Abstract
ANIMALS immunised with purified acetylcholine (ACh) receptor develop a muscular weakness much like that found in the human disease, myasthenia gravis1. This discovery led to the demonstration that myasthenia gravis is an autoimmune disease involving the production of antibodies against skeletal muscle ACh receptor2–5. Endplates from myasthenic patients have reduced miniature endplate potentials6, are less sensitive to ACh7,8 and have decreased amounts of ACh receptor9–11, much of which is bound by antibody10,12. In addition, there are substantial alterations in the ultrastructure of the synapse which may contribute to a loss in synaptic function11. We have previously demonstrated that sera from myasthenic patients reduce the ACh sensitivity of human skeletal muscle growing in tissue culture13. Our experiments demonstrated that this reduction in ACh sensitivity is due to two processes; an inactivation of ACh receptor function by antibody binding14 and a decrease in ACh receptor density resulting from an antibody-induced increase in the rate of ACh receptor degradation14–16. The stimulation of ACh receptor degradation by antibody is energy and temperature dependent14 and is similar to the phenomenon of antigenic modulation found in other systems17–19. Our previous experiments apply only to the ACh receptor found on muscle grown in tissue culture, a receptor which is presumably analogous to extrajunctional ACh receptor found in denervated muscle in vivo. Here we demonstrate that anti-receptor antiserum increases the rate of ACh receptor degradation in innervated as well as in denervated rat diaphragms maintained in organ culture.
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HEINEMANN, S., MERLIE, J. & LINDSTROM, J. Modulation of acetylcholine receptor in rat diaphragm by anti-receptor sera. Nature 274, 65–68 (1978). https://doi.org/10.1038/274065a0
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DOI: https://doi.org/10.1038/274065a0
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