IMMUNOSTAINING OF DYSTROPHIN AND UTROPHIN IN SKELETAL-MUSCLE OF DYSTROPHINOPATHIES

IMMUNOSTAINING OF DYSTROPHIN AND UTROPHIN IN SKELETAL-MUSCLE OF DYSTROPHINOPATHIES
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DOI:
10.2169/internalmedicine.33.277
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发表时间:
1994-05-01
期刊:
影响因子:
1.2
通讯作者:
SUGITA, H
SUGITA, H
中科院分区:
医学4区
文献类型:
--
作者:
SAHASHI, K;IBI, T;SUGITA, H

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采用抗肌营养不良蛋白(dystrophin)和肌营养不良蛋白(utrophin)单克隆抗体对4例Duchenne (DMD)、12例Becker muscular dystrophy (BMD)和3例DMD携带者活检骨骼肌进行免疫染色。在DMD中,除了对每种抗体显示不同染色模式的反向纤维外,其余均为肌营养不良蛋白阴性染色。在7个bmd中,在45-52外显子缺失的情况下存在微弱/斑片状染色,而在1例12-17外显子缺失的情况下,未发现与缺失位点相关的染色。此外,在2例无法检测到的缺失中,识别c端结构域末端部分的抗体显示缺失染色。在DMD中,肌营养蛋白阳性纤维与肌营养蛋白阴性纤维相对应。在骨密度中,这种关系并不一定发生在每一种纤维中。在DMD携带者中,肌营养蛋白阳性的肌营养不良蛋白阴性纤维簇突出。在肌营养不良症中,肌营养不良蛋白和肌营养不良蛋白的免疫染色是有用的,并结合肌营养不良蛋白基因分析来明确诊断。
Immunostaining of biopsied skeletal muscle of 4 Duchenne (DMD), 12 Becker muscular dystrophy (BMD) and 3 DMD carriers' was performed using monoclonal antibodies against dystrophin and utrophin. In DMD, dystrophin-negative staining was observed except for revertant fibers which showed different stain patterns for each antibody. In 7 BMDs, there was faint/patchy stain in cases of deletion between exons 45-52, while in one case there was deletion between exons 12-17 and no stain was noted relevant to the deletion site. Moreover, in 2 cases of undetectable deletion, antibodies which recognize a terminal portion of the C-terminal domain revealed the absent stain. In DMD, the utrophin-positive fibers corresponded to dystrophin-negative fibers. In BMD, this relationship did not necessarily occur in each fiber. In DMD carriers, a cluster of dystrophin-negative fibers which was positive for utrophin were prominent. In dystrophinopathy, the immunostaining of dystrophin and utrophin is useful, in combination with dystrophin gene analysis to make a definite diagnosis.