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Why do pt's with Myasthenia Gravis experience muscle weakness/failure? What tx is typically used and why?
Their body produces antibodies that block or destroy their own nAChR. So, end plate potentials are not strong enough to open the voltage-gated Na+ channels, thus, no depolarization of the sarcolemma, no release of Ca2+, no muscle contraction. Neostigmine, an AChE Inhibitor is used for tx to maintain high levels of ACh in the synaptic cleft to compete with antibodies for binding on the nAChR.