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Immunolabelling Myofiber Degeneration in Muscle Biopsies
Published on: December 5, 2019
DNA-fragmentation and apoptosis-related proteins of muscle cells in motor neuron disorders
D S Tews1, H H Goebel, H M Meinck
1Division of Neuropathology, Johannes-Gutenberg-University Medical Center, Mainz, Germany.
Abstract:
Apoptosis has been described as one of the mechanisms of muscle fiber loss in infantile spinal muscular atrophy. In order to investigate if muscle fiber-apoptosis plays a role in other denervating disorders as well, we studied DNA-fragmentation, a hallmark of apoptosis, by the TUNEL-method and, moreover, the expression patterns of apoptosis-related proteins in 2 patients suffering from ALS and in 6 patients with polyneuropathy. We identified DNA-cleavage in muscle fibers of all these patients. Furthermore, we found strong expression of bax and ICE promoting apoptosis in muscle fibers. However, also strong expression of the anti-apoptotic factor bcl-2 was found. Our findings indicate that defective innervation may prompt muscle fibers to activate an intrinsic "suicide" programme which is promoted by the proapoptotic factors bax and ICE, which seems to induce formation of apoptotic bodies by cleavage of actin. Nevertheless, there are also anti-apoptotic strategies in muscle fibers manifested by expression of the bax-antagonist bcl-2 which is able to neutralize high bax levels.
Insights
Muscle fibers in denervating disorders like ALS and polyneuropathy undergo apoptosis, a programmed cell death. This process involves pro-apoptotic factors (Bax, ICE) and anti-apoptotic factors (Bcl-2).
Area of Science:
- Muscle biology
- Cellular apoptosis
- Neurodegenerative diseases
Background:
- Apoptosis (programmed cell death) is a known cause of muscle fiber loss in infantile spinal muscular atrophy.
- The role of muscle fiber apoptosis in other denervating disorders remains less understood.
Purpose of the Study:
- To investigate the involvement of muscle fiber apoptosis in Amyotrophic Lateral Sclerosis (ALS) and polyneuropathy.
- To analyze DNA fragmentation and apoptosis-related protein expression in muscle fibers of patients with these conditions.
Main Methods:
- Utilized the TUNEL assay to detect DNA fragmentation, a key indicator of apoptosis.
- Examined the expression patterns of apoptosis-related proteins, including Bax, ICE, and Bcl-2, in muscle fibers.
Main Results:
- Identified DNA cleavage in muscle fibers of all studied patients with ALS and polyneuropathy.
- Observed strong expression of pro-apoptotic factors (Bax, ICE) and the anti-apoptotic factor (Bcl-2) in muscle fibers.
- Evidence suggests actin cleavage, potentially forming apoptotic bodies.
Conclusions:
- Defective innervation in ALS and polyneuropathy may trigger an intrinsic muscle fiber "suicide" program.
- Pro-apoptotic factors (Bax, ICE) promote apoptosis, while anti-apoptotic factor (Bcl-2) counteracts these effects.
- Muscle fibers exhibit a complex interplay of pro- and anti-apoptotic mechanisms in response to denervation.
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