Document Detail

Electron microscopy in neuromuscular disorders.
MedLine Citation:
PMID:  16316944     Owner:  NLM     Status:  MEDLINE    
Electron microscopy has a strategic position in the diagnosis of neuromuscular disorders. In muscular fibers, the main abnormalities include vacuoles, inclusion bodies, and myofibrillar disorganization with or without abnormal inclusion material. Vacuolar changes include lipidic and glycogenic storage vacuoles, rimmed vacuoles, and lysosomal and autophagic vacuoles. Accumulation of abnormal inclusion material is found in nemaline myopathy, actinopathies, and hyaline body myopathy. Myofibrillar disorganization involves cores, multiminicores, and myosin chain depletion. Myofibrillar myopathies associate a pathologic pattern of myofibrillar dissolution and ectopic protein expression. They can be divided into two groups: myofibrillar myopathies with multiple expression proteins and myofibrillar myopathies with desmin and alphaB-crystallin expression only. In these two conditions, electron microscopy shows accumulation of a granulofilamentous material immunoreactive for desmin. At least three genes are implicated: desmin, alphaB-crystallin, and myotilin. Lastly, electron microscopy serves to identify changes, pathogenic or not, which are not shown up by light microscopy. Moreover, electron microscopy gives insight on pathophysiological mechanisms and can guide molecular genetics analysis.
Carla Fernandez; Dominique Figarella-Branger; David Meyronet; Elisabeth Cassote; Soutsakhone Tong; Jean-Fran?ois Pellissier
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Ultrastructural pathology     Volume:  29     ISSN:  0191-3123     ISO Abbreviation:  Ultrastruct Pathol     Publication Date:    2005 Nov-Dec
Date Detail:
Created Date:  2005-11-30     Completed Date:  2006-03-14     Revised Date:  2009-06-26    
Medline Journal Info:
Nlm Unique ID:  8002867     Medline TA:  Ultrastruct Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  437-50     Citation Subset:  IM    
Department of Pathology and Neuropathology, H?pital de la Timone, Marseille, France.
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MeSH Terms
Inclusion Bodies / ultrastructure
Microscopy, Electron, Transmission
Muscles / ultrastructure*
Neuromuscular Diseases / pathology*

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