Skip to main content
Log in

Mechanism of hematuria

I. Electron microscopic demonstration of the passage of a red blood cell through a glomerular capillary wall in rat masugi nephritis

  • Published:
Virchows Archiv B

Summary

Masugi nehpritis was induced in Sprague-Dawley rats by an intravenous injection of rabbit anti-rat kidney serum. In the autologous phase of the disease, three of 18 rats manifested continuous hematuria. Ultrastructural examination of renal glomeruli by transmission and scanning microscopy revealed gaps in the basement membranes, and the transcapillary passage of red blood cells through the discontinuous regions in the hematuric rats. Control animals revealed no gaps in the glomerular basement membranes regardless of the method used in their preparation for electron microscopy. These data support the hypothesis that hematuria is a result of the passage of red blood cells through gaps in the glomerular basement membrane in Masugi nephritis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Battifora HA, Markowitz AS (1969) Nephrotoxic nephritis in monkeys. Sequential light, immunofluorescence, and electron microscopic studies. Am J Pathol 55:267–282

    PubMed  CAS  Google Scholar 

  • Brendel K, Meezan E, Nagle RB (1978) The acellular perfused kidney, A model for basement membrane permeability. In: Kefalides NA (ed) Biology and chemistry of basement membranes. Academic Press, Philadelphia, pp 177–193

    Google Scholar 

  • Burkholder PM (1969) Ultrastructural demonstration of injury and perforation of glomerular capillary basement membrane in acute proliferative glomerulonephritis. Am J Pathol 56:251–266

    PubMed  CAS  Google Scholar 

  • Carlson EC, Hinds D (1983) A topographical (SEM) analysis of acellular glomerular mesangial matrix in situ. J Ultrastruct Res 82:96–110

    Article  PubMed  CAS  Google Scholar 

  • Carlson EC, Kenney C (1980) Preparation and histoarchitecture of ultrastructurally pure glomerular basement membrane. Renal Physiol 3:280–287

    PubMed  CAS  Google Scholar 

  • Cochrane CG, Unaue ER, Dixon FJ (1965) A role of polymorphonuclear leukocytes and complement in nephrotoxic nephritis. J Exp Med 122:99–116

    Article  PubMed  CAS  Google Scholar 

  • Fliegel SEG, Lee EC, McCoy JP, Johnson KJ, Varani J (1984) Protein degradation following treatment with hydrogen peroxide. Am J Pathol 115:418–425

    Google Scholar 

  • Györkey F, Min K, O’Neal RM, Györkey MA (1968) The glomeruli in nephritis of Schönlein-Henoch syndrome. Ultrastructural observations in adult patients. Lab Invest 18:324

    Google Scholar 

  • Hawkins D, Cochrane CG (1968) Glomerular basement membrane damage in immunological glomerulonephritis. Immunology 14:665–681

    PubMed  CAS  Google Scholar 

  • Lin J, Wada H, Maeda H, Hattori M, Tanaka H, Uenoyama F, Suehiro A, Noguchi K, Nagai K (1983) Mechanism of hematuria in glomerular disease. An electron microscopic study in a case of diffuse membranous glomerulonephritis. Nephron 35:68–72

    Article  PubMed  CAS  Google Scholar 

  • Makino H (1983) Changes in the molecular sieve of glomerular basement membrane in rats with Masugi nephritis. Renal Physiol 6:266–274

    PubMed  CAS  Google Scholar 

  • Makino H, Takaoka M, Komoda K, Tokuyama K, Ota Z, Ofuji T (1981) Leukocytes in the glomerular capillary lumen in Masugi nephritis. A scanning electron microscopic study of freeze-cracked specimens. Acta Med Okayama 35:373–376

    PubMed  CAS  Google Scholar 

  • Mouradian JA, Sherman R (1975) Passage of an erythrocyte through a glomerular basement membrane gap. New Engl J Med 293:940–941

    PubMed  CAS  Google Scholar 

  • Naish PF, Thompson NM, Simpson IJ, Peters DK (1975) The role of polymorphonuclear leukocytes in the autologous phase of nephrotoxic nephritis. Clin Exp Immunol 22:102–111

    PubMed  CAS  Google Scholar 

  • Schmid-Schönbein H, Wells R (1969) Fluid drop-like transition of erythrocytes under shear. Science 165:288–291

    Article  Google Scholar 

  • Shigematsu H, Kobayashi Y (1971) The development and fate of the immune deposits in the glomerulus during the secondary phase of rat Masugi Nephritis. Virchows Arch [Cell Pathol] 8:38–95

    Google Scholar 

  • Shigematsu H, Kobayashi Y, Tateno S, Tsukada M (1980) Ultrastructure of acute glomerular injury in IgA nephritis. Arch Pathol Lab Med 104:303–307

    PubMed  CAS  Google Scholar 

  • Silva FG, Hoyer JR, Pirani CL (1984) Sequential studies of glomerular crescent formation in rats with antigomerular basement membrane-induced glomerulonephritis and the role of coagulation factors. Lab Invest 51:404–415

    PubMed  CAS  Google Scholar 

  • Spiro D (1959) The structural basis of proteinuria in man. Electron microscopic studies on renal biopsy specimens from patients with lipoid nephrosis, amyloidosis and subacute and chronic glomerulonephritis. Am J Pathol 35:47–74

    PubMed  CAS  Google Scholar 

  • Stejskal J, Pirani CL, Okada M, Mandelanakis N, Pollak VE (1973) Discontinuities (gap) of the glomerular capillary wall and basement membrane in renal diseases. Lab Invest 28:149–169

    PubMed  CAS  Google Scholar 

  • Weed RI (1970) The importance of erythrocyte deformability. Am J Med 49:147–150

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported in part by Research Grant from Progressive Glomerular Lesions from the Intractable Disease Division, Public Health Bureau, Ministry of Health and Welfare, Japan

Rights and permissions

Reprints and permissions

About this article

Cite this article

Makino, H., Nishimura, S., Soda, K. et al. Mechanism of hematuria. Virchows Archiv B Cell Pathol 50, 199–208 (1986). https://doi.org/10.1007/BF02889902

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02889902

Key words

Navigation