“…This primary reflux, possibly in combination with a secondary effect in the intrarenallymphatic system, may play an important role (Corriere and Murphy 1967). It seems probable that cell-mediated mechanisms are involved in the pathogenesis of certain tubulointerstitial diseases, in particular pyelonephritis, in which the dominant factor determining the immune responsiveness is the infection-induced suppressor cell (Miller and Marshall 1980). It seems probable that cell-mediated mechanisms are involved in the pathogenesis of certain tubulointerstitial diseases, in particular pyelonephritis, in which the dominant factor determining the immune responsiveness is the infection-induced suppressor cell (Miller and Marshall 1980).…”