Reduction of Phagocyte Adherence by NephriticSera: Relation to Complement Activation
C. FREDERIC STRIFE'43' AND EDWARD J. RULEY
From the Childr~n's tlospital Research Foundation and the Department of Pedrutrics. University of Cincinnati College c!/'Mcdicinc., Cincinnati, Ohio [C.F.S.] und Children's Hospital National Medical Center and the D~~purtmcnt (fPediufrics, George Wushington School (!/'Medicine, Washington, D.C. [E.J.R.] USA
SummaryPhagocytes isolated from either normal donors or from patients with poststreptococcal (P-SGN), lupus erythematosus (SLE-GN), or membranoproliferative (MPGN) glomerulonephritis showed normal adherence to glass (PAg) after incubation in normal human serum (NHS), but was reduced after incubation in patient serum. Low PAg was the consequence of incubation of normal phagocytes with the earliest available sera from all 22 P-SGN patients, 28 of 37 SLE-GN patients, 19 of 25 patients with MPGN type I, all 10 with types I1 and 111, and all 5 with nephritis associated with chronic bacteremia. Low C3 and decreased PAg were related by regression analysis in sera from patients with P-SGN ( P < 0.001), SLE-GN ( P < 0.005), and MPGN ( P < 0.001) type I. In patients with P-SGN and one patient with nephritis associated with chronic bacteremia, complement levels and PAg returned to normal in parallel with clinical improvement. In vitro, PAg was reduced by N H S treated with either zymosan or bovine serum albumin (BSA)-anti-BSA complexes but neither BSA-anti-BSA complexes or zymosan, previously incubated in NHS, reduced PAg. PAg was normal in serum deficient in C4 or C5 unless treated with zymosan.