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Nucleolar characteristics of reducing bodies in reducing body myopathy
Akiyo Shinde1, Satoshi Nakano, Hirofumi Kusaka
1Department of Neurology, Kansai Medical University, 570-8507 Moriguchi-city, Japan.
Abstract:
Reducing body myopathy is a rare muscle disease defined by abnormal inclusions in affected muscle fibers that can be stained with menadione-nitroblue tetrazolium. The origin of these inclusions has not been determined. Here we show that reducing bodies bear characteristics of nucleoli. Ultrastructurally, muscle biopsy specimens of a patient with adult-onset reducing body myopathy showed granular structures of reducing bodies with features similar to the granules of nucleoli, which consisted of pre-ribosomes. In addition, reducing bodies were positive for histochemistry of argyrophilic nucleolar organizer regions (a method for detecting the areas where ribosomal RNA is actively transcribed in the nucleolus), and for antibodies against nucleoli and nuclear ribonucleoprotein. The current findings suggest that reducing bodies contain pre-ribosomes and their associated proteins of the nucleolus and that formation of reducing bodies may result from defects of processing and assembly of ribosomes.
Insights
Reducing body myopathy involves muscle fiber inclusions. These inclusions are identified as nucleoli containing pre-ribosomes, suggesting ribosome processing defects in this rare muscle disease.
Area of Science:
- Muscle pathology
- Cell biology
- Rare diseases
Background:
- Reducing body myopathy is a rare neuromuscular disorder.
- Characterized by abnormal inclusions in muscle fibers, stained by menadione-nitroblue tetrazolium.
- The origin of these inclusions remains unknown.
Observation:
- Microscopic examination of muscle biopsies from patients revealed that reducing bodies possess granular structures resembling nucleoli.
- These structures were found to be positive for markers associated with nucleoli, including argyrophilic nucleolar organizer regions and antibodies against nucleolar components.
Findings:
- The study demonstrates that reducing bodies contain pre-ribosomes and associated nucleolar proteins.
- This indicates a strong link between reducing body formation and the cellular machinery responsible for ribosome synthesis.
Implications:
- The findings suggest that reducing body myopathy may arise from errors in ribosome processing and assembly within the nucleolus.
- This provides a novel perspective on the pathogenesis of reducing body myopathy, potentially opening new avenues for diagnostic and therapeutic strategies.
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