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Neuronal Intranuclear Inclusion Disease Without Polyglutamine Inclusions in a Child 儿童无聚谷氨酰胺包涵体的神经元核内包涵病
Pub Date : 2005-06-01 DOI: 10.1097/01.jnen.0000166798.69322.4e
K. McFadden, R. Hamilton, S. Insalaco, L. Lavine, M. Al-Mateen, Guoji Wang, C. Wiley
Neuronal intranuclear inclusion disease (NIID) is a rare and heterogeneous group of slowly progressive neurodegenerative disorders characterized by the widespread presence of eosinophilic neuronal intranuclear inclusions (NII) accompanied by a more restricted pattern of neuronal loss. We report here the pathologic findings in a 13-year-old boy who died after a 6-year clinical history of progressive ataxia, extrapyramidal manifestations, and lower motor neuron abnormalities. Histological evaluation of the brain revealed widespread NII in most neurons. Marked loss of cerebellar Purkinje cells and neurons in the dentate nucleus, red nucleus, and spinal cord anterior horns was accompanied by a modest astrocytosis. Because of the abundance of NII and the absence of a relationship between NII and neuronal loss or microglial activation, we conclude that loss of cerebellar, brainstem, and spinal cord neurons reflects selective neuronal vulnerability. NII were immunoreactive for ubiquitin, glucocorticoid receptor, and SUMO-1, a small, ubiquitin-like protein purportedly involved in protein transport and gene transcription. NII were non-reactive for polyglutamine (1C2), TATA binding protein, promyelocytic leukemia protein, heat shock protein 90, tau, alpha-synuclein, neurofilament, and beta amyloid. The moderate ubiquitin and strong SUMO-1 staining of NII in juvenile cases is the reverse of the pattern noted in adult diseases, suggesting the two age groups are pathogenically distinct. We suggest that juvenile NIID is a spinocerebellar brainstem ataxic disease possibly related to an abnormality in SUMOylation.
神经元核内包涵体病(NIID)是一种罕见且异质性的缓慢进展的神经退行性疾病,其特征是广泛存在嗜酸性神经元核内包涵体(NII),并伴有更有限的神经元丢失模式。我们在此报告一位13岁男孩的病理发现,他死于6年的进行性共济失调、锥体外系表现和下运动神经元异常的临床病史。脑组织的组织学评估显示在大多数神经元中广泛存在NII。小脑浦肯野细胞及齿状核、红核和脊髓前角神经元的明显丧失伴轻度星形细胞增多。由于NII的丰度和NII与神经元丢失或小胶质细胞激活之间缺乏关系,我们得出结论,小脑、脑干和脊髓神经元的丢失反映了选择性神经元易感性。NII对泛素、糖皮质激素受体和SUMO-1有免疫反应,SUMO-1是一种小的泛素样蛋白,据称参与蛋白质转运和基因转录。NII对聚谷氨酰胺(1C2)、TATA结合蛋白、早幼粒细胞白血病蛋白、热休克蛋白90、tau、α -突触核蛋白、神经丝和β -淀粉样蛋白无反应。在青少年病例中,NII的中度泛素和强烈的SUMO-1染色与成人疾病的模式相反,表明这两个年龄组在发病上是不同的。我们认为青少年NIID是一种脊髓小脑脑干共济失调疾病,可能与SUMOylation异常有关。
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引用次数: 37
Molecular Regulation of Acute Ethanol-Induced Neuron Apoptosis 急性乙醇诱导神经元凋亡的分子调控
Pub Date : 2005-06-01 DOI: 10.1097/01.jnen.0000166128.51154.09
Lisa Nowoslawski, B. Klocke, K. Roth
Ethanol is a potent neurotoxin particularly for the developing nervous system. Intrauterine exposure to ethanol during the last trimester of human gestation can produce a broad spectrum of neuropathologic consequences. This period of human brain development is roughly equivalent to the first week of rodent postnatal life and acute exposure of neonatal mice to ethanol produces massive neuronal apoptosis throughout the brain. We have previously demonstrated that ethanol-induced neuron apoptosis is critically dependent on expression of Bax, a proapoptotic member of the Bcl-2 family. To further define the molecular pathway regulating ethanol-induced neuron apoptosis, we analyzed the effects of acute ethanol exposure on cerebellar internal granule cell neurons both in vivo and in vitro. Ethanol produced extensive Bax-dependent caspase-3 activation and neuron apoptosis in the cerebellar internal granule cell layer, which was maximal at approximately 6 hours postadministration. This effect was recapitulated in vitro and required new gene transcription, protein translation, Bax expression, and caspase activation. Ethanol-induced neuron death was independent of p53 expression and was unaffected by deficiency in the proapoptotic Bcl-2 family members Bid or Bad. These studies indicate that ethanol activates an intrinsic apoptotic death program in neurons that is likely to contribute to the neuropathologic effects of human fetal alcohol exposure.
乙醇是一种强效的神经毒素,特别是对发育中的神经系统。在人类妊娠的最后三个月宫内暴露于乙醇可产生广泛的神经病理后果。人类大脑发育的这一时期大致相当于啮齿动物出生后的第一周,新生小鼠急性暴露于乙醇中会导致整个大脑大量神经元凋亡。我们之前已经证明,乙醇诱导的神经元凋亡严重依赖于Bax的表达,Bax是Bcl-2家族中促凋亡的成员。为了进一步明确调节乙醇诱导的神经元凋亡的分子途径,我们在体内和体外分析了急性乙醇暴露对小脑内颗粒细胞神经元的影响。乙醇在小脑内颗粒细胞层产生广泛的bax依赖性caspase-3激活和神经元凋亡,在给药后约6小时达到最大。这种效应在体外重现,需要新的基因转录、蛋白翻译、Bax表达和caspase激活。乙醇诱导的神经元死亡与p53表达无关,也不受促凋亡Bcl-2家族成员Bid或Bad缺乏的影响。这些研究表明,乙醇激活了神经元内固有的凋亡死亡程序,这可能有助于人类胎儿酒精暴露的神经病理效应。
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引用次数: 65
Autophagic Vacuoles with Sarcolemmal Features Delineate Danon Disease and Related Myopathies 具有肌上皮特征的自噬空泡描述Danon病和相关肌病
Pub Date : 2005-06-01 DOI: 10.1097/01.jnen.0000166130.35907.14
K. Sugie, S. Noguchi, Y. Kozuka, E. Arikawa-Hirasawa, Mikihito Tanaka, Chuanzhu Yan, P. Saftig, K. von Figura, M. Hirano, S. Ueno, I. Nonaka, I. Nishino
Among the autophagic vacuolar myopathies (AVMs), a subgroup is characterized pathologically by unusual autophagic vacuoles with sarcolemmal features (AVSF) and includes Danon disease and X-linked myopathy with excessive autophagy. The diagnostic importance and detailed morphologic features of AVSF in different AVMs have not been well established, and the mechanism of AVSF formation is not known. To address these issues, we have performed detailed histologic studies of myopathies with AVSF and other AVMs. In Danon disease and related AVMs, at the light microscopic level, autophagic vacuoles appeared to be accumulations of lysosomes, which, by electron microscopy consisted of clusters of autophagic vacuoles, indicative of autolysosomes. Some autolysosomes were surrounded by membranes with sarcolemmal proteins, acetylcholinesterase activity, and basal lamina. In Danon disease, the number of fibers with AVSF increased linearly with age while the number with autolysosomal accumulations decreased slightly, suggesting that AVSF are produced secondarily in response to autolysosomes. Most of the AVSF form enclosed spaces, indicating that the vacuolar membranes may be formed in situ rather than through sarcolemmal indentation. This unique intracytoplasmic membrane structure was not found in other AVMs. In conclusion, AVSF with acetylcholinesterase activity are autolysosomes surrounded by secondarily generated intracytoplasmic sarcolemma-like structure and delineates a subgroup of AVMs.
在自噬空泡性肌病(AVMs)中,一个亚组的病理特征是异常的具有肌层特征的自噬空泡(AVSF),包括Danon病和过度自噬的x连锁肌病。AVSF在不同AVMs中的诊断重要性和详细的形态学特征尚未很好地确定,AVSF的形成机制尚不清楚。为了解决这些问题,我们对AVSF和其他AVMs的肌病进行了详细的组织学研究。在Danon病和相关的avm中,在光镜下,自噬液泡表现为溶酶体的积聚,在电镜下,由成群的自噬液泡组成,表明是自噬酶体。一些自溶酶体被具有肌层蛋白、乙酰胆碱酯酶活性和基底层的膜包围。在Danon病中,AVSF纤维的数量随着年龄的增长呈线性增加,而自溶酶体积累的纤维数量略有减少,表明AVSF是继发性地对自溶酶体产生反应。大多数AVSF形成封闭的空间,表明液泡膜可能是原位形成的,而不是通过肌层压痕形成的。这种独特的胞质内膜结构在其他avm中没有发现。总之,具有乙酰胆碱酯酶活性的AVSF是被继发性胞浆内肌肉瘤样结构包围的自溶酶体,是AVMs的一个亚群。
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引用次数: 89
HIV-1 gp120 Proteins Alter Tight Junction Protein Expression and Brain Endothelial Cell Permeability: Implications for the Pathogenesis of HIV-Associated Dementia HIV-1 gp120蛋白改变紧密连接蛋白表达和脑内皮细胞通透性:hiv相关痴呆发病机制的意义
Pub Date : 2005-06-01 DOI: 10.1097/01.jnen.0000166127.43530.05
G. Kanmogne, Charles Primeaux, P. Grammas
Breakdown of the blood-brain barrier (BBB) is commonly seen in patients with HIV-associated dementia (HAD) despite the lack of productive infection of the brain endothelium. It is likely that secreted viral products play a major role in BBB damage and the development of HAD. The objective of this study is to determine the effects of gp120 proteins on brain endothelial cell permeability and junctional protein expression. Our results showed that treatment of cultured human brain endothelial cells with gp120 for 24 hours results in increased permeability of the endothelial monolayer. Also, gp120 proteins caused disruption and downregulation of the tight junction proteins ZO-1, ZO-2, and occludin in these cells. Other junctional proteins such as claudin-1 and claudin-5 were unaffected by gp120 treatment. These data demonstrate that HIV gp120 proteins alter both the functional and molecular properties of the BBB, which could increase trafficking of HIV, infected cells, and toxic humoral factors into the central nervous system and contribute to the pathogenesis of HAD.
血脑屏障(BBB)的破坏常见于hiv相关性痴呆(HAD)患者,尽管脑内皮缺乏生产性感染。分泌的病毒产物可能在血脑屏障损伤和HAD的发展中起主要作用。本研究的目的是确定gp120蛋白对脑内皮细胞通透性和连接蛋白表达的影响。我们的研究结果表明,用gp120处理培养的人脑内皮细胞24小时后,内皮单层的通透性增加。此外,gp120蛋白在这些细胞中引起紧密连接蛋白ZO-1、ZO-2和occludin的破坏和下调。其他连接蛋白如claudin-1和claudin-5不受gp120处理的影响。这些数据表明,HIV gp120蛋白改变血脑屏障的功能和分子特性,这可能增加HIV、感染细胞和有毒体液因子进入中枢神经系统的运输,并有助于HAD的发病机制。
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引用次数: 148
INI1 Protein Expression Distinguishes Atypical Teratoid/Rhabdoid Tumor from Choroid Plexus Carcinoma 非典型畸胎瘤/横纹肌样瘤与脉络膜丛癌的INI1蛋白表达区分
Pub Date : 2005-05-01 DOI: 10.1097/01.JNEN.0000162614.70295.BA
A. Judkins, P. Burger, R. Hamilton, B. Kleinschmidt-DeMasters, A. Perry, S. Pomeroy, M. Rosenblum, A. Yachnis, Holly Zhou, L. Rorke, J. Biegel
Central nervous system atypical teratoid/rhabdoid tumor (AT/RT) and choroid plexus carcinoma (CPC) are rare, highly malignant tumors that predominantly arise in infants and young children. Overlapping clinical, histologic, ultrastructural, or immunophenotypic features may obscure the diagnosis in some cases. AT/RT is characterized by deletions and/or mutations of the INI1 tumor-suppressor gene on chromosome band 22q11.2. We have recently developed an INI1 immunohistochemical staining assay. Negative staining of tumor cells resulting from inactivation of the INI1 gene is a consistent feature of AT/RT. Mutations of INI1 in some CPCs have been reported. The purpose of the present study was to determine if immunohistochemical staining with an INI1 antibody would provide a sensitive means of distinguishing between CPC and AT/RT. We examined 28 tumors with a submitted diagnosis of CPC. Twenty-one CPCs showed retained expression of INI1 and seven tumors showed loss of INI1 expression. Cytogenetic, FISH, and/or INI1 mutation results were also available for 13 tumors. In three of the seven cases, monosomy 22 was the only cytogenetic abnormality, suggestive of AT/RT. However, monosomy 22 was also identified in 3 tumors with complex karyotypes that retained INI1 expression. The 7 tumors that were immunonegative for INI1 had features that were consistent with AT/RT. Immunostaining for INI1 protein is retained in the majority of CPC and is lost in AT/RT. This expression pattern seems to better define the 2 groups of tumors than does light or electron microscopy, routine immunohistochemistry, or cytogenetic analysis alone.
中枢神经系统非典型畸胎瘤/横纹肌样瘤(AT/RT)和脉络膜丛癌(CPC)是罕见的高度恶性肿瘤,主要发生在婴幼儿。在某些病例中,重叠的临床、组织学、超微结构或免疫表型特征可能使诊断模糊不清。AT/RT以染色体22q11.2带INI1肿瘤抑制基因缺失和/或突变为特征。我们最近开发了一种INI1免疫组织化学染色法。INI1基因失活导致肿瘤细胞呈阴性染色是AT/RT的一致特征。在一些cpc中已经报道了INI1的突变。本研究的目的是确定INI1抗体的免疫组织化学染色是否能提供一种区分CPC和AT/RT的敏感方法。我们检查了28个诊断为CPC的肿瘤。21个肿瘤细胞保留了INI1的表达,7个肿瘤细胞INI1表达缺失。细胞遗传学、FISH和/或INI1突变结果也可用于13个肿瘤。在7例中有3例,22号单体是唯一的细胞遗传学异常,提示AT/RT。然而,在3个具有复杂核型的肿瘤中也发现了22号单体,保留了INI1的表达。7例INI1免疫阴性的肿瘤具有与AT/RT一致的特征。INI1蛋白的免疫染色在大部分CPC中保留,在AT/RT中丢失。这种表达模式似乎比光或电子显微镜、常规免疫组织化学或单独的细胞遗传学分析更好地定义了这两组肿瘤。
{"title":"INI1 Protein Expression Distinguishes Atypical Teratoid/Rhabdoid Tumor from Choroid Plexus Carcinoma","authors":"A. Judkins, P. Burger, R. Hamilton, B. Kleinschmidt-DeMasters, A. Perry, S. Pomeroy, M. Rosenblum, A. Yachnis, Holly Zhou, L. Rorke, J. Biegel","doi":"10.1097/01.JNEN.0000162614.70295.BA","DOIUrl":"https://doi.org/10.1097/01.JNEN.0000162614.70295.BA","url":null,"abstract":"Central nervous system atypical teratoid/rhabdoid tumor (AT/RT) and choroid plexus carcinoma (CPC) are rare, highly malignant tumors that predominantly arise in infants and young children. Overlapping clinical, histologic, ultrastructural, or immunophenotypic features may obscure the diagnosis in some cases. AT/RT is characterized by deletions and/or mutations of the INI1 tumor-suppressor gene on chromosome band 22q11.2. We have recently developed an INI1 immunohistochemical staining assay. Negative staining of tumor cells resulting from inactivation of the INI1 gene is a consistent feature of AT/RT. Mutations of INI1 in some CPCs have been reported. The purpose of the present study was to determine if immunohistochemical staining with an INI1 antibody would provide a sensitive means of distinguishing between CPC and AT/RT. We examined 28 tumors with a submitted diagnosis of CPC. Twenty-one CPCs showed retained expression of INI1 and seven tumors showed loss of INI1 expression. Cytogenetic, FISH, and/or INI1 mutation results were also available for 13 tumors. In three of the seven cases, monosomy 22 was the only cytogenetic abnormality, suggestive of AT/RT. However, monosomy 22 was also identified in 3 tumors with complex karyotypes that retained INI1 expression. The 7 tumors that were immunonegative for INI1 had features that were consistent with AT/RT. Immunostaining for INI1 protein is retained in the majority of CPC and is lost in AT/RT. This expression pattern seems to better define the 2 groups of tumors than does light or electron microscopy, routine immunohistochemistry, or cytogenetic analysis alone.","PeriodicalId":14858,"journal":{"name":"JNEN: Journal of Neuropathology & Experimental Neurology","volume":"16 1","pages":"391-397"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75534366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 133
The p15INK4b/p16INK4a/RB1 Pathway Is Frequently Deregulated in Human Pituitary Adenomas p15INK4b/p16INK4a/RB1通路在人垂体腺瘤中经常失调
Pub Date : 2005-05-01 DOI: 10.1097/01.JNEN.0000162669.85797.5A
A. Ogino, A. Yoshino, Y. Katayama, Takao Watanabe, T. Ota, C. Komine, Takakazu Yokoyama, T. Fukushima
Pituitary adenomas are common benign intracranial neoplasms. However, their tumorigenesis is not yet clearly defined. Inactivation of genes involved in the negative cell-cycle regulatory p15INK4b-p16INK4a-cyclin D/CDK4-RB1-mediated pathway (RB1 pathway) is one of the most common and important mechanisms in the growth advantage of tumor cells. Recently, much attention has been focused on the importance of alternative mechanisms of gene inactivation, particularly promoter hypermethylation in the transcriptional silencing of such tumor-suppressor genes. Based on the rare occurrence of inactivation by gene mutations and deletions of the RB1 pathway in pituitary adenomas, we investigated the deregulation of the RB1 pathway in 42 sporadic human pituitary adenomas, especially focusing on the methylation status of this pathway as determined by a methylation-specific polymerase chain reaction assay. Homozygous deletion of the p15INK4b or p16INK4a gene was detected in one adenoma each. Amplification of the CDK4 gene was not apparent in any of the pituitary adenomas presently examined. Promoter hypermethylation of the p15INK4b, p16INK4a, and RB1 genes was detected in 15 (35.7%), 30 (71.4%), and 12 (28.6%) of the adenomas, respectively. Promoter hypermethylation of the p15INK4b gene coincided with p16INK4a alteration and/or RB1 methylation, whereas p16INK4a and RB1 methylations tended to be mutually exclusive (p = 0.019). Thus, the vast majority of the adenomas (38 of 42, 90.5%) displayed alterations of the RB1 pathway. None of the clinicopathologic features, including the proliferation cell index, was significantly correlated with any particular methylation status. Our results suggest that inactivation of the RB1 pathway may play a causal role in pituitary tumorigenesis, with hypermethylation of the p16INK4a gene being the most common deregulation, and further provide evidence that RB1 and p16INK4a methylations tend to be mutually exclusive but occasionally coincide with p15INK4b methylation.
垂体腺瘤是常见的良性颅内肿瘤。然而,他们的肿瘤发生尚未明确定义。参与细胞周期负调控p15INK4b-p16INK4a-cyclin D/ cdk4 -RB1介导通路(RB1通路)的基因失活是肿瘤细胞生长优势最常见和最重要的机制之一。最近,人们越来越关注基因失活的其他机制,特别是启动子超甲基化在这些肿瘤抑制基因的转录沉默中的重要性。基于RB1通路在垂体腺瘤中罕见的基因突变和缺失导致的失活,我们研究了42例散发性人垂体腺瘤中RB1通路的失活,特别是通过甲基化特异性聚合酶链反应测定该通路的甲基化状态。p15INK4b或p16INK4a基因的纯合子缺失分别在一个腺瘤中检测到。CDK4基因扩增在目前检查的任何垂体腺瘤中都不明显。在15例(35.7%)、30例(71.4%)和12例(28.6%)腺瘤中分别检测到p15INK4b、p16INK4a和RB1基因的启动子超甲基化。p15INK4b基因的启动子超甲基化与p16INK4a改变和/或RB1甲基化相一致,而p16INK4a和RB1甲基化倾向于相互排斥(p = 0.019)。因此,绝大多数腺瘤(42例中的38例,90.5%)显示RB1通路的改变。没有任何临床病理特征,包括增殖细胞指数,与任何特定的甲基化状态显著相关。我们的研究结果表明,RB1通路的失活可能在垂体肿瘤发生中起因果作用,p16INK4a基因的高甲基化是最常见的解除管制,并进一步提供证据表明RB1和p16INK4a甲基化倾向于相互排斥,但偶尔与p15INK4b甲基化一致。
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引用次数: 59
Dysferlin Interacts with Affixin (β-Parvin) at the Sarcolemma Dysferlin与附着蛋白(β-Parvin)在肌膜上相互作用
Pub Date : 2005-04-01 DOI: 10.1097/01.JNEN.0000159969.13223.31
C. Matsuda, K. Kameyama, K. Tagawa, M. Ogawa, A. Suzuki, S. Yamaji, H. Okamoto, I. Nishino, Y. Hayashi
The dysferlin gene is defective in Miyoshi myopathy (MM) and limb girdle muscular dystrophy type 2B (LGMD2B). Dysferlin is a sarcolemmal protein that is implicated in calcium-dependent membrane repair. Affixin (β-parvin) is a novel, integrin-linked kinase-binding protein that is involved in the linkage between integrin and the cytoskeleton. Here we show that affixin is a dysferlin binding protein that colocalizes with dysferlin at the sarcolemma of normal human skeletal muscle. The immunoreactivity of affixin was reduced in sarcolemma of MM and LGMD2B muscles, although the total amount of the affixin protein was normal. Altered immunoreactivity of affixin was also observed in other muscle diseases including LGMD1C, where both affixin and dysferlin showed quite similar changes with a reduction of sarcolemmal staining with or without cytoplasmic accumulations. Colocalization of dysferlin and affixin was confirmed by immunofluorescence analysis using dysferlin-expressing C2 myoblasts. Wild-type and mutant dysferlin colocalized with endogenous affixin. The interaction of dysferlin and affixin was confirmed by immunoprecipitation study using normal human and mouse skeletal muscles. Using immunoprecipitation with deletion mutants of dysferlin, we have identified that C-terminal region of dysferlin is an apparent binding site for affixin. We also found N-terminal calponin homology domain of affixin as a binding site for dysferlin. Our results suggest that affixin may participate in membrane repair with dysferlin.
dysferlin基因在Miyoshi myopathy (MM)和肢体带状肌营养不良2B型(LGMD2B)中存在缺陷。异铁蛋白是一种参与钙依赖性膜修复的肌上皮蛋白。粘接蛋白(β-parvin)是一种新型的整合素连接激酶结合蛋白,参与整合素与细胞骨架的连接。在这里,我们发现附着蛋白是一种异铁蛋白结合蛋白,它与异铁蛋白在正常人类骨骼肌的肌膜上共定位。MM和LGMD2B肌的黏着蛋白总量正常,但黏着蛋白在肌膜中的免疫反应性降低。在包括LGMD1C在内的其他肌肉疾病中也观察到附着蛋白的免疫反应性改变,其中附着蛋白和异铁蛋白都表现出非常相似的变化,伴有或不伴有细胞质积聚的肌层染色减少。用表达异铁素的C2成肌细胞通过免疫荧光分析证实异铁素和粘附素的共定位。野生型和突变型异铁蛋白与内源性附着素共定位。用正常人和小鼠骨骼肌进行免疫沉淀研究,证实了异铁素和粘附素的相互作用。利用免疫沉淀法对异种铁蛋白缺失突变体进行分析,我们发现异种铁蛋白的c端区域是附着蛋白的明显结合位点。我们还发现了附着蛋白的n端钙钙蛋白同源结构域作为异铁蛋白的结合位点。我们的研究结果表明,粘附蛋白可能参与了异铁素的膜修复。
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引用次数: 54
Lhermitte-Duclos Disease: A Report of 31 Cases with Immunohistochemical Analysis of the PTEN/AKT/mTOR Pathway Lhermitte-Duclos病31例PTEN/AKT/mTOR通路免疫组化分析报告
Pub Date : 2005-04-01 DOI: 10.1097/01.JNEN.0000159845.12014.AF
T. Abel, S. Baker, M. M. Fraser, T. Tihan, J. Nelson, A. Yachnis, J. Bouffard, H. Mena, P. Burger, C. Eberhart
Lhermitte-Duclos disease (LDD) is a rare cerebellar tumor associated with Cowden disease (CD) and germline mutations in the PTEN gene. To further define these relationships, we reviewed clinical and pathologic findings in 31 LDD cases and analyzed the status of the PTEN pathway in 11 of them. We hypothesized that the granule cell hypertrophy in LDD is secondary to activation of mammalian target of rapamycin (mTOR), a downstream effector in the PTEN/AKT pathway and a major regulator of cell growth. Histopathologically, in addition to the classical findings of LDD, we observed prominent vascular proliferation and vacuolization of the white matter in many of the lesions. Four patients met diagnostic criteria for CD, and many of the remaining patients had some clinical features of CD. Immunohistochemical analysis showed high levels of phospho-AKT and phospho-S6 in the large ganglionic cells forming the lesions, indicating activation of the PTEN/AKT/mTOR pathway and suggesting a central role for mTOR in the pathogenesis of LDD. These data support recommendations for genetic testing and screening for CD in patients with LDD and suggest a novel therapy for LDD through pharmacologic inhibition of mTOR.
Lhermitte-Duclos病(LDD)是一种罕见的小脑肿瘤,与考登病(CD)和PTEN基因的种系突变相关。为了进一步明确这些关系,我们回顾了31例LDD病例的临床和病理表现,并分析了其中11例PTEN通路的状态。我们假设LDD的颗粒细胞肥大是继发于哺乳动物雷帕霉素靶蛋白(mTOR)的激活,mTOR是PTEN/AKT通路的下游效应物,也是细胞生长的主要调节因子。组织病理学上,除了典型的LDD表现外,我们在许多病变中观察到明显的血管增生和白质空泡化。4例患者符合CD的诊断标准,其余许多患者具有CD的一些临床特征。免疫组织化学分析显示,形成病变的大神经节细胞中有高水平的磷酸化AKT和磷酸化s6,表明PTEN/AKT/mTOR通路的激活,提示mTOR在LDD的发病机制中起核心作用。这些数据支持对LDD患者进行基因检测和筛查CD的建议,并建议通过药物抑制mTOR来治疗LDD。
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引用次数: 100
The Syntrophin-Dystrobrevin Subcomplex in Human Neuromuscular Disorders 人神经肌肉疾病中的肌营养不良蛋白亚复合物
Pub Date : 2005-04-01 DOI: 10.1097/01.JNEN.0000159844.17852.45
A. Compton, S. Cooper, P. Hill, N. Yang, S. Froehner, K. North
The syntrophins and α-dystrobrevin form a subcomplex with dystrophin at the skeletal muscle membrane, and are also highly concentrated at the neuromuscular synapse. Here we demonstrate that the different syntrophins and α-dystrobrevin isoforms have distinct expression patterns during human skeletal muscle development, and are differentially affected by loss of dystrophin anchorage and denervation in human neuromuscular disease. During normal fetal development, and in Duchenne muscular dystrophy and denervation disorders, α1-syntrophin and α-dystrobrevin are absent or markedly reduced at the sarcolemmal membrane. β1-Syntrophin is the predominant syntrophin isoform expressed at the muscle membrane during development, and it undergoes upregulation in response to loss of α1-syntrophin in Duchenne muscular dystrophy and in denervation. Upregulation of β1-syntrophin in neuromuscular disorders is associated with re-expression of the fetal nicotinic acetylcholine receptor γ-subunit, cardiac actin, and neonatal myosin, suggesting reversion of muscle fibers to an immature phenotype. We show that denervation specifically affects expression of the syntrophin-dystrobrevin subcomplex and does not affect levels or localization of other members of the dystrophin-associated protein complex. Our results confirm that dystrophin is required for anchorage of the syntrophin-dystrobrevin subcomplex and suggest that expression of the syntrophin-dystrobrevin complex may be independently regulated through neuromuscular transmission.
合养蛋白和α-肌营养不良蛋白与肌营养不良蛋白在骨骼肌膜处形成亚复合物,并高度集中在神经肌肉突触处。在这里,我们证明了不同的syntrophins和α-肌营养不良蛋白亚型在人类骨骼肌发育过程中具有不同的表达模式,并且在人类神经肌肉疾病中受到肌营养不良蛋白锚定缺失和去神经支配的不同影响。在正常胎儿发育过程中,杜氏肌营养不良症和去神经疾病中,α1-syntrophin和α-肌营养不良蛋白在肌上皮膜处缺失或明显减少。β1-Syntrophin是发育过程中肌膜上表达的主要syntrophin亚型,在杜氏肌营养不良和去神经支配中α1-syntrophin缺失时,β1-Syntrophin表达上调。神经肌肉疾病中β1-syntrophin的上调与胎儿烟碱乙酰胆碱受体γ-亚基、心脏肌动蛋白和新生儿肌球蛋白的重新表达有关,提示肌纤维向不成熟表型的逆转。我们发现去神经支配特异性地影响肌营养不良蛋白亚复合物的表达,而不影响肌营养不良蛋白相关蛋白复合物其他成员的水平或定位。我们的研究结果证实,肌营养不良蛋白是肌营养不良蛋白亚复合物锚定所必需的,并表明肌营养不良蛋白复合物的表达可能通过神经肌肉传导独立调节。
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引用次数: 34
Strain‐Dependent Neurodevelopmental Abnormalities in Caspase‐3‐Deficient Mice Caspase - 3缺陷小鼠的品系依赖性神经发育异常
Pub Date : 2002-08-01 DOI: 10.1093/JNEN/61.8.673
B. Klocke, C. D'Sa, R. Flavell, K. Roth
Targeted gene disruptions have revealed significant roles for caspase family members in the regulation of neuronal programmed cell death. Both caspase-3- and caspase-9-deficient mice exhibit a variably severe neurodevelopmental phenotype that may include marked ventricular zone expansion, exencephaly, and ectopic neuronal structures. Our previous studies of caspase-3- and caspase-9-deficient mice were performed using mice on mixed genetic backgrounds, raising the possibility that strain-specific genetic factors influence the effects of caspase deficiency on nervous system development. To directly test this hypothesis, we backcrossed the caspase-3 mutation for 7–10 generations onto pure C57BL/6J and 129X1/SvJ genetic backgrounds. Caspase-3-deficient 129X1/SvJ mice were uniformly and severely affected. These mice died during the perinatal period and exhibited marked neural precursor cell expansion and exencephaly. In contrast, caspase-3-deficient C57BL/6J mice reached adulthood, were fertile and showed minimal brain pathology. Intercrosses of C57BL/6J and 129X1/SvJ mutants revealed that the vast majority of caspase-3−/− F1 mice displayed the severe 129X1/SvJ-“like” phenotype. These findings are consistent with an incompletely penetrant strain-dependent genetic modifier (or modifiers) that alters the neurodevelopmental consequences of caspase-3 deficiency. Since caspase-9- and Apaf-1-deficient mice also display variably severe developmental neuropathology, this strain-dependent modifier(s) may be involved in the activation of a caspase-independent death pathway; alternatively, strain-dependent compensatory caspase activation and/or its inhibition may influence the severity of the caspase-3-deficient neuronal phenotype.
靶向基因破坏揭示了caspase家族成员在神经元程序性细胞死亡调控中的重要作用。caspase-3和caspase-9缺陷小鼠都表现出不同程度的严重神经发育表型,可能包括显著的心室区扩张、脑外畸形和异位神经元结构。我们之前对caspase-3和caspase-9缺陷小鼠的研究是在混合遗传背景下进行的,这提高了菌株特异性遗传因素影响caspase缺陷对神经系统发育影响的可能性。为了直接验证这一假设,我们将caspase-3突变回交7-10代到纯C57BL/6J和129X1/SvJ遗传背景上。caspase -3缺陷129X1/SvJ小鼠均受到严重影响。这些小鼠在围产期死亡,表现出明显的神经前体细胞扩增和畸形。相比之下,caspase-3缺陷的C57BL/6J小鼠成年后可生育,并表现出最小的脑病理。C57BL/6J和129X1/SvJ突变体的杂交表明,绝大多数caspase-3−/−F1小鼠表现出严重的129X1/SvJ-“样”表型。这些发现与一种不完全渗透的菌株依赖遗传修饰物(或修饰物)相一致,这种修饰物改变了caspase-3缺乏的神经发育后果。由于caspase-9和apaf -1缺陷小鼠也表现出不同程度的严重发育性神经病理,这种菌株依赖性修饰因子可能参与caspase非依赖性死亡途径的激活;另外,菌株依赖的代偿性caspase激活和/或其抑制可能影响caspase-3缺陷神经元表型的严重程度。
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引用次数: 137
期刊
JNEN: Journal of Neuropathology & Experimental Neurology
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