Research programs, in our laboratory and others, are designed to obtain a better understanding of the biochemical changes that occur in muscle-wasting conditions, and ultimately to determine the primary lesion( s) that initiates the wasting process. Interpretation of experimental findings in these investigations are complicated by such factors as infiltration of dystrophic muscle by other tissue elements, and by lack of an absolute baseline to which to refer any observed changes, i.e., wet weight, protein, DNA, whole muscle, etc., all of which involve some limitation as a reference base. Evaluation of the relative importance of similarities vs. differences in the biochemistry of different types of muscle-wasting conditions and in different species presents an additional complication. Many of the changes observed in dystrophic muscle are undoubtedly of a secondary nature, and our present knowledge does not yet obviously indicate a direct experimental approach to the determination of the primary lesion.Since first observing the increased cathepsin activity (against a hemoglobin substrate) in muscle of rabbits with nutritional muscular dystrophy resulting from vitamin E deficiency' and in muscle of mice with a hereditary muscular dystrophy2, we have been interested in the enzymatic mechanism that may be responsible for the loss of muscle constituents in myopathic conditions. DeDuve and co-workers 3-5 have demonstrated that there is a group of hydrolytic enzymes, with optimum activity in the acid pH range, that are segregated in intracellular particles called lysosomes. It was proposed that these lysosomal acid hydrolases are the primary catabolic mechanism of the cell and are activated by various pathological conditions which cause rupture of the lysosomal membrane.5 Investigations of such acid hydrolases in nutritional and hereditary muscular dystrophy by Tappel, Zalkin, and coworker^^^^ revealed that hydrolase activities were markedly increased and indicated the lysosomal character of these enzymes. These investigators suggested that some pathological trigger mechanism caused the rupture of the lysosomal membrane and thus permitted the initiation of cellular necrosis; however, most of the large increments in hydrolase activities were attributed to invading macrophage cells and were therefore considered to be a secondary phenomenon. However, in denervation atrophy, in which there is no appreciable infiltration,8,9 it has been reported that total activity (activity in an entire muscle or muscle group) of cathespinlo and P-glucuronidasel' is increased. Similarly, total activity of cathepsin was found to be increased in nutritional muscular dystrophy.12
Vitamin E Deficiency and Denervation AtrophyTo determine the extent that invading inflammatory cells contribute to the increased acid hydrolase activity of dystrophic muscle, and to establish whether the loss of muscle substance in dystrophy and in denervation atrophy is due to a common enzymatic mechanism, we have investigated the separate and concurrent effects of nu...