Kawai R, Takagawa K, Hara M, Miyata T, Maeda K, Horiuchi S
Pathohistological demonstration of advanced glycation end
products in amyloid tissues of long-term hemodialysis
patients
Japanese Soc Nephrol
J Japanese Soc Nephrol
(Nov) 37:(suppl)85 1995
In patients on hemodialysis (HD) over 6 years, methylcarboxylysine (CML)
and pentosidine (PE), both of which are chemical derivatives of advanced
glycation end products (AGEs), were clearly demonstrated in the
intervertebral disc amyloid tissues by immunohistological techniques
using anti-CML-AGE and anti-PE-AGE antibodies. In contrast, in
patients on HD less than 6 years, no CML and no PE were
detected, and macrophage migration was not observed in the amyloid tissues.
In amyloidosis-related bone cysts, both CML and PE were detected, and
bone reabsorption by osteoclasts was observed.
Comment: These pathohistological findings support the hypothesis that
amyloid
fibrils are modified by AGEs in long-term HD patients. The amyloid
fibrils modified by AGEs may induce macrophage migration, with the cytokines
secreted by the macrophages causing bone reabsorption.
(T. Shinzato)
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Japanese Soc Nephrol
CRF by organ system :
Joint disease, beta-2 microglobulin