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NEUROLOGY 1978;28:804
© 1978 American Academy of Neurology

Serum factor blocks neuromuscular transmission in myasthenia gravis

Electrophysiologic study with intracellular microelectrodes

Noritoshi Shibuya, M.D., Kazutake Mori, M.D. and Yoshio Nakazawa, M.D.

Department of Neurology, National Kawatana Hospital, Kawatanamachi, Higashisonogigun, Nagasaki, Japan.

We studied the effects of normal and myasthenic sera on the miniature endplate potential (MEPP) and resting membrane potential (RP) of rat muscle in vitro by conventional intracellular microelectrode techniques. Normal sera had little or no effect on either the amplitude or frequency of MEPP or RP. On the other hand, MEPP amplitude was reduced in each of nine muscles during exposure to myasthenic sera; five of these muscles showed a significant difference, by student's t-test, from the values in a control solution. The half decay time of diminished MEPP remained unchanged. MEPP frequency and RP were not affected by myasthenic sera. The reduced amplitude of the MEPP was almost completely restored when the muscle was washed with a control solution for more than 30 minutes. These observations indicate that myasthenic sera contain factors that bind reversibly with the acetylcholine receptor and reduce postsynaptic responses to acetylcholine.

Dr. Shibuya's address is Department of Neurology, National Kawatana Hospital, 2005-1 Shimogumigo, Kawatanamachi, Higashisonogigun, Nagasaki, Japan 859-36.

This study was supported in part by a Research Grant from the Intractable Disease Division, Public Health Bureau, Ministry of Health and Welfare, Japan.

Accepted for publication August 5, 1977.







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