Hormonal and immunological aspects of renal lesions in patients with chronic alcoholism


Cite item

Full Text

Abstract

Aim. To analyze a relationship of the level of sex hormones to the tension of immunological processes
in definite renal diseases in patients with chronic alcoholism.
Materials and methods. 43 patients with chronic alcoholism who also suffered from chronic renal disease were examined. The levels of plasma testosterone and estradiol were determined by radioimmunoassay using labeled 3H-hormones, as described by V. S. Goncharov and G V. Katsiya. The immunity was assessed by determining the activity of secreted interleukin-1 in the cultured peripheral monocytes of the patients and in the cultured renal glomerular mesangial cells by radioimmunoassay according to the procedure of S. Mizel and О. V. Gabrilevskaya. The obtained renal biopsy specimens
were examined by electron microscopy immunoassay, as described by A. A. Ivanov. The activity of lysosomal enzymes was studied.
Results. Activation of lysosomal enzymes and increased synthesis of interleukin-1 by monocytes and
mesangial celts were observed in patients with chronic alcoholism and renal diseases with testosterone
deficiency and excess estradiol in the plasma. There was a correlation of the level of estradiol with
that of interleukin-1 and with the activity ofcathepsin D.
Conclusion. With hypofunction of androgens, estrogens stipulate the tension of immune reactions,
which finally leads to renal lesion in patients with chronic alcoholism.

About the authors

N S Tarasova

Сибирский государственный медицинский университет

Сибирский государственный медицинский университет

E I Beloborodova

Сибирский государственный медицинский университет

Сибирский государственный медицинский университет

References

  1. Гончаров Н. П., Чекан С. М., Кация Г. В. Радиоиммунологический метод определения стероидов в малом объема плазмы крови обезьян. Вопр. мед. химии. 1979: 1: 92-97.
  2. Recalde H. R. Stimulation of leukocyte phagocytic activiti b) the release reaction. J. Immunol. 1984; 69: 71-76.
  3. Mizel S. B. Intraglomerular localization of platelet related anti gens, platelet factor 4 and p-thromboglobulin in glomerulonephritis. Immunol. Rev. 1982; 63: 51-56.
  4. Покровский А. А., Тутельян В. А. Лизосомы. М.; 1976. 300-317.
  5. Иванов А. А., Пальцев М. А., Разгулина Л. Е. Исследование иммуноэлектронной микроскопии при диагностике заболеваний почек. Арх. патол. 1989; 51 (3): 79-81.
  6. Fair A. G., Nacane P. К. A monoclonal anti-double-stranded DNA autoantibody binds to a 94-kDA cell-surface protein on cell types via nucleosomes or a DNA-histone complex. Immunol. Meth. 1981; 47: 129-149.
  7. Габрилевская О. В., Иванов А. А. Метод выделения первичной культуры мезангиальных клеток почечного клубочка. Бюл. экспер. биол 1990; 1: 57-60.
  8. Никоненко И. Р., Земская Т. М. Роль анурогенов в регуляции иммунного ответа у мышей-самцов линии СВА на различных этапах онтогенеза. Физиол. журн. 1991; 37 (1): 69-73.
  9. Иванова А. А., Шилов Е. М., Гладких О. П. Иммунологическая характеристика нефротоксического сывороточного нефрита у крыс; роль интерлейкина-1 в развитии гетерологической и аутологической фаз. Арх. пат. 1991; 53 (7): 15-19.
  10. Mitel S. В., Oppenheim I. I. Experimental glomerulonephritis: V. Studies on the interaction of nephrotoxic antibodies with tissue of the rat. J. Immunol. 1978; 120: 1497-1503.
  11. Dinarello С A. Pathophysiology of progressive nephropathies.N. Engl. J. Med. 1984; 311 (2): 1413-1418.
  12. Dinarello С A. The link between hypertension and nephrosclerosis. Rev. Infect. 1984; 6: 51-94.
  13. Маянская Н. Н., Панин Л. Е., Николаев Ю. А. Некоторые механизмы вовлечения лизосом в процессы тканевого повреждения. Вопр. мед. химии 1990; 36 (6): 5-7.
  14. McCarthy E. P., Hsu A., Ooi Y. M. Ischemic nephropathy: clinical characteristics and treatment. Immunology 1985; 56 (4): 695-699.
  15. Тареева И. Е., Мухин Н. А., Лысенко Л. В. и др. Мезангиокапиллярный гломерулонефрит. Тер. арх. 2001; 73 (6): 43-44.
  16. Iman R. S., Jovanovic L. К., Markenson I. A. et al. Plateltphysiology and abnormalities of platelet function. Arch. Intern. Med. 1982; 142: 1813-1816.
  17. Gery J. В., Gershou R. K. Effect of TGF-beta and TNF-alpha on the plasminogen system of rat proximal tubular epithelial cells. Я. Exp. Med. 1972; 136: 128-130.
  18. Nakagava S. I., Pawelek P. M. Renal, metabolic and hormonal responses in ingestion of animal and vegetable protein. Exp. Cell Res. 1989; 182 (2): 572-582.

Copyright (c) 2003 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
 
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies