Sahashi K, Ibi T, Ling J
Fourth Department of Medicine, Institute of Medical Science of Aging, Aichi Medical University, Japan.
Rinsho Shinkeigaku. 1995 Jul;35(7):764-9.
Immunostaining of the Fas antigen using the anti-Fas IgG1 antibody was performed on biopsied human diseased muscles. The immunostaining showed negative results in the control muscles. In dystrophinopathy [DMD and BMD], positivity was seen mainly in type 2 fibers with no correlation to the opaque fibers and histochemical Ca2+ loading fibers in DMD. In DMD carriers, a relative correlation was seen between dystrophin-negative and Fas-positive fibers. In distal myopathy with rimmed vacuoles, fibers with positive staining in the vacuoles but negative in their membranes were seen at high frequency. In FSH, a very low frequency of positivity was seen. And in myotonic dystrophy, positivity was seen in the type 2 fibers containing the internal nuclei. In inflammatory myopathies, strong positivity was seen in the medium size fibers, and mild to moderate positivity in the fibers facing the perimysium. In neurogenic muscular disorders, fibers with concave borders or highly atrophic fibers showed Fas-positivity. In conclusion, there was no disease-specific Fas reaction in the human pathologic muscle samples, but the high positivity was apparent in some myopathies. This fact of Fas antigen would reflect a pathologic state in the skeletal muscle.
使用抗Fas IgG1抗体对人患病肌肉活检标本进行Fas抗原免疫染色。免疫染色在对照肌肉中显示阴性结果。在肌营养不良症(杜氏肌营养不良症和贝克型肌营养不良症)中,阳性主要见于2型纤维,与杜氏肌营养不良症中的不透明纤维和组织化学钙负荷纤维无关。在杜氏肌营养不良症携带者中,肌营养不良蛋白阴性纤维和Fas阳性纤维之间存在相对相关性。在伴有镶边空泡的远端肌病中,空泡内染色阳性但膜染色阴性的纤维高频出现。在面肩肱型肌营养不良症中,阳性频率非常低。在强直性肌营养不良症中,含内核的2型纤维出现阳性。在炎性肌病中,中等大小的纤维呈强阳性,靠近肌束膜的纤维呈轻度至中度阳性。在神经源性肌肉疾病中,边界凹陷的纤维或高度萎缩的纤维显示Fas阳性。总之,在人类病理肌肉样本中没有疾病特异性的Fas反应,但在某些肌病中高阳性很明显。Fas抗原的这一事实反映了骨骼肌的病理状态。