Table 2.
Histological factors | PA (n=19) | EH (n=22) | P value |
---|---|---|---|
GGS (%) | 11.1 (1.9~64.9) | 6.9 (1.3~35.9) | 0.08 |
SGS (%) | 5.9 (0~42.9) | 0 (0~2.5) | <0.01** |
SGS/GGS | 0.2 (0~5.0) | 0 (0~0.3) | <0.01** |
Glomerular hypertrophy (μm) † | 153.3 (0.5~536.0) | 150.9 (23.6~297.3) | <0.01** |
Interstitial fibrosis (%) | 4.2 (0.1~28.5) | 1.1 (0.1~7.6) | <0.01** |
Inflammatory cells (/mm2) | 187.4 (5.5~867.8) | 39.6 (5.5~424.8) | 0.05* |
Luminal stenosis (%) | 80.0 (21.6~98.1) | 60.0 (43.8~95.0) | 0.08 |
IMR | 2.8 (0.3~8.2) | 3.6 (1.2~31.3) | 0.02* |
Hy | 6.2 (0~11.1) | 2.3 (0~5.3) | <0.01* |
Hy-af | 0 (0~3.5) | 1.3 (0~2.2) | <0.05* |
Hy-ef | 1.6 (0~5.8) | 0 (0~1.4) | <0.01** |
11βHSD1 | 76.8 (33.4~153.8) | 89.1 (31.6~147.0) | 0.03* |
11βHSD2 | 58.5 (20.0~122.1) | 33.5 (5.8~80.2) | 0.03* |
11βHSD2/11βHSD1 | 0.86 (0.3~2.4) | 0.4 (0.1~0.9) | <0.01** |
Renin (μm2/glomerulus) | 35.5 (0~197.7) | 208.4 (3.0~1003.8) | <0.01** |
MR (%) | 11.9 (0~53.7) | 0 (0~3.4) | <0.01** |
There were no significant differences of the proportion of global glomerulosclerosis (GGS) (p=0.08). Segmental glomerulosclerosis (SGS) was significantly more pronounced in PA than EH (p<0.01). SGS was rare in EH. SGS/GGS ratio was also significantly higher in PA than in EH (p<0.01). Glomerular size† was more pronounced in PA than EH (p<0.01). Interstitial fibrosis and the number of infiltrating inflammatory cells were significantly more pronounced in PA than EH kidney (p<0.01, p=0.05, respectively). Luminal stenosis tended to be more marked in PA than in EH but the difference did not reach statistical significance (p=0.08). IMR was significantly lower in PA than EH (p=0.02). Hy including all arterioles was significantly higher in PA than EH (p<0.01). Hy-af was significantly lower (p=0.03) and Hy-ef was higher in PA than EH (p<0.01). 11βHSD1 H-score was significantly higher in EH (p=0.03). 11βHSD2 H-score and 11βHSD2/11βHSD1 ratio were significantly higher in PA than EH (11βHSD2 H-score, p<0.01: 11βHSD2/11βHSD1 ratio, p<0.01). Renin immunoreactivity was significantly higher in EH than PA (p<0.01). MR nuclear immunoreactivity in tubular epithelium was significantly more abundant in PA than EH (p< 0.01). †Glomerular size was demonstrated after counting the greatest dimension of 2683 and 3463 glomeruli in renal tissues of PA and EH, respectively. GGS; global glomerulosclerosis, SGS; segmental glomerulosclerosis, IMR; intima-to-media ratio, Hy; arteriolar hyalinization, 11βHSD; 11-beta hydroxysteroid dehydrogenase, MR; mineralocorticoid receptor. (the Mann-Whitney U test)
Median (range)
p<0.05
p<0.01