INTRANUCLEAR RODS IN SEVERE CONGENITAL NEMALINE MYOPATHY

被引:33
作者
RIFAI, Z [1 ]
KAZEE, AM [1 ]
KAMP, C [1 ]
GRIGGS, RC [1 ]
机构
[1] UNIV ROCHESTER,MED CTR,DEPT PATHOL,ROCHESTER,NY 14642
关键词
D O I
10.1212/WNL.43.11.2372
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We compared the muscle pathology and clinical course in eight patients with congenital nemaline myopathy. An abundance of large intranuclear rods was present in the muscle fibers of one patient with a rapid, fatal course. Intranuclear rods were not present in the muscles of seven patients with a benign course. The large intranuclear rods and the smaller sarcoplasmic rods were similar ultrastructurally and exhibited positive immunoperoxidase staining with anti-alpha-actinin antibodies. The accumulation of alpha-actinin within myonuclei may reflect a severe disturbance of normal intracellular processes regulating myofibrillar synthesis. Since two previously reported infants with intranuclear nemaline rods also had a fatal outcome, the presence of intranuclear rods may represent a marker for a severe form of congenital nemaline myopathy.
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页码:2372 / 2377
页数:6
相关论文
共 33 条
[1]   INVESTIGATIONS ON INHERITANCE OF NEMALINE MYOPATHY [J].
ARTS, WF ;
BETHLEM, J ;
DINGEMANS, KP ;
ERIKSSON, AW .
ARCHIVES OF NEUROLOGY, 1978, 35 (02) :72-77
[2]  
BROWNELL AKW, 1978, NEUROLOGY, V28, P1306, DOI 10.1212/WNL.28.12.1306
[3]   NEMALINE MYOPATHY - A REPORT OF 2 SIBLINGS AS EVIDENCE OF AUTOSOMAL RECESSIVE INHERITANCE OF THE INFANTILE TYPE [J].
CARTWRIGHT, JD ;
CASTLE, DJ ;
DUFFIELD, MG ;
REEF, I .
POSTGRADUATE MEDICAL JOURNAL, 1990, 66 (781) :962-964
[4]   CONGENITAL ROD DISEASE - FURTHER EVIDENCE OF INNERVATIONAL ABNORMALITIES AS BASIS FOR CLINICOPATHOLOGIC FEATURES [J].
DAHL, DS ;
KLUTZOW, FW .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 1974, 23 (03) :371-385
[5]   SUB-ACUTE SKELETAL MYOPATHY INDUCED BY 2,4-DICHLOROPHENOXYACETATE IN RATS AND GUINEA-PIGS [J].
DANON, JM ;
KARPATI, G ;
CARPENTER, S .
MUSCLE & NERVE, 1978, 1 (02) :89-102
[6]  
ENGEL AG, 1966, MAYO CLIN PROC, V41, P713
[7]   ABUNDANT NUCLEAR RODS IN ADULT-ONSET ROD DISEASE [J].
ENGEL, WK ;
OBERC, MA .
JOURNAL OF NEUROPATHOLOGY AND EXPERIMENTAL NEUROLOGY, 1975, 34 (02) :119-132
[8]   NEMALINE MYOPATHY - SECOND CASE [J].
ENGEL, WK ;
WANKO, T ;
FENICHEL, GM .
ARCHIVES OF NEUROLOGY, 1964, 11 (01) :22-&
[9]   A CASE OF NEMALINE MYOPATHY WITH OPHTHALMOPLEGIA AND MITOCHONDRIAL ABNORMALITIES [J].
FUKUNAGA, H ;
OSAME, M ;
IGATA, A .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 1980, 46 (02) :169-177
[10]  
GILLIES C, 1979, ARCH PATHOL LAB MED, V103, P1