MHC class I and II expression in juvenile dermatomyositis skeletal muscle

To assess MHC I and II expressions in muscle fibres of juvenile dermatomyositis (JDM) and compare with the expression in polymyositis (PM), dermatomyositis (DM) and dystrophy. Forty-eight JDM patients and 17 controls (8 PM, 5 DM and 4 dystrophy) were studied. The mean age at disease onset was 7.1+/-...

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Veröffentlicht in:Clinical and experimental rheumatology 2009-05, Vol.27 (3), p.519-526
Hauptverfasser: SALLUM, A. M. E, KISS, M. H. B, SILVA, C. A. A, WAKAMATSU, A, SACHETTI, S, LOTUFO, S, MATSUMURA, N, MARIE, S. K. N
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container_end_page 526
container_issue 3
container_start_page 519
container_title Clinical and experimental rheumatology
container_volume 27
creator SALLUM, A. M. E
KISS, M. H. B
SILVA, C. A. A
WAKAMATSU, A
SACHETTI, S
LOTUFO, S
MATSUMURA, N
MARIE, S. K. N
description To assess MHC I and II expressions in muscle fibres of juvenile dermatomyositis (JDM) and compare with the expression in polymyositis (PM), dermatomyositis (DM) and dystrophy. Forty-eight JDM patients and 17 controls (8 PM, 5 DM and 4 dystrophy) were studied. The mean age at disease onset was 7.1+/-3.0 years and the mean duration of weakness before biopsy was 9.4+/-12.9 months. Routinehistochemistry and immunohistochemistry (StreptABComplex/HRP) for MHC I and II (Dakopatts) were performed on serial frozen muscle sections in all patients. Mann-Whitney, Kruskal Wallis, chi-square and Fisher's exact statistical methods were used. MHC I expression was positive in 47 (97.9%) JDM cases. This expression was observed independent of time of disease, corticotherapy previous to muscle biopsy and to the grading of inflammation observed in clinical, laboratorial and histological parameters. The expression of MHC I was similar on JDM, PM and DM, and lower in dystrophy. On the other hand, MHC II expression was positive in just 28.2% of JDM cases and was correlated to histological features as inflammatory infiltrate, increased connective tissue and VAS for global degree of abnormality (p
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M. E ; KISS, M. H. B ; SILVA, C. A. A ; WAKAMATSU, A ; SACHETTI, S ; LOTUFO, S ; MATSUMURA, N ; MARIE, S. K. N</creator><creatorcontrib>SALLUM, A. M. E ; KISS, M. H. B ; SILVA, C. A. A ; WAKAMATSU, A ; SACHETTI, S ; LOTUFO, S ; MATSUMURA, N ; MARIE, S. K. N</creatorcontrib><description>To assess MHC I and II expressions in muscle fibres of juvenile dermatomyositis (JDM) and compare with the expression in polymyositis (PM), dermatomyositis (DM) and dystrophy. Forty-eight JDM patients and 17 controls (8 PM, 5 DM and 4 dystrophy) were studied. The mean age at disease onset was 7.1+/-3.0 years and the mean duration of weakness before biopsy was 9.4+/-12.9 months. Routinehistochemistry and immunohistochemistry (StreptABComplex/HRP) for MHC I and II (Dakopatts) were performed on serial frozen muscle sections in all patients. Mann-Whitney, Kruskal Wallis, chi-square and Fisher's exact statistical methods were used. MHC I expression was positive in 47 (97.9%) JDM cases. This expression was observed independent of time of disease, corticotherapy previous to muscle biopsy and to the grading of inflammation observed in clinical, laboratorial and histological parameters. The expression of MHC I was similar on JDM, PM and DM, and lower in dystrophy. On the other hand, MHC II expression was positive in just 28.2% of JDM cases and was correlated to histological features as inflammatory infiltrate, increased connective tissue and VAS for global degree of abnormality (p&lt;0.05). MHC II expression was similar in DM/PM and lower in JDM and dystrophy, and it was based on the frequency of positive staining rather than to the degree of the MCH II expression. MHC I expression in muscle fibres is a premature and late marker of JDM patient independent to corticotherapy, and MHC II expression was lower in JDM than in PM and DM.</description><identifier>ISSN: 0392-856X</identifier><identifier>EISSN: 1593-098X</identifier><identifier>PMID: 19604449</identifier><language>eng</language><publisher>Pisa: Clinical and Experimental Rheumatology</publisher><subject>Biological and medical sciences ; Biomarkers - metabolism ; Biopsy ; Child ; Child, Preschool ; Cross-Sectional Studies ; Dermatomyositis - diagnosis ; Dermatomyositis - metabolism ; Dermatomyositis - pathology ; Diagnosis, Differential ; Diseases of striated muscles. Neuromuscular diseases ; Diseases of the osteoarticular system ; Gene Expression Regulation ; Genes, MHC Class I - genetics ; Genes, MHC Class II - genetics ; HLA Antigens - metabolism ; Humans ; Medical sciences ; Muscle, Skeletal - metabolism ; Muscle, Skeletal - pathology ; Muscular Dystrophies - diagnosis ; Muscular Dystrophies - metabolism ; Muscular Dystrophies - pathology ; Neurology ; Polymyositis - diagnosis ; Polymyositis - metabolism ; Polymyositis - pathology ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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A</creatorcontrib><creatorcontrib>WAKAMATSU, A</creatorcontrib><creatorcontrib>SACHETTI, S</creatorcontrib><creatorcontrib>LOTUFO, S</creatorcontrib><creatorcontrib>MATSUMURA, N</creatorcontrib><creatorcontrib>MARIE, S. K. N</creatorcontrib><title>MHC class I and II expression in juvenile dermatomyositis skeletal muscle</title><title>Clinical and experimental rheumatology</title><addtitle>Clin Exp Rheumatol</addtitle><description>To assess MHC I and II expressions in muscle fibres of juvenile dermatomyositis (JDM) and compare with the expression in polymyositis (PM), dermatomyositis (DM) and dystrophy. Forty-eight JDM patients and 17 controls (8 PM, 5 DM and 4 dystrophy) were studied. The mean age at disease onset was 7.1+/-3.0 years and the mean duration of weakness before biopsy was 9.4+/-12.9 months. Routinehistochemistry and immunohistochemistry (StreptABComplex/HRP) for MHC I and II (Dakopatts) were performed on serial frozen muscle sections in all patients. Mann-Whitney, Kruskal Wallis, chi-square and Fisher's exact statistical methods were used. MHC I expression was positive in 47 (97.9%) JDM cases. This expression was observed independent of time of disease, corticotherapy previous to muscle biopsy and to the grading of inflammation observed in clinical, laboratorial and histological parameters. The expression of MHC I was similar on JDM, PM and DM, and lower in dystrophy. On the other hand, MHC II expression was positive in just 28.2% of JDM cases and was correlated to histological features as inflammatory infiltrate, increased connective tissue and VAS for global degree of abnormality (p&lt;0.05). MHC II expression was similar in DM/PM and lower in JDM and dystrophy, and it was based on the frequency of positive staining rather than to the degree of the MCH II expression. MHC I expression in muscle fibres is a premature and late marker of JDM patient independent to corticotherapy, and MHC II expression was lower in JDM than in PM and DM.</description><subject>Biological and medical sciences</subject><subject>Biomarkers - metabolism</subject><subject>Biopsy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Dermatomyositis - diagnosis</subject><subject>Dermatomyositis - metabolism</subject><subject>Dermatomyositis - pathology</subject><subject>Diagnosis, Differential</subject><subject>Diseases of striated muscles. Neuromuscular diseases</subject><subject>Diseases of the osteoarticular system</subject><subject>Gene Expression Regulation</subject><subject>Genes, MHC Class I - genetics</subject><subject>Genes, MHC Class II - genetics</subject><subject>HLA Antigens - metabolism</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Muscle, Skeletal - metabolism</subject><subject>Muscle, Skeletal - pathology</subject><subject>Muscular Dystrophies - diagnosis</subject><subject>Muscular Dystrophies - metabolism</subject><subject>Muscular Dystrophies - pathology</subject><subject>Neurology</subject><subject>Polymyositis - diagnosis</subject><subject>Polymyositis - metabolism</subject><subject>Polymyositis - pathology</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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Neuromuscular diseases</topic><topic>Diseases of the osteoarticular system</topic><topic>Gene Expression Regulation</topic><topic>Genes, MHC Class I - genetics</topic><topic>Genes, MHC Class II - genetics</topic><topic>HLA Antigens - metabolism</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Muscle, Skeletal - metabolism</topic><topic>Muscle, Skeletal - pathology</topic><topic>Muscular Dystrophies - diagnosis</topic><topic>Muscular Dystrophies - metabolism</topic><topic>Muscular Dystrophies - pathology</topic><topic>Neurology</topic><topic>Polymyositis - diagnosis</topic><topic>Polymyositis - metabolism</topic><topic>Polymyositis - pathology</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SALLUM, A. M. E</creatorcontrib><creatorcontrib>KISS, M. H. 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N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MHC class I and II expression in juvenile dermatomyositis skeletal muscle</atitle><jtitle>Clinical and experimental rheumatology</jtitle><addtitle>Clin Exp Rheumatol</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>27</volume><issue>3</issue><spage>519</spage><epage>526</epage><pages>519-526</pages><issn>0392-856X</issn><eissn>1593-098X</eissn><abstract>To assess MHC I and II expressions in muscle fibres of juvenile dermatomyositis (JDM) and compare with the expression in polymyositis (PM), dermatomyositis (DM) and dystrophy. Forty-eight JDM patients and 17 controls (8 PM, 5 DM and 4 dystrophy) were studied. The mean age at disease onset was 7.1+/-3.0 years and the mean duration of weakness before biopsy was 9.4+/-12.9 months. Routinehistochemistry and immunohistochemistry (StreptABComplex/HRP) for MHC I and II (Dakopatts) were performed on serial frozen muscle sections in all patients. Mann-Whitney, Kruskal Wallis, chi-square and Fisher's exact statistical methods were used. MHC I expression was positive in 47 (97.9%) JDM cases. This expression was observed independent of time of disease, corticotherapy previous to muscle biopsy and to the grading of inflammation observed in clinical, laboratorial and histological parameters. The expression of MHC I was similar on JDM, PM and DM, and lower in dystrophy. On the other hand, MHC II expression was positive in just 28.2% of JDM cases and was correlated to histological features as inflammatory infiltrate, increased connective tissue and VAS for global degree of abnormality (p&lt;0.05). MHC II expression was similar in DM/PM and lower in JDM and dystrophy, and it was based on the frequency of positive staining rather than to the degree of the MCH II expression. MHC I expression in muscle fibres is a premature and late marker of JDM patient independent to corticotherapy, and MHC II expression was lower in JDM than in PM and DM.</abstract><cop>Pisa</cop><pub>Clinical and Experimental Rheumatology</pub><pmid>19604449</pmid><tpages>8</tpages></addata></record>
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source MEDLINE; Alma/SFX Local Collection
subjects Biological and medical sciences
Biomarkers - metabolism
Biopsy
Child
Child, Preschool
Cross-Sectional Studies
Dermatomyositis - diagnosis
Dermatomyositis - metabolism
Dermatomyositis - pathology
Diagnosis, Differential
Diseases of striated muscles. Neuromuscular diseases
Diseases of the osteoarticular system
Gene Expression Regulation
Genes, MHC Class I - genetics
Genes, MHC Class II - genetics
HLA Antigens - metabolism
Humans
Medical sciences
Muscle, Skeletal - metabolism
Muscle, Skeletal - pathology
Muscular Dystrophies - diagnosis
Muscular Dystrophies - metabolism
Muscular Dystrophies - pathology
Neurology
Polymyositis - diagnosis
Polymyositis - metabolism
Polymyositis - pathology
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
title MHC class I and II expression in juvenile dermatomyositis skeletal muscle
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