No abstract

Intestinal immunity has been closely associated with the pathogenesis and progression of renal diseases, a relationship known as the “gut–kidney axis.” To determine the association between immunoglobulin A nephropathy (IgAN) and Crohn’s disease (CD), a clinico-pathological study was performed on patients who had IgAN with CD (CD-IgAN) and without CD (NOS-IgAN). We enrolled 29 patients diagnosed with IgAN via renal biopsy at the Tokyo Yamate Medical Center from 2009 to 2017. The patients were divided into CD-IgAN (n = 18) and NOS-IgAN (n = 11) and evaluated for clinical and pathological findings. IgA subclasses and galactose-deficient IgA1 (Gd-IgA1) were examined via immunohistochemistry using formalin-fixed paraffin-embedded sections from renal biopsy. Our results showed no significant difference in the extent of mesangial IgA subclasses or Gd-IgA1 deposition according to the presence or absence of CD. Pathologically, however, those with CD-IgAN had remarkably higher percentage of global glomerulosclerosis and extent of interstitial fibrosis and tubular atrophy (IF/TA) compared to those with NOS-IgAN. Moreover, the extent of macrophage infiltration in the glomerulus and interstitium was significantly higher in CD-IgAN than in NOS-IgAN. Clinically, the CD-IgAN group had significantly worse responsiveness to steroid treatment compared to the NOS-IgAN group. In conclusion, the similar immunological characteristics of deposited IgA molecules in the glomeruli between the CD-IgAN and NOS-IgAN groups might suggest their etiological similarity. However, a renal pathology showing advanced glomerular and tubulointerstitial sclerosis accompanying increased macrophage infiltration and highly resistant clinical features in patients with CD-IgAN suggests that some pathophysiological factors in CD, including abnormal intestinal immunity, may promote and activate the inflammatory process in IgAN via undetermined mechanisms.

No abstract

No abstract

Multi-layered thermal barrier coatings (TBC) having different functions were proposed for the hot section components of land-based gas turbines. This paper describes the multi-layered TBC with an oxidation resistant layer. A conventional duplex TBC and a triplex TBC, in which an aluminized layer was added to the conventional duplex TBC to increase oxidation resistance, was prepared. It was confirmed by a burner rig test that the triplex TBC with the aluminized layer is resistant to oxidation and shows high durability in a thermal cycle test, compared with the conventional duplex TBC. The spalling in the thermal cycle test of each TBC specimen occurred at the same position and when the thickness of the oxidation layer was 11-13 μm. The mechanism of spalling of the coating in the thermal cycle test was discussed in terms of stress in the coating. Stress in the direction of spalling occurs by an uneven interface between the bond coat and top coat, and increases with growth of the oxidation layer. It is thought that the high durability of the triplex TBC in the thermal cycle test is derived from suppressing the growth of the oxidation layer and decreasing the stress due to the addition of the aluminized layer.