Van Kempen G T, Trip S A, Molenaar P C
Department of Physiology, Leiden University Medical Center, The Netherlands.
J Neural Transm (Vienna). 1999;106(5-6):423-31. doi: 10.1007/s007020050169.
Myasthenia gravis is caused by an autoimmune attack to acetylcholine receptors of skeletal muscle. Acetylcholine release from motor nerve terminals is upregulated in patients with myasthenia gravis and also in rat "myasthenic" models, dependent on the reduction of the number of acetylcholine receptors. This study addresses the question as to whether at "myasthenic" endplates there are changes in the activity of acetylcholinesterase. To this end we studied acetylcholinesterase activity in junctional and extrajunctional regions of dilator naris, extensor digitorum longus, and hemidiaphragm muscles from rats with alpha-bungarotoxin-induced myasthenia gravis. In all studied muscles from "myasthenic" rats there was no significant change of junctional acetylcholinesterase activity. In contrast, in dilator naris and extensor digitorum longus muscles, there was a 60% and 30% increase of extrajunctional acetylcholinesterase activity. There was no significant change in the extrajunctional activity in hemidiaphragm muscles. Velocity sedimentation analysis revealed that the increase in extrajunctional activity in extensor digitorum longus muscles could be attributed to an increase of the activity of the G4 form of acetylcholinesterase. Treatment of rats with 6.4 microgh(-1) neostigmine bromide for 29 days had no influence on junctional and extrajunctional acetylcholinesterase activity of extensor digitorum longus muscles from rats with alpha-bungarotoxin-induced myasthenia gravis.
重症肌无力是由针对骨骼肌乙酰胆碱受体的自身免疫攻击引起的。在重症肌无力患者以及大鼠“肌无力”模型中,运动神经末梢乙酰胆碱的释放上调,这依赖于乙酰胆碱受体数量的减少。本研究探讨了在“肌无力”终板处乙酰胆碱酯酶的活性是否存在变化。为此,我们研究了用α-银环蛇毒素诱导的重症肌无力大鼠的鼻翼扩张肌、趾长伸肌和半膈肌的终板及终板外区域的乙酰胆碱酯酶活性。在所有研究的“肌无力”大鼠肌肉中,终板乙酰胆碱酯酶活性没有显著变化。相比之下,在鼻翼扩张肌和趾长伸肌中,终板外乙酰胆碱酯酶活性分别增加了60%和30%。半膈肌的终板外活性没有显著变化。速度沉降分析表明,趾长伸肌终板外活性的增加可归因于乙酰胆碱酯酶G4形式活性的增加。用6.4微克/小时溴新斯的明治疗大鼠29天,对α-银环蛇毒素诱导的重症肌无力大鼠趾长伸肌的终板和终板外乙酰胆碱酯酶活性没有影响。