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Nephrol Dial Transplant (1989) 4: 770-775
© 1989 European Renal Association-European Dialysis and Transplant Association


research-article

The Glomerular Basement Membrane Defect in Alport-Type Hereditary Nephritis: Absence of Cationic Antigenic Components

L. P. W. J. van den Heuvel1,, C. O. S. Savage1, M. Wong2, R. G. Price2, L. Noel3, J. P. Grunfeld3 and C. M. Lockwood1

1Department of Medicine, Hammersmith Hospital London 2Department of Biochemistry, King's College London 3Département de Néphrologie, Hôpital Necker Paris

Correspondence and offprint requests to: Correspondence and offprint requests to: L. P. W. J. van den Heuvel, Department of Biochemistry, University of Nijmegen, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. Tel: 80-514302 or 80-514303

Alport-type hereditary nephritis is a familial disorder which results in progressive renal insufficiency and sensorineural hearing loss. It is thought to result from a biochemical defect affecting basement membranes. To study this further, non-collagenous components of type IV collagen were prepared from the glomerular basement membrane (GBM) by collagenase digestion from three male patients with hereditary nephritis. The normal Goodpasture antigenicity of the 28 and 26 kD monomers and 54 and 50 kD dimers which may be isolated from the GBM was absent on one-dimensional immunoblots. Two-dimensional electrophoresis and immunoblotting studies showed absence of Goodpasture antigenicity of these molecular weight components as well as all cationic monomeric and dimeric spots. It is concluded that the expression of the Goodpasture antigen is altered in basement membranes of hereditary nephritis patients. The altered antigenicity thus acts as a marker for the underlying abnormality.

Keywords: Alport's syndrome; Glomerular basement membrane; Goodpasture serum; Hereditary nephritis; One-and two-dimensional immunoblotting studies


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