Clementi F, Conti-Tronconi B, Berti F, Folco G
J Neuropathol Exp Neurol. 1976 Nov-Dec;35(6):665-78. doi: 10.1097/00005072-197611000-00004.
Rabbits were immunized versus either an acetylcholinesterase- or a cholinergic receptor-rich fraction isolated from the electric organ of Torpedo marmorata. In both groups of animals we obtained a production of specific antibodies detected by immunodiffusion without cross reaction for the two antigens. Only rabbits immunized with the receptor-rich fraction developed a progressive flaccid paralysis, which affected first the leg muscles, progressively the neck muscles and eventually the respiratory muscles. The paralysis lasted in several animals up to 20 days. Eserine reversed the paralysis only in the first days but was ineffective in the "chronic" stage of the disease. In these animals high frequency stimulation of sciatic nerve induced a rapid failure of the responses of the anterior tibialis muscle while the muscle responded normally to a direct stimulation. A period of rest allowed a complete recovery of the muscle from fatigue. Tetani did not evoke the post-tetanic potentiation. Abnormalities, such as lymphocytic infiltration, fibers atrophy and necrosis, smearing and widening of Z line were sometimes present in muscles of Cho-R-immunized rabbits. In ACh-E immunized animals the neuromuscular transmission and the muscle morphology were similar to that of normal animals. Glycogen, ATP, cytochrome C oxidase, phosphorylases and acetylcholinesterase did not change significantly in the muscles of the immunized animals, while a large increase of cholineacetyltransferase activity was present. Red blood cell acetylcholinesterase showed a particularly high activity in ACh-E-immunized animals. The autoimmune paralysis induced in Cho-R-immunized rabbits may be a useful experimental model for further studies on human myasthenia gravis.
用从斑纹电鳐电器官分离出的富含乙酰胆碱酯酶或胆碱能受体的部分对兔子进行免疫。在两组动物中,我们通过免疫扩散检测到了特异性抗体的产生,两种抗原之间没有交叉反应。只有用富含受体的部分免疫的兔子出现了进行性弛缓性麻痹,首先影响腿部肌肉,逐渐影响颈部肌肉,最终影响呼吸肌。几只动物的麻痹持续了长达20天。毒扁豆碱仅在疾病的最初几天能逆转麻痹,但在疾病的“慢性”阶段无效。在这些动物中,高频刺激坐骨神经会导致胫前肌反应迅速衰竭,而肌肉对直接刺激反应正常。一段时间的休息可使肌肉从疲劳中完全恢复。强直刺激不会诱发强直后增强。在胆碱能受体免疫的兔子的肌肉中,有时会出现淋巴细胞浸润、纤维萎缩和坏死、Z线涂抹和增宽等异常情况。在乙酰胆碱酯酶免疫的动物中,神经肌肉传递和肌肉形态与正常动物相似。免疫动物肌肉中的糖原、三磷酸腺苷、细胞色素C氧化酶、磷酸化酶和乙酰胆碱酯酶没有明显变化,而胆碱乙酰转移酶活性大幅增加。红细胞乙酰胆碱酯酶在乙酰胆碱酯酶免疫的动物中表现出特别高的活性。胆碱能受体免疫的兔子中诱发的自身免疫性麻痹可能是进一步研究人类重症肌无力的有用实验模型。