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Extracellular Accumulations:
Sometimes cellular products may accumulate within the
extracellular space either close to or remote from the cells producing
the substances. Generally, these substances are proteins. Two important
extracellular proteinaceous accumulations are antigen-antibody (Ag-Ab)
complexes and amyloid.
Ag-Ab complexes often form in the blood and may be
transported to and deposited in the renal glomeruli. Damage to the glomerular
basement membrane results from complement fixation by the complexes and
chemotaxis of leukocytes to the sites of deposition. The function of the
glomerular filter may be impaired, leading to proteinuria.
Amyloid will be discussed more fully in a separate
section but it should be noted that glomerular amyloidosis also results
in proteinuria by damaging the glomerular filter. Accumulation of amyloid
between glomerular cells causes atrophy and/or death of the cells of the
glomerular tuft.
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