The morphology of antigen-antibody reactions in tissues has been amply documented by studies with the light microscope. At the cytological level, however, the intracellular changes elicited by antigen-antibody union have been poorly defined and vaguely located. As an experimental model to study this problem, serum sickness nephritis was selected first, because there was already a fairly large accumulation of data on the electron microscopic anatomy of the kidney which could be used for comparison (1-17), and second, because specific antigen has been shown to be present in the giomerulus by the fluorescent microscopic technique (18). Serum sickness offered the possibility of studying the cellular events in the development of renal lesions.
Materials and MethodsSix albino rabbits, weighing between 2.5 and 3.0 kg., were used. Two were controls; four were injected intravenously with 250 rag. of bovine serum albumin (BSA) 1 per kg. of body weight. The BSA was purified, crystallized, and tagged tightly with p~a. The rate of antigen elimination was followed by determining the disappearance of serum radioactivity. Immune elimination occurred in all four animals 11 days after the injection of antigen; two were killed 1 day later and two were killed 2 days later; i.e., 12 and 13 days after antigen administration.It has been shown that during the period of immune elimination of antigen, the glomerular lesions were most extensive and severe (18), while prior to this period glomerular lesions could not be found by fight microscopy. After antigen was completely lost from the circulation, glomerular lesions were diminished in number and severity. Fluorescence microscopy showed antigen only in those glomerufi which were altered.
P.-ESIYLTSThe structure of the normal glomerulus is briefly reviewed here to point out certain salient features for comparison with glomeruli of experimental rabbits.The glomerulus (Figs. 1 and 3) is constructed of a network of patent capillaries which communicate with one another by short, narrow channels.