Takashi Ehara, Hidekazu Shigematsu  Kidney International 

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Contribution of mast cells to the tubulointerstitial lesions in IgA nephritis  Takashi Ehara, Hidekazu Shigematsu  Kidney International  Volume 54, Issue 5, Pages 1675-1683 (November 1998) DOI: 10.1046/j.1523-1755.1998.00159.x Copyright © 1998 International Society of Nephrology Terms and Conditions

Figure 1 Toluidine blue pH 5.0 (a) and pH 0.5 (b) staining of a control case. A mast cell with round nuclei and metachromatically (a) or orthochromatically (b) stained granules is found in the interstitium between tubules. Toluidine blue pH 0.5 was counterstained with nuclear fast red (×900). Kidney International 1998 54, 1675-1683DOI: (10.1046/j.1523-1755.1998.00159.x) Copyright © 1998 International Society of Nephrology Terms and Conditions

Figure 2 Immunostaining with anti-tryptase monoclonal antibody of a 25-year-old female with IgA nephritis. A mast cell that is polygonal in shape with cytoplasmic processes can be seen (counterstained with methylgreen; ×900). Kidney International 1998 54, 1675-1683DOI: (10.1046/j.1523-1755.1998.00159.x) Copyright © 1998 International Society of Nephrology Terms and Conditions

Figure 3 Anti-tryptase monoclonal staining of a 23-year-old female with IgA nephritis. Mast cells (arrows) have infiltrated the tubules (×350). Kidney International 1998 54, 1675-1683DOI: (10.1046/j.1523-1755.1998.00159.x) Copyright © 1998 International Society of Nephrology Terms and Conditions

Figure 4 Double immunostaining of a 51-year-old male patient with anti-tryptase antibody (a), and anti-basic fibroblast growth factor (bFGF) (b). Tryptase positive mast cells are scattered in fibrous interstitium and positive for bFGF in this field except one (arrow) (×250). Kidney International 1998 54, 1675-1683DOI: (10.1046/j.1523-1755.1998.00159.x) Copyright © 1998 International Society of Nephrology Terms and Conditions

Figure 5 The same area from a 25-year-old female with IgA nephritis is stained with UCHL-1 (a), and anti-tryptase monoclonal antibody (b). (a) UCHL-1 is positive where lymphocytes accumulated (arrow). (b) Tryptase positive cells are scattered in the interstitium. No positive cells are found in glomeruli (small arrows). In this field, the average number of UCHL-1 and tryptase positive cells in the interstitium is 344 and 42/mm2, respectively (×150). Kidney International 1998 54, 1675-1683DOI: (10.1046/j.1523-1755.1998.00159.x) Copyright © 1998 International Society of Nephrology Terms and Conditions

Figure 6 Correlation between the number of cells and the 24-hour creatinine clearance. y = - 0.870x + 98.383; r = 0.650; P < 0.05. Kidney International 1998 54, 1675-1683DOI: (10.1046/j.1523-1755.1998.00159.x) Copyright © 1998 International Society of Nephrology Terms and Conditions

Figure 7 Electron micrograph of a 44-year-old male with IgA nephritis. A fibroblast (F), lymphocyte (L), and mast cell (M) are associated and attached by processes (arrows) (×6000). Kidney International 1998 54, 1675-1683DOI: (10.1046/j.1523-1755.1998.00159.x) Copyright © 1998 International Society of Nephrology Terms and Conditions

Figure 8 Specific granules in a mast cell are selectively labeled with 10nm gold particles (×34,000). Kidney International 1998 54, 1675-1683DOI: (10.1046/j.1523-1755.1998.00159.x) Copyright © 1998 International Society of Nephrology Terms and Conditions

Kidney International 1998 54, 1675-1683DOI: (10. 1046/j. 1523-1755 Kidney International 1998 54, 1675-1683DOI: (10.1046/j.1523-1755.1998.00159.x) Copyright © 1998 International Society of Nephrology Terms and Conditions

Kidney International 1998 54, 1675-1683DOI: (10. 1046/j. 1523-1755 Kidney International 1998 54, 1675-1683DOI: (10.1046/j.1523-1755.1998.00159.x) Copyright © 1998 International Society of Nephrology Terms and Conditions

Kidney International 1998 54, 1675-1683DOI: (10. 1046/j. 1523-1755 Kidney International 1998 54, 1675-1683DOI: (10.1046/j.1523-1755.1998.00159.x) Copyright © 1998 International Society of Nephrology Terms and Conditions

Kidney International 1998 54, 1675-1683DOI: (10. 1046/j. 1523-1755 Kidney International 1998 54, 1675-1683DOI: (10.1046/j.1523-1755.1998.00159.x) Copyright © 1998 International Society of Nephrology Terms and Conditions