IMMUNOREACTIVITY OF PLATELET-DERIVED GROWTH FACTOR AND ITS ALPHA-RECEPTOR IN BIOPSIES MUSCLES OF PROGRESSIVE MUSCULAR DYSTROPHIES

Zhao Yajuan1,Haginoya K2,Linuma K2

1.Department of Pediatrics,Second Clinical College of China Medical University

2.Department of Pediatrics,Tohoku University School of Medicine, Sendai, Japan

 

Objective: Many growth factors contribute to the regeneration of muscle fibers in progressive muscular hypothesis that activation of the Platelet-derived growth factor (PDGF)-A and its alpha-receptor pathway is not reported. Immunohistochemical examination of progressive muscular dystrophy and controlling muscle biopsies were performed to investigate the presence of PDGF-A and its alpha-receptor in progressive muscular dystrophy muscle.

Methods: Polyclonal antibody against human PDGF-A and polyclonal antibody against human PDGF alpha-receptor were from Santa Cruz Biotechnology.Immunocalizayed with A.B.C. method and immunofloresent assay. In control experiments anti-PDGF-A and its alpha-receptor were replaced with nonimmune normal rabbit IgG.Immunoabsortion test was done with PDGF-A peptide.For the purpese of deteceing Nuromuscular Jaction and regenerative muscle fibers,double staning was perfomed alpha-bungarotoxin and anti-desmin monobody IgG.

Materials: biceps muscle of arm biopsy specimens of 31 patients suffering from progressive muscular dystrophy 6 FCMD, 3 nFCMD with positive of merosin, 7 DMD, 1 BMD, 5 mitochondria myopathy, 2 congenital minproressive myopathy, 1 neuropathy, 2 wardnig-hoffmann, 4 myositis. Confirmed by clinical examination as well as routine histological, immunohistological and microscopic preparations were studies. 13 patients without clinical and histological evidence of a neuromuscular disorder served as normal controls.

Results:1 The skeletal muscle section showed positive immunoreactivity to PDGF-A in the small fibers of FCMD ,nFCMD and DMD .Strong expression of PDGF-A in small fibers of FCMD and nFCMD than DMD by using A.B.C. method. Lightly positive immunoreactivity to PDGF-A was observed in the muscle sections of another myopathy .In addition, weakly positive immunoreactivity to PDGF-A was seen in capillary smooth muscle cells surrounding blood vessels. Areas of intense immunoreactivity to desmin were again observed strong expression of PDGF-A in FCMD and nFCMD by using double staining, there areas were whole small fibers with regenerate fibers. 2.The muscle cell membranes of DMD, FCMD,n FCMD were revealed to have PDGF-alpha receptor antigen: Parts of perimysium and endomysium were also stained. Cytoplasm of small diameter fibers including regenerative fibers was stained moderately. Neuromuscular junction, vascular vessels of muscles and smaller muscles of great vessels were stained too.

Conclusion: PDGF were strongly discovered in progressive muscular dystrophies especially in FCMD and nFCMD.  Furthermore, PDGF alpha receptor exist in muscular membrane and interstotia .We conclude that there is a close relutior between PDGF and tissue changes of muscular regeneration and fibrosis in progressive muscular dystrophy and PDGF alpha receptor may play a physi                                                                                                                            ological role in neuromuscular  junctio.

 
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