The pathogenesis of myofibrillar myopathy (MFM) is not known. Muscle biopsy
specimens demonstrate increased expression of cell cycle regulatory protei
ns as well as the ectopic expression of lamin B and nuclear matrix protein
in the cytoplasm, suggesting the possibility of apoptosis. The authors inve
stigated for apoptosis using the TUNEL method in six muscle biopsy specimen
s from patients with MFM. There was no evidence of apoptotic myonuclei in a
ny of the MFM muscle biopsies. Further studies regarding the pathogenesis o
f MFM and the possible role of mitotic catastrophe are needed.