Neuromuscular junction disease 

Neuromuscular junction disease
Classification and external resources
MeSH D020511

Neuromuscular junction disease is a medical condition where the normal conduction through the neuromuscular junction fails to function correctly.

Autoimmune

In diseases such as myasthenia gravis, the EPP fails to effectively activate the muscle fiber due to an autoimmune reaction against acetylcholine receptors, resulting in muscle weakness and fatigue. 1

Myasthenia gravis is caused most commonly by auto-antibodies against the acetylcholine receptor.

It has recently been realized that a second category of gravis is due to auto-antibodies against MuSK.

A different condition, Lambert-Eaton myasthenic syndrome, is usually associated with presynaptic antibodies to the voltage-dependent calcium channel.

It is possible for these conditions to coexist.2

Toxins

Various toxins, such as botulinum toxin prevent the release of acetylcholine, resulting in muscle paralysis.

References

  1. ^ Hoch W, McConville J, Helms S, Newsom-Davis J, Melms A, Vincent A (2001). "Auto-antibodies to the receptor tyrosine kinase MuSK in patients with myasthenia gravis without acetylcholine receptor antibodies". Nat Med 7 (3): 365–8. doi:10.1038/85520. PMID 11231638. 
  2. ^ Sha SJ, Layzer RB (July 2007). "Myasthenia gravis and Lambert-Eaton myasthenic syndrome in the same patient". Muscle Nerve 36 (1): 115–7. doi:10.1002/mus.20735. PMID 17206662, http://dx.doi.org/10.1002/mus.20735. 
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