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1From the Departments of Clinical Science, Section of Ophthalmology and 2Integrative Medical Biology, Section of Anatomy, University of Umeå, Umeå, Sweden; the 3Center for Musculoskeletal Research, University of Gävle, Umeå, Sweden; and the 4Department of Anatomy, Institute of Biomedicine, University of Helsinki, Helsinki, Finland.
PURPOSE. To determine the laminin isoform composition of the basement membranes (BMs) in the human extraocular muscles (EOMs) and relate it to the fact that EOMs are spared in laminin
2-chaindeficient congenital muscular dystrophy.
METHODS. Samples from adult human EOMs and limb muscle were processed for immunocytochemistry, with monoclonal antibodies against laminin chains (Ln)
1 to -5, ß1 and -2, and
1. Neuromuscular junctions (NMJs) were identified with acetylcholinesterase reaction. The capillary density was measured in sections stained with anti-Ln
5.
RESULTS. The extrasynaptic BM of the EOM muscle fibers contained Ln
2, -ß1, -ß2, and -
1, and, in contrast to limb muscle, it also contained Ln
4 and -
5, to some extent. The distinct laminin composition of the EOMs was confirmed by the presence of Lutheran protein, an
5-chainspecific receptor not found in limb muscle. At the NMJs, there was increased expression of Ln
4 and expression of Ln
2, -
5, -ß1, -ß2, and -
1 was also maintained. The capillary density was very high (1050 ± 190 capillaries/mm2) in the EOMs and significantly (P < 0.05) higher in the orbital (1170 ± 180 capillaries/mm2) than in the global (930 ± 110 capillaries/mm2) layer.
CONCLUSIONS. The human EOMs showed important differences in laminin isoform composition and capillary density when compared with human limb muscle and muscles of other species. The presence of additional laminin isoforms other than laminin-2 in the BM of the extrasynaptic sarcolemma could partly explain the sparing of the EOMs in Ln
2-deficient congenital muscular dystrophy.
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