Neuromuscular

Cytoplasmic Bodies



Gomori Trichrome stain

Cytoplasmic bodies

  • Structure
    • Central region: Homogenous; Dark stain on Gomori trichrome similar to rods
    • Outer zone: Radially oriented filaments; May contain actin
  • Location
    • Within cytoplasm: Central or subsarcolemmal
    • Early stage: May be associated with Z-Band
  • Pathology
    • Histochemical properties
      • Stain strongly
        • Gomori trichrome
        • Phalloidin
      • No Stain
        • Myofibrillary ATPase
        • NADH
      • Fiber types
        • May occur selectively in type I or II fibers
        • Type I fibers in distal type
        • Type I or II fibers in limb-girdle syndromes
    • Molecular contents
      • General: Actin; Stain for Phalloidin
      • Other variable: Desmin, Dystrophin, Sarcoglycans, β-Amyloid precursor, N-CAM, LC3
      • May be PAS+
    • Ultrastructure: Variable
      • Foci of myofibrillary destruction: Z-disk derived bodies & streaming
      • Cytoplasmic or spheroid bodies: Thick & thin filament remnants
      • Aggregates of Z-disk filaments
  • Differential diagnosis: Nemaline rods
    • Color: Similar
    • Also associated with abnormal Z-band structure
    • Usually smaller
    • No halo
    • Many per muscle fiber
    • Often clustered
  • Disease associations: "Cytoplasmic bodies" described in


Gomori trichrome

Gomori trichrome

Gomori trichrome

Gomori trichrome

Phalloidin for actin

From Robert Schmidt MD

Toluidine blue stain

 

 

From Robert Schmidt MD

Ultrastructure

 


From: R Schmidt
Cytoplasmic bodies extending from Z-band regions

From: R Schmidt


From: R Schmidt
Cytoplasmic bodies within regions of Z-band streaming

From: R Schmidt

From: R Schmidt

From: R Schmidt
Cytoplasmic bodies with wide or narrow halos

From: R Schmidt

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10/1/2024