Tågerud S, Libelius R, Thesleff S
Pflugers Arch. 1986 Sep;407(3):275-8. doi: 10.1007/BF00585302.
The effects of botulinum toxin (type A) induced muscle paralysis on endocytosis and lysosomal enzyme activities in skeletal muscle were compared with the effects of surgical denervation. Muscle atrophy, measured as decrease in total muscle protein content, was as large or larger after botulinum toxin treatment as after denervation. Endocytic activity, measured as the in vitro uptake of horseradish peroxidase, and the specific activities of the lysosomal enzymes N-acetyl-beta-D-glucosaminidase and cathepsin D were all increased six days after denervation. Only the specific activity of cathepsin D was increased six days after botulinum toxin poisoning. The uptake of horseradish peroxidase and the specific activity of N-acetyl-beta-D-glucosaminidase were also increased eleven days after poisoning. Transverse sections of eleven days botulinum poisoned muscles from animals injected with horseradish peroxidase showed fibres with dense peroxidase staining similar to those seen in denervated muscle although they seemed to occur less frequently. The results show that increases in endocytic activity and lysosomal enzyme activities may occur in skeletal muscle without the presence of degenerating axons. The differences in effects of surgical denervation and botulinum toxin induced paralysis are discussed in terms of what is known about the mechanism of action of botulinum toxin and the possible functional roles of the two lysosomal enzymes studied.
将A型肉毒杆菌毒素诱导的肌肉麻痹对骨骼肌内吞作用和溶酶体酶活性的影响与手术去神经支配的影响进行了比较。以总肌肉蛋白含量的降低来衡量,肉毒杆菌毒素治疗后的肌肉萎缩程度与去神经支配后的相同或更大。去神经支配6天后,以内吞活性(以体外摄取辣根过氧化物酶来衡量)以及溶酶体酶N-乙酰-β-D-氨基葡萄糖苷酶和组织蛋白酶D的比活性均增加。肉毒杆菌毒素中毒6天后,仅组织蛋白酶D的比活性增加。中毒11天后,辣根过氧化物酶的摄取和N-乙酰-β-D-氨基葡萄糖苷酶的比活性也增加。对注射了辣根过氧化物酶的动物中毒11天的肌肉进行横切,可见纤维有密集的过氧化物酶染色,类似于去神经支配肌肉中的情况,尽管其出现频率似乎较低。结果表明,在没有轴突退变的情况下,骨骼肌内吞活性和溶酶体酶活性可能会增加。根据已知的肉毒杆菌毒素作用机制以及所研究的两种溶酶体酶可能的功能作用,讨论了手术去神经支配和肉毒杆菌毒素诱导麻痹的效果差异。