筋生検で見出される Polyglucosan body と加齢

1歳より90歳におよぶ生検筋790について, 筋内神経の intraaxonal polyglucosan body の出現頻度および微細構造について検討し, 次の結果を得た. 1) 86筋でみられた神経枝のうち, 8筋に polyglucosan body をみとめた (9.3%). 2) 出現例の年齢はすべて54歳以上であった. 3) 原疾患は種々であった. 4) 筋病変は, 神経原性, 筋原性ともにみとめられた. 5) Polyglucosan body を示す神経枝の半数に脱髄や繊維化がみとめられた. 6) Polyglucosan body は, PAS陽性で糖質をふくみ, 電顕的に...

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Published in日本老年医学会雑誌 Vol. 20; no. 4; pp. 330 - 334
Main Authors 田渕, 正康, 斉藤, 光典, 長沢, 治夫, 朝長, 正徳
Format Journal Article
LanguageJapanese
Published 一般社団法人 日本老年医学会 01.07.1983
Online AccessGet full text
ISSN0300-9173
DOI10.3143/geriatrics.20.330

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Abstract 1歳より90歳におよぶ生検筋790について, 筋内神経の intraaxonal polyglucosan body の出現頻度および微細構造について検討し, 次の結果を得た. 1) 86筋でみられた神経枝のうち, 8筋に polyglucosan body をみとめた (9.3%). 2) 出現例の年齢はすべて54歳以上であった. 3) 原疾患は種々であった. 4) 筋病変は, 神経原性, 筋原性ともにみとめられた. 5) Polyglucosan body を示す神経枝の半数に脱髄や繊維化がみとめられた. 6) Polyglucosan body は, PAS陽性で糖質をふくみ, 電顕的には繊維状構造物で, corpora amylacea (アミロイド小体) と全く同様の性質をしめした. この病変は, 高齢者に非特異的にみいだされる軸索変性像の一つと考えられる.
AbstractList 1歳より90歳におよぶ生検筋790について, 筋内神経の intraaxonal polyglucosan body の出現頻度および微細構造について検討し, 次の結果を得た. 1) 86筋でみられた神経枝のうち, 8筋に polyglucosan body をみとめた (9.3%). 2) 出現例の年齢はすべて54歳以上であった. 3) 原疾患は種々であった. 4) 筋病変は, 神経原性, 筋原性ともにみとめられた. 5) Polyglucosan body を示す神経枝の半数に脱髄や繊維化がみとめられた. 6) Polyglucosan body は, PAS陽性で糖質をふくみ, 電顕的には繊維状構造物で, corpora amylacea (アミロイド小体) と全く同様の性質をしめした. この病変は, 高齢者に非特異的にみいだされる軸索変性像の一つと考えられる.
Author 田渕, 正康
長沢, 治夫
斉藤, 光典
朝長, 正徳
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References 11) Yagishita S, Itoh Y: Corpora amylacea in the peripheral nerve axons. Acta Neuropathol 37: 73-76, 1977.
4) Robitaille Y, Carpenter S, Karpati G, Dimauro S: A distinct form of adult polyglocosan body disease with massive involvement of central and peripheral neuronal processes and astrocytes. A report of four cases and a review of the occurrence of polyglucosan bodies in other conditions such as Lafora's disease and normal ageing. Brain 103: 315-336, 1980.
3) Carpenter S, Karpati G, Robitaille Y, Melmed C: Adult polyglucosan body axonopathy-distinct chronic neurological disease. 8th International Congress of Neuropathology, Washington, D.C., 1978.
1) Asbury AK, Johnson PC: Pathology of peripheral nerve. Saunders, 1979, 256-257.
5) Suzuki Y, Akiyama K, Suu S: Lafora-like inclusion bodies in the CNS of aged dogs. Acta Neuropathol 44: 217-222, 1978.
2) 斉藤光典, 朝長正徳, 松浦美喜雄: 末梢神経軸索内にみられた corpora amylacea. 神経内科 9: 297-301, 1978.
7) Palmucci L, Anzil AP, Luh S: Intra-astrocytic glycogen granules and corpora amylacea stain positively for polyglucosans: A cytochemical contribution on the fine structural polymorphism of particulate polysaccharides. Acta neuropathol 57: 99-102, 1982.
8) Moore S, Peterson RG, Felten DK, O'Connor BL: Glycogen accumalation in tibial nerves of experimental diabetic and aging control rats. J Neurol Sci 52: 289-303, 1981.
10) Avervack P, Langevin H: Corpora amylacea of the lumbar spinal cord and peripheral nervous system. Arch Neurol 35: 95-96, 1978.
12) Fukuhara N: Intra-axonal corpora amylacea in the peripheral nerve seen in a healthy woman. J Neurol Sci 34: 423-426, 1977.
9) Powell HC, Ward HW, Garrett MS, Orloff MJ, Lampert PW: Glycogen accumulation in the nerves and kidney of chronically diabetic rats. a quantitative electron microscopic study. J Neuropath Exp Neurol 38: 114-127, 1979.
6) Suzuki Y, Kamiya S, Ohta K, Suu S: Laforalike bodies in a cat. Acta Neuropathol 48: 55-58, 1979.
References_xml – reference: 12) Fukuhara N: Intra-axonal corpora amylacea in the peripheral nerve seen in a healthy woman. J Neurol Sci 34: 423-426, 1977.
– reference: 1) Asbury AK, Johnson PC: Pathology of peripheral nerve. Saunders, 1979, 256-257.
– reference: 8) Moore S, Peterson RG, Felten DK, O'Connor BL: Glycogen accumalation in tibial nerves of experimental diabetic and aging control rats. J Neurol Sci 52: 289-303, 1981.
– reference: 7) Palmucci L, Anzil AP, Luh S: Intra-astrocytic glycogen granules and corpora amylacea stain positively for polyglucosans: A cytochemical contribution on the fine structural polymorphism of particulate polysaccharides. Acta neuropathol 57: 99-102, 1982.
– reference: 3) Carpenter S, Karpati G, Robitaille Y, Melmed C: Adult polyglucosan body axonopathy-distinct chronic neurological disease. 8th International Congress of Neuropathology, Washington, D.C., 1978.
– reference: 11) Yagishita S, Itoh Y: Corpora amylacea in the peripheral nerve axons. Acta Neuropathol 37: 73-76, 1977.
– reference: 4) Robitaille Y, Carpenter S, Karpati G, Dimauro S: A distinct form of adult polyglocosan body disease with massive involvement of central and peripheral neuronal processes and astrocytes. A report of four cases and a review of the occurrence of polyglucosan bodies in other conditions such as Lafora's disease and normal ageing. Brain 103: 315-336, 1980.
– reference: 5) Suzuki Y, Akiyama K, Suu S: Lafora-like inclusion bodies in the CNS of aged dogs. Acta Neuropathol 44: 217-222, 1978.
– reference: 9) Powell HC, Ward HW, Garrett MS, Orloff MJ, Lampert PW: Glycogen accumulation in the nerves and kidney of chronically diabetic rats. a quantitative electron microscopic study. J Neuropath Exp Neurol 38: 114-127, 1979.
– reference: 10) Avervack P, Langevin H: Corpora amylacea of the lumbar spinal cord and peripheral nervous system. Arch Neurol 35: 95-96, 1978.
– reference: 2) 斉藤光典, 朝長正徳, 松浦美喜雄: 末梢神経軸索内にみられた corpora amylacea. 神経内科 9: 297-301, 1978.
– reference: 6) Suzuki Y, Kamiya S, Ohta K, Suu S: Laforalike bodies in a cat. Acta Neuropathol 48: 55-58, 1979.
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Snippet 1歳より90歳におよぶ生検筋790について, 筋内神経の intraaxonal polyglucosan body の出現頻度および微細構造について検討し, 次の結果を得た. 1) 86筋でみられた神経...
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