Ma. Cruzhofling et al., MYONECROSIS INDUCED BY GUANIDINE IN THE MOUSE ISOLATED PHRENIC-NERVE DIAPHRAGM PREPARATION, General pharmacology, 28(4), 1997, pp. 593-597
1. The myonecrosis induced by guanidine in the mouse phrenic nerve dia
phragm preparation was investigated using both light microscopy and my
ographic recordings. Preparations were incubated with 10 mM guanidine
for 60 min in the absence and presence of electrical stimulation. At t
he end of this period, the drug was washed out and the nutritive mediu
m replaced with fixative solution to prevent morphological artefacts.
2. Guanidine produced a triphasic change in the amplitude of twitch te
nsion evoked indirectly through the motor nerve. This response consist
ed of an initial facilitation followed by a neuromuscular blockade and
a secondary facilitatory effect after removal of the drug. 3. Morphol
ogical analysis of the muscle showed various structural alterations of
the fibers, including the presence of very dark swollen cells with or
without small clear vacuoles, delta lesions with densely or loosely c
lumped myofibrils, irregular clear spaces, indistinct masses of degrad
ed myofibrils, and, in extreme cases, ''ghost'' cells. All of these ef
fects were attributed to the presence of high cytosolic calcium concen
trations. 4. Pretreatment with tetrodotoxin (TTX, 3.13 mu M) diminishe
d but did not prevent the guanidine-induced morphological abnormalitie
s in the muscle cells. This finding suggests that TTX can interfere to
a certain extent with the influx of guanidine into muscle fibers thro
ugh sodium channels. 5. An attempt was made to correlate the myographi
c findings with the muscle morphological alterations seen after guanid
ine removal. (C) 1997 Elsevier Science Inc.