive of nephritis such as the appearance of protein, erythrocyte, leucocyte, cast, renal epithelium were recognized in the urine. Histopathologically, findings suggestive of acute or subacute diffusive glomerulitis such as the swelling of the glomerulus, adhesion, collapse, destruction, colliquation, nuclear increase, appearance of hyaline substance, and appearance of protein-like substance in Bowman's capsule and in renal tubule were recognized.
In the dogs administered of blue globulin substance, moreover, there was a general tendency to show the decrease in 17 ketosteroid, chemocorticoid, blood and urinary vitamin C contents and urinary Na and K contents. Blood Na and K level showed, however, no remarkable changes.
2. On the other hand, when white globulin substance (potency below 4 units) without having fibrolytic activity was administered in the same manner on the dog from which it was isolated, the urine was free from protein, erythrocyte, casts and there was no findings suggestive of nephritis clinically as well as histopathologically.
3. Repeated administration of vitamin C prior to the injection of blue globulin substance inhibited the development of nephritis.
4. Cortisone treatment in a dose of 10 mg/kg before the administration of blue globulin substance, however, failed to prevent the development of nephritis showing the appearance of protein in the urine
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