Heat-shock/stress proteins (HSPs) are induced in response to stressful
conditions and are essential for survival during and after cellular s
tress. We investigated whether dystrophin deficiency in muscle from Du
chenne muscular dystrophy (DMD) patients induces HSPs. Immunohistochem
ical studies were performed on cryosections from normal muscle, heat-s
hocked muscle, and muscle from patients with DMD, dermatomyositis, and
mitochondrial myopathy using antibodies against HSP 72/73, HSP 72, HS
P 90, groEL (HSP 65 homologue), and ubiquitin. Computer-assisted image
processing revealed a significant (P < 0.05) induction of HSP 72/73,
72, 65, and ubiquitin in hypercontracted fibers; HSP 90 and ubiquitin
in regenerating fibers; and ubiquitin in macrophage invaded necrotic f
ibers of DMD muscle. No significant induction of HSPs was observed in
dermatomyositis or mitochondrial myopathies. The stress response induc
ed in DMD may relate to the metabolic stress characteristic of the dis
ease and could represent an autoprotective mechanism. Manipulation of
this protective response may reduce injury and have potential therapeu
tic application. (C) 1995 John Wiley and Sons, Inc.