Differentiated myotubes of the patient and the control were removed from the culture flask by a scraper and transferred to a conical tube. The medium was removed and cells were fixed with 2% glutaraldehyde solution in PBS at room temperature for 30 min. The samples were post-fixed in 1% osmium tetroxide at room temperature in dark for 1 h, embedded in 2% agar, dehydrated in a series of ethanol, cleared in propylene oxide and embedded in epon plastic blocks (Agar Scientific, UK)58 (link). The ultra-thin sections were stained with uranyl acetate and lead citrate, analyzed with a TEM and attached digital camera (TEM, JEM1400, Japan, GATAN, Germany). The length and width of mitochondria (at least 50 mitochondria per section) were measured with DigitalMicrograph (Gatan Inc., USA) software6 (link),59 (link),60 (link).
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