Trophic functions of the neuron. IV. Clinical disorders of trophic function: muscular dystrophy? Are the muscular dystrophies neurogenic?

Motor unit number index (MUNIX) in myopathic disorders: Clinical correlations and potential pitfalls

Our aim was to study motor unit number index (MUNIX) in myopathic disorders. We studied 11 patients with myopathy, and healthy controls. We obtained MUNIX, compound muscle action potential (CMAP), motor unit size index (MUSIX) and alpha (α, power exponent from MUNIX equation) measurements from three different muscles. MUNIX and CMAP were significantly lower in one muscle. This MUNIX decrease may not be related to motor neuron loss, but rather to muscle fiber atrophy. MUSIX and α did not change and may be useful in determining whether the MUNIX decrease is indeed due to motor unit loss.

Neural misdirection in congenital ocular fibrosis syndrome: implications and pathogenesis

A child with congenital ocular fibrosis syndrome and oculocutaneous albinism displayed two distinct neural misdirection syndromes: synergistic divergence and Marcus Gunn jaw winking. This and other reported cases of misdirected innervation in patients with congenital fibrosis syndrome suggest that normal neuronal connections fail to become established early in development and that lack of innervation may underlie the pathologic features of the disorder. The prevailing concept of congenital fibrosis syndrome as a primary myopathy should be reconsidered.

Sciatic nerve protein composition in normal and dystrophic C57BL/6J mice

Proteins were extracted from homogenized sciatic nerves of normal C57BL/6J and dystrophic C57BL/6J dy2J/dy2J mice and were separated on SDS-polyacrylamide slab gel electrophoresis. Proteins visualized on Coomassie blue-stained gels were resolved into 43 bands. These were quantitated by densitometric scanning and continuous plotting of OD 595, then heights and areas of individual peaks were measured. The relative proportions of 5 proteins of intermediate molecular weight (37-92 kDa) were greater in dystrophic than normal nerves. These augmented proteins were not related to myelin or nuclear histone proteins.

Emery-Dreifuss muscular dystrophy

A man had weakness of humeroperoneal distribution associated with limited range of motion of the cervical spine and elbows. At age 25 he developed permanent atrial paralysis, and a cardiac pacemaker was inserted. Although this case was sporadic, most others have been transmitted as an X-linked recessive trait. Mixed patterns in electromyography and muscle histology have caused nosological confusion, but the unique clinical signs seem to define a distinct form of muscular dystrophy, warranting the designation "emery-Dreifuss" type.

Energy coupling in liver mitochondria from dystrophic mice: differential sensitivity of oxidative phosphorylation and Ca2+ uptake to K+

Studies were carried out to examine oxidative phosphorylation, cation uptake, and electrokinetic properties of liver mitochondria from genetically dystrophic mice in comparison with those from livers of littermate controls. While no differences were seen with respect to the rates of substrate oxidation, ADP/oxygen ratio, and RCl and cytochrome content, the mitochondria from the dystropic group were characterized by an elevated basal ATPase activity in the presence of NaCl. Additionally, these mitochondria were highly sensitive to high concentrations of exogenously added K+ that, besides stimulating state 4 respiration, caused uncoupling in the mitochondria. These mitochondria accumulated Ca2+ at a higher rate, and unlike the controls, Ca2+ uptake was not sensitive to exogenously added K+. It was also observed that the net negative charge on mitochondria decreased significantly in the dystrophic state. It is thus apparent that muscular dystrophy manifests itself also in terms of alteration in the membrane properties of liver mitochondria.

[Neuromuscular interactions--tendencies toward a biochemical-genetic analysis]

The analysis of hereditary neuro-muscular diseases in the mouse and in other vertebrates may contribute to our understanding of the developmental interactions between spinal cord and sceletal muscle. Meaningful biochemical analysis must be preceded by "biological mixing experiments" to demonstrate whether a given mutation is cell-autonomous, and, if so, which cell type caries the primary defect. Techniques are available to carry out the critical experiment in vivo (artificial chimaeras) or in culture.

Incidence of acetylcholinesterase in the sarcoplasm of human and chicken muscles

Fifty-nine biopsies of human muscle, 53 of them abnormal, 6 normal, were studied for the histochemical localization of acetylcholinesterase (AChE) using frozen sections and light microscopy. In addition to AChE which was found at the myoneural and myotendon junction, specific staining was found around the periphery of many fibers from normal and abnormal muscles. Moreover, AChE activity was found to be high in the sarcoplasm of more than 10% of the fibers from 28 biopsies of abnormal muscle including cases of hemiplegia, spinal cord injury, denervation and neuropathy, infantile spinal muscle atrophy, Duchenne, limb-girdle and facioscapulohumeral dystrophies, Schwartz-Jampel syndrome and a myasthenic syndrome. Of the muscles from experimental animals examined, only the Rhesus monkey exhibited AChE around the periphery of the fibers, and only the dystrophic chicken and not the dystrophic mouse or hamster, showed extensive sarcoplasmic AChE. Histograms of muscle fiber diameters indicated that AChE in the sarcoplasm was associated with fibers of all sizes, depending on the nature of the disorder examined. Fibers containing AChE were smaller than unstained fibers in dystrophic chicken muscle. The results suggest that in the human, sarcoplasmic AChE is reversibly repressed during muscle maturation and that its mode of regulation by motor neurons is similar to that found in the chicken.

Growth of diseased human muscle in combined cultures with normal mouse embryonic spinal cord

Normal and diseased human muscle cells have been grown in combined cultures with 12-14 day embryonic mouse spinal cord explants. Nerve endings on myotubes were found by light and scanning electron microscopy, and motor end-plates were identified by a histochemical reaction for acetylcholinesterase. Contracting myotubes, never observed in cultures of human muscle alone, were found in a culture from normal muscle. Histochemical studies demonstrated the presence of strongly and weakly reacting myotubes for both ATPase pH 9.4 and NADH-TR, but could not be related to the development of fibre types. No differences in morphology or histochemical reactions were found between normal and diseased muscle cells in these combined cultures.

Myogenic defect in acetylcholinesterase regulation in muscular dystrophy of the chicken

To determine whether inherited muscular dystrophy of the chicken is neurogenic or myogenic in origin, limb buds from homozygous normal and dystrophic chick embryos were exchanged prior to muscle differentiation and innervation. Biceps muscles of hatched chicks, in which muscle of the donor was innervated by nerves of the host, were analyzed for embryonic properties of muscle acetylcholinesterase and for fiber diameter, two distinctive markers for expression of the dystrophic gene. The results indicate that muscular dystrophy of the chicken is caused by an initial biochemical lesion in the limb and its muscle rather than in its innervating nerve.