PRE- AND POSTSYNAPTIC NEUROMUSCULAR JUNCTION ABNORMALITIES IN MuSK MYASTHENIA

Erik H. Niks*, Jan B. M. Kuks, John H. J. Wokke, Henk Veldman, Egbert Bakker, Jan J. G. M. Verschuuren, Jaap J. Plomp

*Corresponding author voor dit werk

    OnderzoeksoutputAcademicpeer review

    55 Citaten (Scopus)

    Samenvatting

    Autoantibodies to muscle-specific kinase (MuSK) can cause myasthenia gravis (MG). The pathophysiological mechanism remains unknown. We report in vitro electrophysiological and histological studies of the neuromuscular junction in a MuSK MG patient. Low levels of presynaptic acetylcholine release and small miniature endplate potentials were found. This combination of pre- and postsynaptic abnormalities was supported by histology, revealing partially denervated postsynaptic areas, and some degeneration of postsynaptic folds. Results suggest that anti-MuSK antibodies reduce the stability of muscle nerve contact. Muscle Nerve 42:283-288, 2010

    Originele taal-2English
    Pagina's (van-tot)283-288
    Aantal pagina's6
    TijdschriftMUSCLE & NERVE
    Volume42
    Nummer van het tijdschrift2
    DOI's
    StatusPublished - aug.-2010

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