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Molecular pathology and pathogenesis of inclusion‐body myositis
Author(s) -
Askanas Valerie,
Engel W. King
Publication year - 2005
Publication title -
microscopy research and technique
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.536
H-Index - 118
eISSN - 1097-0029
pISSN - 1059-910X
DOI - 10.1002/jemt.20186
Subject(s) - inclusion body myositis , pathogenesis , pathology , molecular pathology , inclusion (mineral) , medicine , myositis , biology , psychology , genetics , social psychology , gene
We summarize the molecular phenotype, diagnostic criteria, and the newest advances related to seeking the pathogenic mechanism(s) of sporadic inclusion‐body myositis (s‐IBM), a muscle disease usually of persons over age 50. On the basis of our research, several processes seem to be important in relation to the still‐speculative pathogenesis: 1) increased transcription and accumulation of amyloid‐β precursor protein (AβPP), and accumulation of its proteolytic fragment Aβ; 2) abnormal accumulation of cholesterol, caveolin‐1, and apolipoprotein E; 3) oxidative stress; 4) accumulations of intramuscle fiber multiprotein aggregates; and 5) evidence that unfolded/misfolded proteins participate in s‐IBM pathogenesis. Our basic hypothesis is that overexpression of AβPP within the aging muscle fibers is an early upstream event causing a subsequent pathogenic cascade. Microsc. Res. Tech. 67:114–120, 2005. © 2005 Wiley‐Liss, Inc.