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Morphometric analysis of the glomerular basement membrane withminimal change disease
Vol 2, Issue 1, 2021
VIEWS - 5919 (Abstract)
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Abstract
Objective To investigate the thickness of glomerular basement membrane (GBM) in patients withminimal change disease (MCD). Methods Select MCD patients aged 41 to 50 years without hema-turia, hypertension, diabetes, or hereditary kidney disease, and initially treated. Renal biopsy specimens were fixed as routine, embedded ultrathin sectioned, and observed under transmission electron microscope. For each sample, we took 10 to 15 photos according to the principle of equidistant curve movement. Test lines were randomly set. The vertical lines through the points where the test lines intersect with the podocyte side of GBM were made. The distance between the inner and outer intersections of the basement membrane was the section width of the GBM which represents the thickness of the GBM. Results The thickness of the GBM for 30 samples was 314.21±42.22 (256.97~393.51) nm, among which male was 360.30±47.0 (256.97~452.43) nm and female was 314.21±42.22 (256.97 ~393.51) nm. There was significant difference between the two groups (P = 0.009). The correlation be-tween GBM thickness and age was not significant. Conclusions The thickness of the GBM in newly diag-nosed MCD patients aged 41 to 50 years is constant, thicker in males than in females.
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References
1. Fogo A B, Lusco M A, Najafian B, et al. AJKD atlas of re-nal pathology: Thin basement membrane lesion[J]. Am J Kidney Dis, 2016, 68(4) : e17-e18.
2. Tervaert T W, Mooyaart A L, Amann K, et al. Pathologic classification of diabetic nephropathy [J]. J Am Soc Nephrol, 2010, 21(4) : 556-563.
3. Danilewicz M, Wagrowska-Danilewicz M. Glomerular basement membrane thickness inminimal change disease: The ultrastructural quantitative study[J]. Pol J Pathol, 1998, 49(1) : 23-26.
4. Zhao L, Zhang J, Lei S, et al. Combining glomerular base-ment membrane and tubular basement membrane assessment improves the prediction of diabetic end-stage renal disease[J]. J Diabetes, 2021, 13(7) : 572-584.
5. Berg C M, Lindstrm M, Grubb A, et al. Potential rela-tionship between egfr (cystatin C)/egfr (creatinine)-ratio and glomerular basement membrane thickness in diabetic kidney disease[J]. Physiol Rep, 2021, 9 (13) : e14939.
6. Osawa G, Kimmelstiel P, Seiling V.Thickness of glomerular basement membranes[J]. Am J Clin Pathol, 1966, 45(1) : 7-20.
7. Haynes W D. The normal human renal glomerulus[J]. Vir-chows Arch B Cell Pathol Incl Mol Pathol, 1981, 35(2) : 133-158.
8. Steffes M W, Barbosa J, Basgen J M, et al. Quantitative glomerular morphology of the normal human kidney[J]. Lab Invest, 1983, 49(1) : 82-86.
9. Vogler C, mcadams A J, Homan S M. Glomerular basement membrane and lamina densa in infants and chil-dren: An ultrastructural evaluation[J]. Pediatr Pathol, 1987, 7(5-6) : 527-534.
10. Teng Y H, Ang H S, Mao K Z, et al. Glomerular base-ment membrane thickness in an Asian population using a novel image analysis software[J]. Pathology, 2009, 41 (4) : 342-347.
11. Kfoury H. Glomerular basement membrane thickness among the Saudi population[J]. Ultrastruct Pathol, 2016, 40(5) : 261-264.
12. Bodziak K A, Hammond W S, Molitoris B A. Inherited diseases of the glomerular basement membrane[J]. Am J Kidney Dis, 1994, 23(4) : 605-618.
13. Liu Linchang, Zhang Youkang, Wang Suxia, et al. Study on the thickness of glomerular basement membrane in adult kidney tissue and the standard of thin glomerular basement membrane[J]. Chin J Neohrol, 2011, 27 (5) : 313-315.
14. Jensen E B, Gundersen H J, Osterby R. Determination of membrane thickness distribution from orthogonal intercepts [J]. J Microsc, 1979, 115(1) : 19-33.
15. Hirose K, 0sterby R, Nozawa M, et al. Development of glomerular lesions in experimental long-term diabetes in the rat[J]. Kidney Int, 1982, 21(5) : 689-695.
16. Marquez B, Zouvani I, Karagrigoriou A, et al. A simplified method for measuring the thickness of glomerular basement membranes[J]. Ultrastruct Pathol, 2003, 27(6) : 409-416.
17. Chengming, Li Xueying, Ren Yali. Morphometric analysis of the thickness of normal glomerular basement membrane in population ranged from 21 to 40 years old [J]. Chinese Journal of Stereology and Image Analysis, 2012, 17(17) : 162-166.
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Prof. Wei-Yen Hsu
National Chung Cheng University, Taiwan