Scanning electron microscopy of acellular glomeruli in human glomerulonephritis: application of a technique

Scanning electron microscopy (SEM) has been employed in studies of human and experimental glomerulonephritis (GN), a major contribution being the elucidation of podocyte morphology and the process of podocyte foot process retraction in proteinuric conditions. Application of SEM in GN has been limited however by an emphasis on cell surface alterations while the site of major disease processes, the glomerular basement membrane, has remained hidden from view. A previously reported technique for the preparation of acellular glomeruli from fresh tissue has been adapted for use on frozen human renal biopsies. One case of minimal change disease (MCD) and one case of membranous glomerulonephritis (MGN) have been studied. The acellular glomerular basement membrane of MCD has a lightly textured or granular surface whereas in MGN a striking reticular network of basement membrane has formed perpendicular to the native basement membrane. The immune complexes have been removed. This technique provides a graphic visualization of GBM alterations occurring in glomerulonephritis and is applicable to the study of human as well as experimental model of glomerulonephritis.