Paging Tex and others

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Joefnh
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Paging Tex and others

Post by Joefnh »

I have a question for the group regarding the involment of MC with the different tissues of the GI tract

One of the layers of the GI tract is called the basement membrane which basically is made up from a protein called Agrin. Agrin makes up a barrier layer that can be found throughout the body. The Agrin protein is also a used as a building block throughtout various of the bodies structures.

The reason I am bringing this up for discussion here, is that as many of you know I have Myasthenia Gravis, basically a autoimmune form of muscular dystrophy as opposed to a genetic form. I also have MC (CC) and pathology reports from 11 biopsies in the GI tract were positive for MC (CC). One pathologist discussed the inflamation and damge that was noted in the basement membrane which is made up of this Agrin protein.

Myasthenia causes muscular weakness throughout the body as the antibodies attack the point where the individual nerves connect to our muscles. So far they have identified 4 antibodies that can cause the Myasthenia symptoms, including one that attacks the Agrin protein that the body also uses as a buiding block to make this connection to our muscles.

This newly discovered antibody that attacks the Agrin results in weakness, inflammation and porosity of this membrane in our GI tracts. At first glance this sounded like it could be a factor in MC with the inflammation and potential porosity contributing to leaky gut type of behavior. You can think of this Agrin layer as something like a very thin layer of the cling film we wrap our leftovers in, except the body uses it as a protective barrier where needed and its much thinner :smile:

As someone with both MC & MG, this makes me ask the question does the Agrin and any potential damage from the antibodies contribute to both conditions. I know over the last 2 years that whenever the MG was flaring up, so was the MC. The other observation I have made is that on the support group website I belong to there is a LOT of GI complaints and a fair amount of discussion regaring avoiding gluten & soy etc.

I know on this site we have active research types and wonder if you have run across any mentions of the basement membrane in the GI tract or any specific proteins.

I did run across several research articles on PubMed and other sites supporting this and will update this post later with those links describing the research, they are on my home computer....almost time to go home. :smile:
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tex
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Post by tex »

Joe,

I have to plead ignorance. I thought that agrin was primarily associated with the embryonic development of the neuromuscular junctions, and the clustering of acetylcholine receptors on the cell surface and their aggregation at the neuromuscular junction.

In the intestines, the basement membrane separates the epithelium from the underlying connective tissue (lamina propria), and it can provide a multitude of other functions (as discussed in the article referenced below). The epithelium in the gut is a single layer of vertically-aligned cells (the tight junctions are the junctions between these cells), with the lamina propria layer constituting the supporting layer just below. The thickened bands of collagen used as diagnostic markers of CC are found within the lamina propria.

Here is a link to a reference that appears to provide a good discussion of the function of the basement membrane in the gut, and how it is affected by IBDs. The article mentions proteoglycans, but not agrin specifically.

Basement membrane components

Sorry I couldn't be more help, but I'm not familiar with proteoglycans.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by Joefnh »

Hello there Tex, you are quite correct Agrin is used in the neuromuscular junction and in a lot of other places and its Agrin that is a "binding" protein in protoglycans

Basically the Agrin building block is used in the neuromuscular junction and in basement membranes as well as synapses etc. Basically Agrin is like a brick that is used to build a wall, it's one of the building blocks that is used throughout the body.

About Protoglycans which are made up in part by the binding protein Agrin:

http://cshperspectives.cshlp.org/conten ... 04952.full
Heparan sulfate proteoglycans (HSPGs) are glycoproteins, with the common characteristic of containing one or more covalently attached heparan sulfate (HS) chains, a type of glycosaminoglycan (GAG) (Esko et al. 2009). Cells elaborate a relatively small set of HSPGs (∼17) that fall into three groups according to their location: membrane HSPGs, such as syndecans and glycosylphosphatidylinositol-anchored proteoglycans (glypicans), the secreted extracellular matrix HSPGs (agrin, perlecan, type XVIII collagen), and the secretory vesicle proteoglycan, serglycin
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Post by mzh »

Good heavens, you two are so mentally advanced than most of us; OK, more than I am. I have no idea what you're talking about but I look forward to your discussions! :shock:
Also have sleep apnea
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Post by tex »

Marcia,

We probably don't know what we're talking about either, but at least it helps to make us think. :lol:

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by mzh »

tex wrote:Marcia,

We probably don't know what we're talking about either, but at least it helps to make us think. :lol:

Tex
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Also have sleep apnea
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