Summary
Histological, histochemical and ultrastructural studies were performed on muscle biopsies from three siblings with congenital nemaline myopathy. Histological studies revealed type I fibre atrophy and type II fibre paucity. Ultrastructural studies of intramuscular nerves showed that the axonal diameters were very narrow compared with the width of myelin lamellae. Granular or membranous osmiophilic material occurred in the adaxonal Schwann cell cytoplasm and had a periodicity of 33–38Å. The neuromuscular junctions showed degenerative features such as glycogen granules or myelin figures in 27.1% of total terminal axons. The secondary synaptic clefts were markedly decreased in number and short in length. Myotendinous junction-like structures were found in 5.5% of the muscle fibres near the neuromuscular junctions, and often near sites of fibre-splitting. Rods in nemaline myopathy might be caused as a result of longitudinal splitting and disruption of fibres due to deficient regeneration of the muscle fibres associated with neurotrophic abnormalities.
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Cape, C. A., Johnson, W. W., Pitner, S. E.: Nemaline structures in polymyositis. A nonspecific pathological reaction of skeletal muscles. Neurology (Minneap.)20, 494–502 (1970)
Coërs, C., Telerman-Toppet, N., Gerard, J. M., Szliwowski, H., Bethlem, J., Wijngaarden, G. K. van: Changes in motor innervation and histochemical pattern of muscle fibres in some congenital myopathies. Neurology (Minneap.)26, 1046–1053 (1976)
Conen, P. E., Murphy, E. G., Donohue, W. L.: Light and electron microscopic studies of “myogranules” in a child with hypotonia and muscle weakness. Canad. med. Ass. J.89, 983–986 (1963)
Dahl, D. S., Klutzow, F. W.: Congenital rod disease. Further evidence of innervational abnormalities as the basis for the clinicopathological features. J. neurol. Sci.23, 371–385 (1974)
Dubowitz, V.: Enzyme histochemistry of skeletal muscle: II. Developing human muscle. J. Neurol. Neurosurg. Psychiat.28, 516–524 (1965)
Dubowitz, V., Brooke, M. H.: Muscle biopsy: A modern approach. London-Philadelphia-Toronto: Saunders 1970
Edgarton, V. R.: Morphology and histochemistry of the soleus muscle from normal and excised rats. Amer. J. Anat.127, 81–87 (1970)
Engel, W. K., Cunningham, G. G.: Rapid examination of muscle tissue: An improved trichrome method for fresh-frozen biopsy sections. Neurology (Minneap.)13, 919–923 (1963)
Engel, W. K., Wanko, T., Fenichel, G. M.: Nemaline myopathy. A second case. Arch. Neurol. (Chic.)11, 22–39 (1964)
Engel, W. G.: Pathological reactions of the Z disks. In: Exploratory concepts in muscular dystrophy and related disorders, pp. 398–411 (ed.) A. T. Milhorat). Amsterdam: Excerpta Medica 1967
Engel, A. G., Santa, T.: Histometric analysis of the ultrastructure of the neuromuscular junction in myasthenia gravis and in the myasthenic syndrome. Ann. N. Y. Acad. Sci.183, 46–63 (1971)
Engel, W. K., Warmolts, J. R.: The motor units. Diseases affecting it in toto or in portio. In: New developments in electromyography and clinical neurophysiology, pp. 141–177 (ed., J. E. Desmedt), Vol. 1. Basel: Karger 1973
Fukuhara, N., Tsubaki, T.: Chloroquine neuromyopathy. An electron microscopic studies on the skeletal muscle and peripheral nerve. Clin. Neurol. (Tokyo)10, 337–346 (1970)
Fukuhara, N., Takamori, M., Gutmann, L., Chou, S. M.: Eaton-Lambert syndrome. Ultrastructural study of the motor endplates. Arch. Neurol. (Chic.)27, 67–78 (1972)
Fukuhara, N.: Ultrastructural changes of the neuromuscular junction in myasthenic syndrome. Adv. Neurol. Sci. (Tokyo)20, 635–643 (1976)
Fukuhara, N., Yuasa, T., Suzuki, M., Tsubaki, T., Kushiro, S., Takasawa, N., Hoshi, M.: Ultrastructural change of the neuromuscular junction of progressive muscular dystrophy. Clin. Neurol. (Tokyo)16, 981 (1976) (Japanese)
Fukuhara, N.: Intra-axonal corpora amylacea in the peripheral nerve seen in a healthy woman. J. Neurol. Sci.34, 423–426 (1977)
Fulthorpe, J. J., Gardner-Medwin, D., Hudgson, P., Walton, J. N.: Nemaline myopathy. A histological and ultrastructural study of skeletal muscle from a case presenting with infantile hypotonia. Neurology (Minneap.)19, 735–748 (1969)
Gelber, D., Moore, D. H., Ruska, H.: Observations of the myotendon junction in mammalian skeletal muscle. Z. Zellforsch.52, 396–400 (1960)
Hall-Craggs, E. C. B.: The longitudinal division of fibres in overloaded rat skeletal muscle. J. Anat.107, 459–470 (1970)
Heffernan, L. P., Rewcastle, N. B., Humphrey, J. G.: The sprectrum of rod myopathies. Arch. Neurol. (Chic.)18, 529–542 (1968)
Isaacs, E. R., Bradley, W. G., Henderson, G.: Longitudinal fiber splitting in muscular dystrophy: A serial cinematographic study. J. Neurol. Neurosurg. Psychiat.36, 813–819 (1973)
Ishikawa, H.: The fine structure of myo-tendon junction in some mammalian skeletal muscles. Arch. Hist. Jap.25, 275–296 (1965)
Jerusalem, F., Engel, A. G., Gomez, M. R.: Duchenne dystrophy. II. Morphometric study of motor end-plate fine structure. Brain97, 123–130 (1974)
Karpati, G., Carpenter, S., Andermann, F.: A new concept of childhood nemaline myopathy. Arch. Neurol. (Chic.)24, 291–304 (1971)
Karpati, G., Carpenter, S., Eisen, A. A.: Experimental core-like lesions and nemaline rods. A correlative morphological and physiological study. Arch. Neurol. (Chic.)27, 237–251 (1972)
Kawabuchi, M., Osame, M.: Ultrastructural changes in the biopsied muscles of nemaline myopathy. J. Clin. Electron Microscopy9, 5–6 (1976)
Korényi-Both, A., Szobor, A., Lapis, K., Szathmáry, I.: Fine structural studies in myasthenia gravis. II. Lesions of the neuromuscular junction. Eur. J. Neurol.10, 311–323 (1973)
Kugelberg, E.: Adaptive transformation of rat soleus motor units during growth. Histochemistry and contraction speed. J. neurol. Sci.27, 269–289 (1976)
Mair, W. G. P., Tomé, F. M. S.: The ultrastructure of the adult and developing human myotendinous junction. Acta neuropath. (Berl.)21, 239–252 (1972)
Martin, L., Reniers, J.: Nemaline myopathy. I. Histochemical study. Acta neuropath. (Berl.)11, 282–293 (1968)
Miledi, R., Slater, C. R.: Electrophysiology and electronmicroscopy of rat neuromuscular junctions after nerve degeneration. Proc. roy. Soc. B. (Lond.)169, 289–306 (1968)
Neustein, H. B.: Nemaline myopathy. A family study with three autopsied cases. Arch. Pathol.96, 192–195 (1973)
Nienhuis, A. W., Coleman, R. F., Brown, W. J., Munsat, T. L., Pearson, C. M.: Nemaline myopathy. A histologic and histochemical study. Amer. J. clin. Path.48, 1–13 (1967)
Radu, H., Ionescu, V.: Nemaline (neuro) myopathy. Rod-like bodies and type I fibre atrophy in a case of congenital hypotonia with denervation. J neurol. Sci.17, 53–60 (1972)
Resnick, J. S., Engel, W. K., Nelson, P. G.: Changes in the Z disk of skeletal muscle induced by tenotomy. Neurology (Minneap.)18, 737–740 (1968)
Rewcastle, N. B., Humphrey, J. G.: Vacuolar myopathy. Clinical, histochemical, and microscopic study. Arch. Neurol. (Chic.)12, 570–582 (1965)
Ringel, S. P., Bender, A. N., Engel, W. K.: Extrajunctional acetylcholine receptors. Alterations in human and experimental neuromuscular diseases. Arch. Neurol. (Chic.)33, 751–758 (1976)
Robertson, W. C., Kawamura, Y., Dyck, P. J.: A morphometric study of motoneurons in congenital nemaline myopathy and in Werdnig-Hoffmann disease. Neurology (Minneap.)27, 347 (1977)
Saetersdal, Thv. S., Myklebust, R., Skagseth, E., Engedal, H.: Ultrastructural studies on the growth of filaments and sarcomeres in mechanically overloaded human hearts. Virchows Arch. Cell Path.21, 91–112 (1976)
Santa, T., Engel, A. G.: Histometric analysis of neuromuscular junction ultrastructurae in rat red, white and intermediate muscle fibers. In: New development in electromyography and clinical neurophysiology, pp. 41–54 (ed. J. E. Desmedt), Vol. 1. Basel: Karger 1973
Schmalbruch, H.: Muscle fibre splitting and regeneration in diseased human muscle. Neuropath. Appl. Neurobiol.2, 3–20 (1976)
Shafiq, S. A., Gorycki, M. A., Asiedu, S. A., Milhorat, A. T.: Tenotomy. Effect on the fine structure of the soleus of the rat. Arch. Neurol. (Chic.)20, 625–633 (1969)
Shy, G. M., Engel, W. K., Somers, J. E., Wanko, T.: Nemaline myopathy. A new congenital myopathy. Brain86, 793–810 (1963)
Sugita, H., Masaki, T., Ebashi, S., Pearson, C. M.: Staining of the nemaline rod by fluorescent antibody against 10S-actinin. Proc. Japan Acad.50, 237–240 (1974)
Swash, M., Fox, K. P.: Abnormal intrafusal muscle fibres in myotonic dystrophy: A study using serial sections. J. Neurol. Neurosurg. Psychiat.38, 91–99 (1975)
Yuasa, T., Fukuhara, N., Ohoshima, F., Tsubaki, T., Kushiro, S.: Nemaline myopathy—Clinical and histologic studies of five cases from three families. Clin. Neurol. (Tokyo)17, 38–45 (1977)
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Fukuhara, N., Yuasa, T., Tsubaki, T. et al. Nemaline myopathy: Histological, histochemical and ultrastructural studies. Acta Neuropathol 42, 33–41 (1978). https://doi.org/10.1007/BF01273264
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DOI: https://doi.org/10.1007/BF01273264