Complement-mediated muscle cell lysis: a possible mechanism of myonecrosis in anti-SRP associated necrotizing myopathy (ASANM).

J Neuroimmunol

Australian Neuro-muscular Research Institute and Centre for Neuromuscular and Neurological Disorders, The University of Western Australia, Queen Elizabeth II Medical Centre, Perth, WA, Australia.

Published: November 2013

AI Article Synopsis

  • The study explores how antibodies to signal recognition particle (SRP) may lead to necrotizing myopathy, focusing on the role of anti-SRP+serum and complement on myoblast cell viability.
  • Cell viability was minimally affected by anti-SRP+serum alone, but significantly decreased when fresh complement was added.
  • Immunostaining showed the presence of SRP and complement components in both cultured cells and muscle biopsies from affected patients, suggesting a complement-dependent mechanism in this type of myopathy.

Article Abstract

The mechanism of necrotizing myopathy associated with antibodies to signal recognition particle (SRP) remains unclear. We investigated the effect of anti-SRP+serum and complement on cell viability in myoblast cultures. Cell viability was only slightly reduced by incubation with anti-SRP+serum compared with control serum. However, the addition of fresh complement resulted in a marked reduction in cell survival. Surface immunostaining for SRP, C3c and C5b-9 was demonstrated in cultures pre-incubated with anti-SRP+serum and complement, and in muscle biopsies from patients with myopathy. These findings provide further support for a complement-dependent antibody-mediated mechanism in anti-SRP associated myopathy.

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http://dx.doi.org/10.1016/j.jneuroim.2013.08.008DOI Listing

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