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Oxides and apoptosis in inflammatory myopathies
1Department of Neurology, Universitätsklinikum Benjamin Franklin, Free University Berlin, D-12200 Berlin, Germany.
Reactive oxygen intermediates and nitric oxide are abundant in inflammatory myopathies but their pathogenic role is unclear. Cell-protective effects and Bcl-2 upregulation suggest caution with antioxidant therapies.
Area of Science:
- Muscle Inflammation
- Autoimmune Diseases
- Cellular Pathology
Background:
- Reactive oxygen intermediates (ROI) and nitric oxide (NO) are elevated in polymyositis (PM), dermatomyositis (DM), and inclusion body myositis (IBM).
- The precise role of ROI and NO in the pathogenesis of these autoimmune muscle diseases remains undetermined.
- Unlike demyelinating neuropathies, evidence for oxide-induced apoptosis in inflammatory myopathies is lacking.
Purpose of the Study:
- To investigate the role of reactive oxygen intermediates and nitric oxide in the pathogenesis of inflammatory myopathies.
- To explore the potential protective effects of nitric oxide at low concentrations.
- To identify mechanisms of apoptosis resistance in affected cells.
Main Methods:
- Analysis of reactive oxygen intermediate and nitric oxide production in inflammatory myopathies.
- Assessment of apoptosis in myocytes and inflammatory cells.
- Evaluation of anti-apoptotic protein expression, such as Bcl-2.
Main Results:
- No clear evidence for oxide-induced apoptosis in myocytes or inflammatory cells in PM, DM, and IBM.
- Low concentrations of nitric oxide may exert cell-protective effects.
- Upregulation of anti-apoptotic proteins like Bcl-2 appears to be a key survival mechanism.
Conclusions:
- The pathogenic role of reactive oxygen intermediates and nitric oxide in inflammatory myopathies requires further elucidation.
- Antioxidative and anti-apoptotic therapies should be used cautiously until the specific roles of oxides and apoptosis are resolved in individual cases.
- Bcl-2 upregulation is a significant factor in protecting myocytes and inflammatory cells from apoptosis.
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