title: Nitric oxide-induced oxidative stress in autosomal recessive and dominant inclusion-body myopathies.
abstract: Autosomal-recessive and autosomal-dominant hereditary inclusion-body myopathies are severe, progressive muscle diseases, characterized pathologically by vacuolated muscle fibres containing paired helical filaments. We immunostained muscle biopsy specimens from quadriceps-sparing autosomal-recessive and autosomal-dominant inclusion-body myopathy subjects, disease-control subjects and normal patients, utilizing isoform-specific antibodies against the neuronal and inducible forms of nitric oxide synthase, and antibodies against nitrotyrosine. Approximately 75% of the vacuolated muscle fibres in all recessive and dominant inclusion-body myopathy patients contained inclusions strongly immunoreactive with antibodies against neuronal and inducible nitric oxide synthase which, by immunoelectron microscopy, were colocalized to clusters of tubulofilaments (previously shown, by us, to be paired helical filaments). Strong nitrotyrosine immunoreactivity was in the form of multiple dots and large granular patches, which ultrastructurally did not immunolocalize to tubulofilaments. Excess intracellular nitric oxide can combine with superoxide to produce highly toxic peroxynitrite, which can nitrate tyrosines of proteins. The presence of nitrotyrosine is indicative of nitric oxide-induced oxidative stress. Our data suggest that oxidative stress plays a role in the pathogenic cascade of hereditary inclusion-body myopathies.
authors.affiliation: USC Neuromuscular Center, Good Samaritan Hospital, University of Southern California School of Medicine, Los Angeles, USA.
authors.forename: C C
authors.initials: CC
authors.lastname: Yang
authors.forename: R B
authors.initials: RB
authors.lastname: Alvarez
authors.forename: W K
authors.initials: WK
authors.lastname: Engel
authors.forename: S L
authors.initials: SL
authors.lastname: Heller
authors.forename: V
authors.initials: V
authors.lastname: Askanas
mesh_terms: D005799:Genes, Dominant; D005808:Genes, Recessive; D006801:Humans; D007150:Immunohistochemistry; D016253:Microscopy, Immunoelectron; D018979:Myositis, Inclusion Body / Q000235:genetics* / Q000473:pathology / Q000503:physiopathology*; D009569:Nitric Oxide / Q000502:physiology*; D019001:Nitric Oxide Synthase / Q000378:metabolism; D052248:Nitric Oxide Synthase Type I; D052247:Nitric Oxide Synthase Type II; D018384:Oxidative Stress / Q000502:physiology*
chemical_list: D009569:Nitric Oxide; C496320:NOS1 protein, human; C496319:NOS2 protein, human; D019001:Nitric Oxide Synthase; D052248:Nitric Oxide Synthase Type I; D052247:Nitric Oxide Synthase Type II