Differential Changes in Type I And Type Ii Muscle Fibres in Rheumatoid Arthritis: A Biopsy Study

Autor: L. Edström, Rolf Nordemar
Rok vydání: 1974
Předmět:
Zdroj: Scandinavian Journal of Rheumatology. 3:155-160
ISSN: 1502-7732
0300-9742
DOI: 10.3109/03009747409097142
Popis: Thirteen patients with classical or definite rheumatoid arthritis (RA) have been investigated by the application of a battery of histochemical staining methods on muscle biopsy material, viz. myofibrillar ATPase, modified ATPase method with acid preincubation, phosphorylase, glycogen (PAS), succinic dehydrogenase, NADH2tetrazolium reductase, fat (sudan black B). Hematoxylin-eosin stain and a modified trichrome method were also used. Based on their stainability for myofibrillar ATPase the muscle fibres are classified as type I (lightly stained) and type II (darkly stained). A preferential atrophy of type II fibres is evident. A segmental degeneration of fibres accompanied by a segmental loss of enzyme activity is found in both types of fibre. It is emphasized that the type II atrophy must be the result of a more complex mechanism than simple “disuse”. One of the cases exhibits a pronounced change in the localisation of enzymes and substrates in atrophic as well as normal-sized fibres. A reversal of normal ...
Databáze: OpenAIRE