Stoward P J, Al-Azzawi H T, Christie K N
Acta Univ Carol Med Monogr. 1977(77 Pt 1):37-48.
In hamsters, the specific activities of acid phosphatase and beta-glucuronidase are much greater in homogenates of dystrophic muscle than in homogenates of normal muscle because, it is argued in this paper, dystrophic muscles concentrate such enzymes within themselves, in contrast to normal muscles which do not, or only very little. Both enzymes are first apparent histochemically (using the appropriate naphthol AS-BI substrates) in the atrophic type I fibres of, for example, 3--4 weeks-old dystrophic hamsters, at which age type II fibres (in the Johnson & Pearse nomenclature) contain neither enzyme and a myopathy is undetectable by standard clinical criteria. We have been unable to find out where the enzymes originate from, or in or on which organelle in dystrophic muscle they are localised; the histochemical, organelle fractionation, isoelectric focussing and electron microscopic evidence on these points is conflicting. On balance it seems that the acid hydrolases are synthesised by the dystrophic muscle fibres themselves, rather than being derived from discharged macrophage granules as is more commonly believed. But whatever their origin, a histochemical test for acid hydrolases should be useful, it is concluded, for diagnosing the preclinical phase of myopathies in children.
在仓鼠中,营养不良性肌肉匀浆中酸性磷酸酶和β-葡萄糖醛酸酶的比活性远高于正常肌肉匀浆。本文认为,与正常肌肉不同(正常肌肉不会或仅很少量地浓缩此类酶),营养不良性肌肉会在自身内部浓缩这些酶。例如,在3 - 4周龄的营养不良性仓鼠的萎缩I型纤维中,首次通过组织化学方法(使用合适的萘酚AS - BI底物)观察到这两种酶,在这个年龄段,II型纤维(按照约翰逊和皮尔斯的命名法)不含这两种酶,并且按照标准临床标准无法检测到肌病。我们一直无法查明这些酶的来源,以及它们在营养不良性肌肉的哪个细胞器内或细胞器上定位;关于这些点的组织化学、细胞器分级分离、等电聚焦和电子显微镜证据相互矛盾。总的来说,酸性水解酶似乎是由营养不良性肌纤维自身合成的,而不是像更普遍认为的那样来源于释放的巨噬细胞颗粒。但无论其来源如何,本文得出结论,酸性水解酶的组织化学检测对于诊断儿童肌病的临床前期应该是有用的。