Skip to main content

Immunopathogenic Mechanisms of Interstitial Nephritis

  • Chapter
Immunology of Renal Disease

Part of the book series: Immunology and Medicine Series ((IMME,volume 16))

  • 57 Accesses

Abstract

Primary tubulointerstitial nephritis causes a significant proportion of both acute and chronic renal disease1. Advances in our knowledge of clinicopathological correlates, moreover, have also established a prognostic importance for the tubulointerstitium in other primary types of renal disease2. Studies evaluating renal function in primary glomerular disease, for example, have demonstrated the importance of tubulointerstitial damage in determining the ultimate prognosis2,3. In some settings, indices of tubulointerstitial damage display a better correlation with glomerular filtration rate than do indices of glomerular damage4,5. Such findings have stimulated a growing interest in understanding mechanisms of injury to the tubulointerstitium.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Cotran, R. S., Rubin, R. H. and Tolkoff-Rubin, N. E. (1986). Tubulointerstitial Diseases. In Brenner, B. M. and Rector, F. C. (eds.) The Kidney, pp. 1143–1173. (Philadelphia: W. B. Saunders)

    Google Scholar 

  2. Sloper, J. C., de Wardener, H. and Woodrow, D. F. (1980). Relationship between renal structure and function derived from renal biopsies. In Leaf, A., Giebisch, G., Bolis, L., Gorini, S. (eds.) Renal Pathophysiology, pp. 109–120. (New York: Raven Press)

    Google Scholar 

  3. Park, M. H., D’Agati, V., Appel, G. B. and Pirani, C. L. (1986). Tubulointerstitial disease in lupus nephritis: Relationship to immune deposits, interstitial inflammation, glomerular changes, renal function, and prognosis. Nephron, 44, 309–319

    Article  PubMed  CAS  Google Scholar 

  4. Risdon, R. A., Sloper, J. C. and de Wardener, H. E. (1968). Relationship between renal function and histological changes found in renal biopsy specimens from patients with persistent glomerular nephritis. Lancet, 1, 363–366

    Article  Google Scholar 

  5. Rosenbaum, J. L. (1974). Evaluation of clearance studies in lupus nephritis. Clin. Nephrol., 2, 47–51

    PubMed  CAS  Google Scholar 

  6. Neilson, E. G. and Zakheim, B. (1983). T cell regulation, anti-idiotypic immunity, and the nephritogenic immune response. Kidney Int., 24, 289–302

    Article  PubMed  CAS  Google Scholar 

  7. Neilson, E. G., Gasser, D. L., McCafferty, E., Zakheim, B. and Phillips, S. M. (1983). Polymorphism of genes involved in anti-tubular basement membrane disease in rats. Immunogenetics, 17, 55–65

    Article  PubMed  CAS  Google Scholar 

  8. Kleppel, M. M., Kashtan, C. E., Butkowski, R. J., Fish, A. J. and Michael, A. F. (1987). Alport familial nephritis. Absence of 28 kilodalton non-collagenous monomers of type IV collagen in glomerular basement membrane. J. Clin. Invest., 80, 263–266

    Article  PubMed  CAS  Google Scholar 

  9. Dialynas, D. P., Wilde, D. B., Marrack, P., Pierres, A., Wall, K. A., Havran, W., Otten, G., Loken, M. R., Pierres, M., Kappler, J. and Fitch, F. W. (1983). Characterization of the murine antigenic determinant, designated L3T4a, recognized by monoclonal antibody GK1.5; expression of L3T4a by functional T cell clones appears to correlate primarily with Class II MHC antigen-reactivity. Immunol. Rev., 74, 29–56

    Article  PubMed  CAS  Google Scholar 

  10. Fierz, W., Endler, B., Reske, K, Wekerle, H. and Fontano A. (1985). Astrocytes as antigen-presenting cells. I. Induction of la antigen expression on astrocytes by T cells via immune interferon and its effects on antigen presentation. J. Immunol., 134, 3785–3793

    PubMed  CAS  Google Scholar 

  11. Steiniger, B., Klempnauer, J. and Wonigeit, K. (1985). Altered distribution of class I and class II MHC antigens during acute pancreas allograft rejection in the rat. Transplantation, 40, 234–239

    Article  PubMed  CAS  Google Scholar 

  12. Mayrhofer, G. and Schon-Hegrad, M. A. (1983). Ia antigens in rat kidney, with special reference to their expression in tubular epithelium. J. Exp. Med., 157, 2097–2109

    Article  PubMed  CAS  Google Scholar 

  13. Halloran, P. F., Wadgymar, A. and Autenried, P. (1986). The regulation of expression of major histocompatibility complex products. Transplantation, 41, 413–420

    Article  PubMed  CAS  Google Scholar 

  14. Haverty, T. P., Kelly, C. J., Hines, W. H., Amenta, P. S., Watanabe, M, Harper, R. A., Kefalides, N. A. and Neilson, E. G. (1988). Characterization of a renal tubular epithelial cell line which secretes the autologous target antigen of autoimmune experimental interstitial nephritis. J. Cell Biol., 107, 1359–1368

    Article  PubMed  CAS  Google Scholar 

  15. Hines, H. W., Haverty, T. P., Elias, J. A., Neilson, E. G. and Kelly, C. J. (1989). T cell recognition of epithelial self. Autoimmunity, 5, 37–47

    Article  PubMed  CAS  Google Scholar 

  16. Wuthrich, R. P., Glimcher, L. H. and Kelley, V. E. (1989). Antigen presenting capacity of MHC class II positive proximal tubular cells in MRL/lpr mice with lupus nephritis. Kidney Int., 35, 366a

    Google Scholar 

  17. Kappler, J. W., Wade, T., White, J., Kushnir, E., Blackman, M., Bill, J., Roehm, N. and Marrack, P. (1987). A T cell receptor Wβ segment that imparts reactivity to a class II major histocompatibility complex product. Cell, 49, 263–271

    Article  PubMed  CAS  Google Scholar 

  18. Kappler, J. W., Roehm, N. and Marrack, P. (1987). T cell tolerance by clonal elimination in the thymus. Cell, 49, 273–280

    Article  PubMed  CAS  Google Scholar 

  19. Kelly, C. J., Clayman, M. D., Hines, W. H. and Neilson, E. G. (1987). Therapeutic immune regulation in experimental interstitial nephritis with suppressor T cells and their soluble factors. Ciba Foundation Symposia, 129, 73–87

    PubMed  CAS  Google Scholar 

  20. Neilson, E. G. and Phillips, S. M. (1982). Suppression of interstitial nephritis by auto-anti-idiotypic immunity. J. Exp. Med., 155, 179–189

    Article  PubMed  CAS  Google Scholar 

  21. Hoyer, J. H. (1980). Tubulointerstitial immune complex nephritis in rats immunized with Tamm-Horsfall protein. Kidney Int., 17, 284–292

    Article  PubMed  CAS  Google Scholar 

  22. Klassen, J., Milgrom, F. M. and McCluskey, R. T. (1977). Studies of the antigens involved in immunologic renal tubular lesions in rabbits. Am. J. Pathol., 88, 135–141

    PubMed  CAS  Google Scholar 

  23. Seiler, M. W. and Hoyer, J. R. (1981). Ultrastructural studies of tubulointerstitial immune complex nephritis in rats immunized with Tamm-Horsfall protein. Lab. Invest., 45, 321–327

    PubMed  CAS  Google Scholar 

  24. Fasth, A., Hoyer, J. R. and Seiler, M. W. (1982). Renal tubular immune complex formation in mice immunized with Tamm-Horsfall protein. Am. J. Pathol., 125, 555–562

    Google Scholar 

  25. Ishidate, T., Hoyer, J. R. and Seiler, M. W. (1983). Influence of altered glomerular permeability on renal tubular immune complex formation and clearance. Lab. Invest., 49, 582–588

    PubMed  CAS  Google Scholar 

  26. Friedman, J., Hoyer, J. R. and Seiler, M. W. (1982). Formation and clearance of tubulointerstitial immune complexes in kidneys of rats immunized with heterologous antisera to Tamm-Horsfall protein. Kidney Int., 21, 575–582

    Article  PubMed  CAS  Google Scholar 

  27. Noble, B., Mendrick, D. L., Brentjens, J. R. and Andres, G. A. (1981). Antibody-mediated injury to proximal tubules in the rat kidney induced by passive transfer of homologous anti-brush border serum. Clin. Immunol. Immunopathol., 19, 289–301

    Article  PubMed  CAS  Google Scholar 

  28. Noble, B., Andres, G. A. and Brentjens, J. R. (1983). Passively transferred anti-brush border antibodies induce injury of proximal tubules in the absence of complement. Clin. Exp. Immunol., 56, 281–288

    Google Scholar 

  29. McCluskey, R. T. (1983). Immunologically mediated tubulointerstitial nephritis. Contemp. Issues Nephrol., 10, 121–149

    Google Scholar 

  30. Andres, G. A. and McCluskey, R. T. (1975). Tubular and interstitial renal disease due to immunologic mechanisms. Kidney Int., 13, 271–289

    Article  Google Scholar 

  31. Brentjens, J., O’Connell, D. W. and Pawlowski, I. B. (1974). Extra-glomerular lesions associated with deposition of circulating antigen-antibody complexes in kidneys of rabbits with chronic serum sickness. Clin. Immunol. Immunopathol., 3, 112–126

    Article  PubMed  CAS  Google Scholar 

  32. Allison, M. E., Wilson, C. B. and Gottchalk, C. W. (1974). Pathophysiology of experimental glomerulonephritis in rats. J. Clin. Invest., 53, 1402–1423

    Article  PubMed  CAS  Google Scholar 

  33. Couser, W. G. (1985). Mechanism of glomerular injury in immune-complex disease. Kidney Int., 28, 569–583

    Article  PubMed  CAS  Google Scholar 

  34. Smith, R. D. and Wehner, R. W. (1980). Acute cytomegalovirus glomerulonephritis: An experimental model. Lab. Invest., 43, 278–286

    PubMed  CAS  Google Scholar 

  35. Spital, A., Panner, B. J. and Sterns, R. H. (1987). Primary acute idiopathic tubulointerstitial nephritis: Report of two cases and review of the literature. Am. J. Kidney Dis., 9, 710–718

    Google Scholar 

  36. Cameron, J. S. (1989). Immunologically mediated interstitial nephritis: Primary and secondary. Adv. Nephrol., 18, 207–248

    CAS  Google Scholar 

  37. Magil, A. B. and Tyler, M. (1984). Tubulointerstitial disease in lupus nephritis: A morphometric study. Histopathology, 8, 81–87

    Article  PubMed  CAS  Google Scholar 

  38. Winer, R. L., Cohen, A. H., Sawhney, A. S. and Gorman, J. T. (1977). Sjogren’s Syndrome with immune-complex tubulointerstitial renal disease. Clin. Immunol. ImmunoPathol., 8, 494–503

    Article  PubMed  CAS  Google Scholar 

  39. Lehman, D. H. and Dixon, F. J. (1975). Extra-glomerular immunoglobulin deposits in human nephritis. Am. J. Med., 58, 765–796

    Article  PubMed  CAS  Google Scholar 

  40. Nojimi, Y., Terai, C., Takehara, K., Yamanda, A. and Takaku, F. (1986). Tubulointerstitial immune complex nephritis in a patient with cutaneous vasculitis. Clin. Nephrol., 25, 48–51

    Google Scholar 

  41. Border, W. A., Lehman, D. H., Egan, J. D., Sass, H. J., Glode, J. E. and Wilson, C. B. (1974). Anti-tubular basement membrane antibodies in methicillin-associated interstitial nephritis. N. Engl. J. Med., 291, 381–384

    Article  PubMed  CAS  Google Scholar 

  42. Hyman, L. R., Ballow, M. and Knieser, M. R. (1978). Diphenylhydantoin interstitial nephritis. Roles of cellular and humoral immunologic injury. J. Pediatr., 92, 915–920

    Article  PubMed  CAS  Google Scholar 

  43. Andres, G., Brentjens, J., Kohli, R., Antone, S., Beliah, T., Montes, M., Mookeigie, B. K., Prezyna, A., Sepulveda, M., Venuto, R. and Elwood, C. (1978). Histology of human tubulointerstitial nephritis associated with antibodies to renal basement membranes. Kidney Int., 13, 480–491

    Article  PubMed  CAS  Google Scholar 

  44. Makker, S. P. (1980). Tubular basement membrane antibody-induced interstitial nephritis in systemic lupus erythematosus. Am. J. Med., 79, 949–952

    Article  Google Scholar 

  45. Klassen, J., Kano, K., Milgrom, F., Menno, A. B., Anthone, S., Anthone, K., Sepulveda, M., Elwood, C. M. and Andres, G. A. (1973). Tubular lesions produced by autoantibodies in tubular basement membrane in human allografts. Int. Arch. Allergy Appl. Immunol., 45, 675–689

    Article  PubMed  CAS  Google Scholar 

  46. Roteller, C., Noel, L. H., Droz, D., Kreis, H. and Berger, J. (1986). Role of antibodies against tubular basement membranes in human renal transplantation. Am. J. Kidney Dis., 7, 157–161

    Google Scholar 

  47. Graber, M. L., Logan, M. G. and Connor, D. G. (1978). Idiopathic acute interstitial nephritis. West. J. Med., 129, 72–76

    PubMed  CAS  Google Scholar 

  48. Cattran, D. C. (1980). Circulating anti-tubular basement membrane antibody in a variety of human renal diseases. Nephron, 26, 13–19

    Article  PubMed  CAS  Google Scholar 

  49. Clayman, M. D., Michaud, L., Brentjens, J., Andres, G. A., Kefalides, N. A. and Neilson, E. G. (1986). Isolation of the target antigen in human anti-tubular basement membrane nephritis. J. Clin. Invest., 77, 1143–1147

    Article  PubMed  CAS  Google Scholar 

  50. Fliger, F. D., Wieslander, J., Brentjens, J. R., Andres, G. A. and Butkowski, R. J. (1987). Identification of a target antigen in human anti-tubular basement membrane nephritis. Kidney Int., 31, 800–807

    Article  PubMed  CAS  Google Scholar 

  51. Clayman, M., Martinez-Hernandez, A., Michaud, L., Alper, R., Mann, R., Kefalides, N. A. and Neilson, E. G. (1985). Isolation and characterization of the nephritogenic antigen producing anti-tubular basement membrane disease. J. Exp. Med., 161, 290–305

    Article  PubMed  CAS  Google Scholar 

  52. Wilson, C. B., Lehman, D. H., McCoy, R. C. et al. (1974). Antitubular basement membrane antibody after renal transplantation. Transplantation, 18, 447–431

    Article  PubMed  CAS  Google Scholar 

  53. Bannister, K. M., Ulich, T. R. and Wilson, C. B. (1988). Immunological mechanisms in experimental models of tubulointerstitial nephritis. In Davison, A. M. (ed.) Nephrology, pp. 618–635. (London: Ballière Tindall)

    Google Scholar 

  54. Neilson, E. G. and Phillips, S. M. (1982). Murine Interstitial Nephritis. I. Analysis of disease susceptibility and its relationship to pleomorphic gene products defining both immune-response genes and a restrictive requirement for cytotoxic T cells at H-2K. J. Exp. Med., 155, 1075–1085

    Article  PubMed  CAS  Google Scholar 

  55. Lehman, D. H., Wilson, C. B. and Dixon, F. J. (1974). Interstitial nephritis in rats immunized with heterologous tubular basement membrane. Kidney Int., 5, 187–195

    Article  PubMed  CAS  Google Scholar 

  56. Neilson, E. G. and Phillips, S. M. (1979). Cell-mediated immunity in interstitial nephritis. I. T lymphocyte systems in nephritic guinea pigs: the natural history and diversity of the immune response. J. Immunol., 123, 2373–2378

    PubMed  CAS  Google Scholar 

  57. Mampaso, F. M. and Wilson, C. B. (1983). Characterization of inflammatory cells in autoimmune tubulointerstitial nephritis in rats. Kidney Int., 23, 448–457

    Article  PubMed  CAS  Google Scholar 

  58. Zakheim, B., McCafferty, E., Phillips, S. M., Clayman, M. D. and Neilson, E. G. (1984). Murine interstitial nephritis. II. The adoptive transfer of disease with immune T lymphocytes produces a phenotypically complex interstitial lesion. J. Immunol., 133, 324

    Google Scholar 

  59. Neilson, E. G., Sun, M. J., Emery, J., Kelly, C. J., Haverty, T., Clayman, M. and Cooke, N. (1991). Molecular characterization of a major nephritogenic domain in the autoantigen of anti-tubular basement membrane disease. Proc. Natl. Acad. Sci. USA, 88, 2006–2010

    Article  PubMed  CAS  Google Scholar 

  60. Mann, R., Zakheim, B., Clayman, M., McCafferty, E., Michaud, L. and Neilson, E. (1985). Murine interstitial nephritis. IV. Long-term cultured L3T4+ T cell lines transfer delayed expression of disease as I-A-restricted inducers of the effector T cell repertoire. J. Immunol., 135, 286–293

    PubMed  CAS  Google Scholar 

  61. Wadgymar, A., Urmson, J., Baumal, R. and Halloran, P. F. (1984). Changes in la expression in mouse kidney during acute graft-vs-host disease. J. Immunol., 132, 1826–1832

    PubMed  CAS  Google Scholar 

  62. Kelly, C. J., Silvers, W. K. and Neilson, E. G. (1985). Tolerance to parenchymal self. Regulatory role of major histocompatibility complex-restricted OX8+ suppresor T cells specific for autologous renal tubular antigen in experimental interstitial nephritis. J. Exp. Med., 162, 1892–1903

    Article  PubMed  CAS  Google Scholar 

  63. Neilson, E. G., McCafferty, E., Mann, R., Michaud, L. and Clayman, M. (1985). Murine interstitial nephritis. III. The selection of phenotypic (Lyt and L3T4) and idiotypic (RE-Id) T cell preferences by genes in Igh-1 and H-2K characterizes the cell-mediated potential for disease expression: Susceptible mice provide a unique effector T cell repertoire in response to tubular antigen. J. Immunol., 134, 2375–2382

    PubMed  CAS  Google Scholar 

  64. Haverty, T. P., Watanabe, M., Neilson, E. G., and Kelly, C. J. (1989). Protective modulation of class II MHC gene expression in tubular epithelium by target antigen-specific antibodies. J. Immunol., 143, 1133–1141

    PubMed  CAS  Google Scholar 

  65. Mann, R, Kelly, C. J., Hines, W. H., Clayman, M, Blanchard, N., Sun, M. J. and Neilson, E. G. (1987). Effector T cell differentiation in experimental interstitial nephritis. I. The development and modulation of effector lymphocyte maturation by I-J+ regulatory T cells. J. Immunol., 136, 4200–4208

    Google Scholar 

  66. Kelly, C. J., Mok, H. and Neilson, E. G. (1988). The selection of effector T cell phenotype by contrasuppression modulates susceptibility to autoimmune injury. J. Immunol., 141, 3022–3028

    PubMed  CAS  Google Scholar 

  67. Agus, D., Mann, R., Clayman, M. D., Kelly, C. J., Michaud, L. and Neilson, E. G. (1986). The effects of daily cyclophosphamide administration on the development and extent of primary experimental interstitial nephritis in rats. Kidney Int., 29, 635–640

    Article  PubMed  CAS  Google Scholar 

  68. Shih, W., Hines, W. H. and Neilson, E. G. (1988). Effects of cyclosporin A on the development of immune-mediated interstitial nephritis. Kidney Int., 33, 1113–1118

    Article  PubMed  CAS  Google Scholar 

  69. Kelly, C. J., Zurier, R. B, Krakauer, K. A., Blanchard, N. and Neilson, E. G. (1987). PGE-1 inhibits effector T cell induction and histologic disease in experimental murine interstitial nephritis. J. Clin. Invest., 79, 782–789

    Article  PubMed  CAS  Google Scholar 

  70. Agus, D., Mann, R., Cohn, D., Michaud, L., Kelly, C. J., Clayman, M. and Neilson, E. G. (1985). Inhibitory role of dietary protein restriction on the development and expression of immune mediated anti-tubular basement membrane induced tubulointerstitial nephritis in rats. J. Clin. Invest., 76, 930–936

    Article  PubMed  CAS  Google Scholar 

  71. Kelly, C. J., Clayman, M. D. and Neilson, E. G. (1986). Immunoregulation in experimental interstitial nephritis: Immunization with renal tubular antigen in incomplete Freund’s adjuvant induces major histocompatibility complex-restricted, OX8+ suppressor T cells which are antigen-specific and inhibit the expression of disease. J. Immunol., 136, 903–907

    PubMed  CAS  Google Scholar 

  72. Clayman, M. D., Sun, M. J., Michaud, L., Brill-Dashoff, J., Riblet, R. and Neilson, E. G. (1988). Clonotypic heterogeneity in experimental interstitial nephritis. Restricted specificity of the anti-tubular basement membrane B cell repertoire is associated with a disease-modifying cross-reactive idiotype. J. Exp. Med., 167, 1296–1312

    Article  PubMed  CAS  Google Scholar 

  73. Neilson, E. G., McCafferty, E., Mann, R., Michaud, L. and Clayman, M. (1985). Tubular antigen-derivatized cells induce a disease protective, antigen-specific, and idiotype-specific suppressor T cell network restricted by I-J and Igh-V in mice with experimental interstitial nephritis. J. Exp. Med., 162, 215–230

    Article  PubMed  CAS  Google Scholar 

  74. Neilson, E. G., Kelly, C. J., Clayman, M. D., Hines, W. H., Haverty, T., Sun, M. J. and Blanchard, N. (1987). Murine interstitial nephritis VII. Suppression of renal injury following treatment with soluble suppressor factor TsF1 J. Immunol., 139, 1518–1535

    PubMed  CAS  Google Scholar 

  75. Kelly, C. J. and Neilson, E. G. (1989). Recognition of murine suppressor-inducer T cells and inhibition of their function by anti-2H4 antibodies. Kidney Int., 35, 352a

    Article  Google Scholar 

  76. Mann, R. and Neilson, E. G. (1986). Murine intestitial nephritis V. The auto-induction of antigen-specific Lyt-2+ suppressor T cells diminishes the expression of interstitial nephritis in mice with antitubular basement membrane disease. J. Immunol., 136, 908–912

    PubMed  CAS  Google Scholar 

  77. Clayman, M., Michaud, L. and Neilson, E. G. (1987). Murine interstitial nephritis VI. Characterization of the B cell response in anti-tubular basement membrane disease. J. Immunol., 139, 2242–2249

    PubMed  CAS  Google Scholar 

  78. Rudofsky, V. H., McMaster, P., Ma, W. and Pollara, B. (1974). Experimental autoimmune renal cortical tubulointerstitial disease in guinea pigs lacking the fourth component of complement (C4). J. Immunol., 112, 1387–1393

    PubMed  CAS  Google Scholar 

  79. Neilson, E. G. and Phillips, S. M. (1981). Cell-mediated interstitial nephritis IV. Anti-tubular basement membrane antibodies can function in antibody-dependent cellular cytotoxicity reactions: Observations on a nephritogenic effector mechanism acting as an informational bridge between the humoral and cellular immune response. J. Immunol., 126, 1990–1993

    Google Scholar 

  80. Nathan, C. (1987). Secretory products of macrophages. J. Clin. Invest., 79, 319–326

    Article  PubMed  CAS  Google Scholar 

  81. Young, J. D.-E. and Cohn, Z. A. (1987). Cellular and humoral mechanisms of cytotoxicity: structural and functional analogies. Adv. Immunol., 41, 269–330

    Article  PubMed  CAS  Google Scholar 

  82. Neilson, E. G., Jimenez, S. A. and Phillips, S. M. (1980). Cell-mediated interstitial nephritis III. T lymphocyte mediated fibroblast proliferation and collagen synthesis: An immune mechanism for renal fibrogenesis. J. Immunol., 125, 1708–1714

    PubMed  CAS  Google Scholar 

  83. Bender, W. L, Whelton, A, Beschorner, W. E., Darwish, M, Hall-Craggs, M. and Solez, K. (1984). Interstitial nephritis, proteinuria and renal failure caused by nonsteroidal anti-inflammatory drugs. Immunologic characteristics of the inflammatory infiltrate. Am. J. Med., 76, 1006–1012

    Article  PubMed  CAS  Google Scholar 

  84. Brunati, C., Brando, B., Confalonieri, R., Belli, L. S., Lavagni, M. G. and Minetti, L. (1986). Immunophenotyping of mononuclear cell infiltrates associated with renal disease. Clin. Nephrol., 26, 15–20

    PubMed  CAS  Google Scholar 

  85. Husby, G., Tung, K. S. and Williams, R. C. (1981). Characterization of renal tissue lymphocytes in patients with interstitial nephritis. Am. J. Med., 70, 31–38

    Article  PubMed  CAS  Google Scholar 

  86. Zager, R. A., Cotran, R. S. and Hoyer, J. R. (1978). Pathologic localization of Tamm-Horsfall protein in interstitial deposits in renal disease. Lab. Invest., 38, 52–57

    PubMed  CAS  Google Scholar 

  87. Appel, G. B. and Kunis, C. L. (1983). Acute tubulointerstitial nephritis. Contemp. Issues Nephrol., 10, 151–185

    Google Scholar 

  88. McLeish, K. R., Senitzer, D. and Gohara, A. F. (1979). Acute interstitial nephritis in a patient with aspirin hypersensitivity. Clin. Immunol. Immunopathol., 14, 64–69

    Article  PubMed  CAS  Google Scholar 

  89. Lafferty, K. J., Prowse, S. J. and Simeonovic, C. J. (1983). Immunobiology of tissue transplantation: A return to the passenger leukocyte concept. Annu. Rev. Immunol., 1, 143–173

    Article  PubMed  CAS  Google Scholar 

  90. Mayer, T. G., Fuller, A. A., Fuller, T. C., Lazarovits, A. I., Boyle, L. A. and Kurnick, J. T. (1985). Characterization of in vivo activated allospecific T lymphocytes propagated from human renal alograft biopsies undergoing rejection. J. Immunol., 134, 258–264

    PubMed  CAS  Google Scholar 

  91. Halloran, P. F., Jephthah-Ochola, J., Urmson, J. and Farkas, S. (1985). Systemic immunologic stimuli increase class I and class II antigen expression in mouse kidney. J. Immunol., 135, 1053–1060

    PubMed  CAS  Google Scholar 

  92. Van Zwieten, M. J., Leber, P. D., Bhan, A. K. and McCluskey, R. T. (1977). Experimental cell-mediated interstitial nephritis induced with exogenous antigens. J. Immunol., 118, 589–593

    PubMed  Google Scholar 

  93. Sugisaki, T., Yoshida, T., McCluskey, R. T., Andres, G. A. and Klassen, J. (1980). Autoimmune cell-mediated tubulointerstitial nephritis induced in Lewis rats by renal antigens. Clin. Immunol. Immunopathol., 15, 33–43

    Article  PubMed  CAS  Google Scholar 

  94. Bannister, K. M., Ulich, T. R. and Wilson, C. B. (1987). Induction, characterization and cell transfer of autoimmune tubulointerstitial nephritis in the Lewis rat. Kidney Int., 32, 642–651

    Article  PubMed  CAS  Google Scholar 

  95. Lyon, M. F. and Hulse, E. V. (1971). An inherited kidney disease of mice resembling human nephronophthis. J. Med. Genet., 8, 41–48

    Article  PubMed  CAS  Google Scholar 

  96. Neilson, E. G., McCafferty, E., Feldman, A., Clayman, M., Zakheim, B. and Korngold, R. (1984). Spontaneous interstitial nephritis in kdkd mice I. An experimental model of autoimmune renal disease. J. Immunol., 133, 2560–2565

    PubMed  CAS  Google Scholar 

  97. Kelly, C. J., Korngold, R., Mann, R., Clayman, M., Haverty, T. and Neilson, E. G. (1986). Spontaneous interstitial nephritis in kdkd mice II. Characterization of a tubular antigen-specific, H-2K-restricted Lyt-2+ effector T cell that mediates destructive tubulointerstitial injury. J. Immunol., 136, 526–531

    PubMed  CAS  Google Scholar 

  98. Kelly, C. J. and Neilson, E. G. (1987). Contrasuppression in autoimmunity. Abnormal contrasuppresion promotes the expression of nephritogenic effector T cells and histologic interstitial nephritis in kdkd mice. J. Exp. Med., 165, 107–123

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Meyers, C.M., Kelly, C.J. (1991). Immunopathogenic Mechanisms of Interstitial Nephritis. In: Pusey, C.D. (eds) Immunology of Renal Disease. Immunology and Medicine Series, vol 16. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3902-1_13

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-3902-1_13

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5738-7

  • Online ISBN: 978-94-011-3902-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics