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Updated: Jun 26, 2026

Dissection of Single Skeletal Muscle Fibers for Immunofluorescent and Morphometric Analyses of Whole-Mount Neuromuscular Junctions
Published on: August 14, 2021
Differential involvement of sarcomeric proteins in myofibrillar myopathies: a morphological and immunohistochemical
Kristl G Claeys1, Peter F M van der Ven, Anthony Behin
1Institut de Myologie, Groupe Hospitalier Pitié-Salpêtrière, Paris, France. k.claeys@institut-myologie.org
Abstract:
Myofibrillar myopathies (MFMs) are rare inherited or sporadic progressive neuromuscular disorders with considerable clinical and genetic heterogeneity. In the current study, we have analyzed histopathological and immunohistochemical characteristics in genetically identified MFMs. We performed a morphological and morphometrical study in a cohort of 24 genetically identified MFM patients (12 desmin, 6 alphaB-crystallin, 4 ZASP, 2 myotilin), and an extensive immunohistochemical study in 15 of these patients, using both well-known and novel antibodies directed against distinct compartments of the muscle fibers, including Z-disc and M-band proteins. Our morphological data revealed some significant differences between the distinct MFM subgroups: the consistent presence of 'rubbed-out' fibers in desminopathies and alphaB-crystallinopathies, an elevated frequency of vacuoles in ZASPopathies and myotilinopathies, and the presence of a few necrotic fibers in the two myotilinopathy patients. Immunohistochemistry showed that in MFM only a subset of Z-disc proteins, such as filamin C and its ligands myotilin and Xin, exhibited significant alterations in their localization, whereas other Z-disc proteins like alpha-actinin, myopodin and tritopodin, did not. In contrast, M-band proteins revealed no abnormalities in MFM. We conclude that the presence of 'rubbed-out' fibers are a suggestive feature for desminopathy or alphaB-crystallinopathy, and that MFM is not a general disease of the myofibril, but primarily affects a subgroup of stress-responsive Z-disc proteins.
Insights
Myofibrillar myopathies (MFMs) primarily affect specific Z-disc proteins, not the entire myofibril. Distinct fiber changes like "rubbed-out" fibers suggest desmin or alphaB-crystallin involvement in these rare neuromuscular disorders.
Area of Science:
- Neuromuscular Disorders
- Muscle Biology
- Genetic Diseases
Background:
- Myofibrillar myopathies (MFMs) are a heterogeneous group of progressive neuromuscular disorders.
- Understanding the specific protein defects in MFMs is crucial for diagnosis and treatment.
- Genetic and histopathological variability complicates MFM classification.
Purpose of the Study:
- To analyze histopathological and immunohistochemical features in genetically identified MFM patients.
- To differentiate MFM subgroups based on morphological and protein localization data.
- To identify specific protein alterations underlying different MFM types.
Main Methods:
- Morphological and morphometrical analysis of muscle biopsies from 24 MFM patients.
- Immunohistochemical study using antibodies against Z-disc and M-band proteins.
- Genetic identification of patients with desmin, alphaB-crystallin, ZASP, and myotilin mutations.
Main Results:
- 'Rubbed-out' fibers were characteristic of desminopathies and alphaB-crystallinopathies.
- Vacuoles were frequent in ZASPopathies and myotilinopathies; necrosis seen in myotilinopathy.
- Altered localization of specific Z-disc proteins (filamin C, myotilin, Xin) observed, while M-band proteins remained normal.
Conclusions:
- 'Rubbed-out' fibers are a potential diagnostic marker for desminopathy or alphaB-crystallinopathy.
- MFM pathogenesis involves specific stress-responsive Z-disc proteins, not a general myofibrillar defect.
- Histopathological findings correlate with genetic subtypes, aiding in MFM characterization.
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