Losavio A, Muchnik S, Panizza M, Sica R E, Jauregui W O
Medicina (B Aires). 1989;49(1):7-13.
Neuromuscular transmission, muscle electrical activity and muscle mechanical properties have been studied in mice after the intraperitoneal transference of sera from myasthenic patients. Measurements of mepp's amplitude appear to be a suitable method for myasthenia gravis diagnosis since a high percentage of the sera from these patients caused a decrease in mepp's amplitude. The increase of the premenstrum weakness in myasthenic patients did not appear to be associated with greater fall of mepp's amplitude, since serum obtained in the premenstruum and far from it produced similar results. Myasthenic serum did not modify the electrical properties of innervated muscle sarcolemma. The resting membrane potential and the action potential parameters remained unchanged. However, tetrodotoxin resistant-action potentials of denervated muscles was reduced by myasthenic serum, possibly in association with receptor endocytosis process induced by the immunoglobulin. Muscle mechanical properties did not show alterations, even in the presence of positive titer of anti-striated muscle antibody.
在将重症肌无力患者的血清经腹腔注射转移至小鼠体内后,对其神经肌肉传递、肌肉电活动和肌肉力学特性进行了研究。微小终板电位(mepp)幅度的测量似乎是重症肌无力诊断的一种合适方法,因为这些患者中高比例的血清会导致mepp幅度降低。重症肌无力患者经前期肌无力的加重似乎与mepp幅度的更大下降无关,因为在经前期及远离经前期获取的血清产生了相似的结果。重症肌无力血清并未改变受神经支配的肌细胞膜的电特性。静息膜电位和动作电位参数保持不变。然而,重症肌无力血清使去神经肌肉的河豚毒素抗性动作电位降低,这可能与免疫球蛋白诱导的受体胞吞作用过程有关。即使存在抗横纹肌抗体阳性滴度,肌肉力学特性也未显示出改变。