“…In most instan ces, renal biopsies do not reveal significant glomerular abnormalities on light microscopy while electron micro scopy reveals changes mainly in glomerular epithelial cells in the form of podocyte fusion. The histochemical staining using cationic dyes like colloidal iron at light-and electronmicroscopic levels had shown reduction in anionic charge sites on the glomerular basement membrane the dominant component of which is heparan sulphate a proteoglycan [1], There is increasing evidence that albuminuria in MCNS is related to a loss of the charge-dependent permselectivity of the glomerular basement membrane in the alteration of the glomerular charge-selective barrier to polyanions [2], Studies on immunological alterations in these children have shown an abnormal immunoglobulin production, a decrease in the number of helper T cells and an increase in the number of suppressor cells with depressed mitogen-in duced blast transformation suggesting impaired cell-medi ated immunity [3][4][5][6]. Though the relationship between im munological alterations and glomerular changes related Accepted : October 20.1992 with proteinuria is not clear, several investigators have suggested that alteration in T cell functions results in the release of certain circulating factors (lymphokines) which modify the glomerular polyanions leading to proteinuria [7], Since the T cell response to lectin-specific antigen in volves a cascade of lymphokine-mediated events which culminate in T cell proliferation and emergence of effector T cells [8,9], we have studied the status of various lympho kines, namely interleukin-1 (IL-1) and IL-2, in these patients to understand their role in the aetiopathogenesis of this disease.…”