Table 2

Examples of immunohistochemistry

Dystrophin—there are three commonly used antibodies to dystrophin—Dys-1 (binds to the rod), Dys-2 (binds to the C-terminal) and Dys-3 (binds to the N-terminal)Duchenne muscular dystrophy
Becker muscular dystrophy
SpectrinUsed to assess membrane integrity—important for accurate interpretation of, for instance, dystrophin staining
MyotilinLGMD1A
Caveolin-3LGMD1C
DysferlinLGMD2B
SarcoglycanLGMD2C–F
Major histocompatibility complex class I—upregulation on sarcolemma
CD68 (macrophage), CD20 (B cells) or CD8 (cytotoxic T cell), CD4 (T helper cells and dendritic cells). Membrane-attack complex deposit seen on capillary endothelium in dermatomyositis
Inflammatory myositis—helps identify a myositis and to distinguish between dermatomyositis, overlap myositis, polymyositis, inclusion body myositis and necrotising autoimmune myopathy.
Demonstrate inclusions—for example TDP-43, p62, tau, amyloidSeen in inclusion body myositis
Desmin, myotilin, gelsolin, β-amyloid precursor protein and other proteinsSeen in myofibrillar myopathies