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Regulation of Th1 and Th2 Lymphocyte Migration by Human Adult Brain Endothelial Cells 成人脑内皮细胞对Th1和Th2淋巴细胞迁移的调控
Pub Date : 2001-12-01 DOI: 10.1093/JNEN/60.12.1127
A. Prat, M. Blain, J. Antel
Endothelial cells of the blood-brain barrier (BBB) have the ability to regulate and restrict the passage of cells and molecules from the periphery to the CNS. We have used an in vitro assay of lymphocyte migration across monolayers of human adult brain endothelial cells (HBEC) as a model of lymphocyte migration across the BBB. We found that human allogeneic or MBP-reactive Th2-polarized lymphocytes migrate more avidly than Th1-polarized lymphocytes. Migration of Th2 but not Th1 cells across brain endothelium was inhibited by antibodies directed at MCP-1, a chemokine produced by HBECs. We could detect CCR2, a chemokine receptor that recognizes MCP-1 on Th2 but not Th1 lymphocytes. ICAM-1 and VCAM-1 molecules were expressed on the surface of HBECs under basal conditions and were upregulated by Th1 but not Th2 cell-derived supernatants. Migration of both lymphocyte subsets was dependent on LFA-1/ICAM-1 interactions. Blocking VLA-4/VCAM-1 binding did not influence actual trans-endothelial migration. These results suggest that HBECs composing the BBB favor the migration of Th2 cells. We postulate that this selectivity may help prevent activated Th1 lymphocytes, the putative CNS autoimmune disease initiating cells, from reaching the CNS parenchyma and favor entry of Th2 cells, a putative means to induce bystander suppression in the CNS.
血脑屏障内皮细胞(BBB)具有调节和限制细胞和分子从外周到中枢神经系统的通道的能力。我们使用了一种体外淋巴细胞跨单层人脑内皮细胞(HBEC)迁移的实验作为淋巴细胞跨血脑屏障迁移的模型。我们发现人类同种异体或mbp反应的th2极化淋巴细胞比th1极化淋巴细胞更强烈地迁移。针对MCP-1(一种由HBECs产生的趋化因子)的抗体可以抑制Th2而非Th1细胞在脑内皮中的迁移。我们可以检测到CCR2,一种能识别Th2淋巴细胞上MCP-1但不能识别Th1淋巴细胞的趋化因子受体。在基础条件下,ICAM-1和VCAM-1分子在HBECs表面表达,并被Th1而不是Th2细胞来源的上清上调。两种淋巴细胞亚群的迁移都依赖于LFA-1/ICAM-1的相互作用。阻断vca -4/VCAM-1结合并不影响实际的跨内皮迁移。这些结果表明,组成血脑屏障的HBECs有利于Th2细胞的迁移。我们假设这种选择性可能有助于阻止活化的Th1淋巴细胞(假定的CNS自身免疫性疾病起始细胞)到达CNS实质,并有利于Th2细胞的进入,这是一种诱导CNS旁观者抑制的假定手段。
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引用次数: 89
Hyperphosphorylation of RNA Polymerase II and Reduced Neuronal RNA Levels Precede Neurofibrillary Tangles in Alzheimer Disease 在阿尔茨海默病中,RNA聚合酶II的过度磷酸化和神经元RNA水平的降低先于神经原纤维缠结
Pub Date : 2001-12-01 DOI: 10.1093/JNEN/60.12.1219
J. Husseman, J. Hallows, D. Bregman, J. Leverenz, D. Nochlin, Lee‐way Jin, I. Vincent
Affected neurons of Alzheimer disease (AD) brain are distinguished by the presence of the cell cycle cdc2 kinase and mitotic phosphoepitopes. A significant body of previous data has documented a decrease in neuronal RNA levels and nucleolar volume in AD brain. Here we present evidence that integrates these seemingly distinct findings and offers an explanation for the degenerative outcome of the disease. During mitosis cdc2 phosphorylates and inhibits the major transcriptional regulator RNA polymerase II (RNAP II). We therefore investigated cdc2 phosphorylation of RNAP II in AD brain. Using the H5 and H14 monoclonal antibodies specific for the cdc2-phosphorylated sites in RNAP II, we found that the polymerase is highly phosphorylated in AD. Moreover, RNAP II in AD translocates from its normally nuclear compartment to the cytoplasm of affected neurons, where it colocalizes with cdc2. These M phase-like changes in RNAP II correlate with decreased levels of poly-A RNA in affected neurons. Significantly, they precede tau phosphorylation and neurofibrillary tangle formation. Our data support the hypothesis that inappropriate activation of the cell cycle cdc2 kinase in differentiated neurons contributes to neuronal dysfunction and degeneration in part by inhibiting RNAP II and cellular processes dependent on transcription.
阿尔茨海默病(AD)脑的受影响神经元通过细胞周期cdc2激酶和有丝分裂磷酸化表位的存在来区分。先前的大量数据已经证明了阿尔茨海默病大脑中神经元RNA水平和核核体积的减少。在这里,我们提出的证据整合了这些看似不同的发现,并提供了对疾病的退行性结果的解释。在有丝分裂过程中,cdc2磷酸化并抑制主要的转录调控因子RNA聚合酶II (RNAP II)。因此,我们研究了cdc2磷酸化在AD脑中的RNAP II。利用RNAP II中cdc2磷酸化位点特异性的H5和H14单克隆抗体,我们发现该聚合酶在AD中高度磷酸化。此外,阿尔茨海默病中的RNAP II从其正常的核室转移到受影响神经元的细胞质中,在那里它与cdc2共定位。RNAP II的这些M期样变化与受影响神经元中poly-A RNA水平的降低有关。值得注意的是,它们先于tau磷酸化和神经原纤维缠结形成。我们的数据支持了分化神经元中细胞周期cdc2激酶的不适当激活部分通过抑制RNAP II和依赖转录的细胞过程导致神经元功能障碍和变性的假设。
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引用次数: 19
Inhibition of Sorbitol Dehydrogenase Exacerbates Autonomic Neuropathy in Rats with Streptozotocin‐Induced Diabetes 抑制山梨醇脱氢酶可加重链脲佐菌素诱导的糖尿病大鼠的自主神经病变
Pub Date : 2001-12-01 DOI: 10.1093/JNEN/60.12.1153
R. Schmidt, D. Dorsey, L. Beaudet, S. Plurad, C. Parvin, K. Yarasheski, Samuel R. Smith, H. Lang, J. Williamson, Y. Ido
We have developed an animal model of diabetic autonomic neuropathy that is characterized by neuroaxonal dystrophy (NAD) involving ileal mesenteric nerves and prevertebral sympathetic superior mesenteric ganglia (SMG) in chronic streptozotocin (STZ)-diabetic rats. Studies with the sorbitol dehydrogenase inhibitor SDI-158, which interrupts the conversion of sorbitol to fructose (and reactions dependent on the second step of the sorbitol pathway), have shown a dramatically increased frequency of NAD in ileal mesenteric nerves and SMG of SDI-treated versus untreated diabetics. Although lesions developed prematurely and in greater numbers in SDI-treated diabetics, their distinctive ultrastructural appearance was identical to that previously reported in long-term untreated diabetics. An SDI effect was first demonstrated in the SMG of rats that were diabetic for as little as 5 wk and was maintained for at least 7.5 months. As in untreated diabetic rats, rats treated with SDI i) showed involvement of lengthy ileal, but not shorter, jejunal mesenteric nerves; ii) demonstrated NAD in paravascular mesenteric nerves distributed to myenteric ganglia while sparing adjacent perivascular axons ramifying within the vascular adventitia; and, iii) failed to develop NAD in the superior cervical ganglia (SCG). After only 2 months of SDI-treatment, tyrosine hydroxylase immunolocalization demonstrated marked dilatation of postganglionic noradrenergic axons in paravascular ileal mesenteric nerves and within the gut wall versus those innervating extramural mesenteric vasculature. The effect of SDI on diabetic NAD in SMG was completely prevented by concomitant administration of the aldose reductase inhibitor Sorbinil. Treatment of diabetic rats with Sorbinil also prevented NAD in diabetic rats not treated with SDI. These findings indicate that sorbitol pathway-linked metabolic imbalances play a critical role in the development of NAD in this model of diabetic sympathetic autonomic neuropathy.
我们建立了一种以慢性链脲佐菌(STZ)糖尿病大鼠的神经轴突营养不良(NAD)为特征的糖尿病自主神经病变动物模型,该模型涉及回肠肠系膜神经和椎前交感肠系膜上神经节(SMG)。山梨糖醇脱氢酶抑制剂SDI-158可以阻断山梨糖醇向果糖的转化(以及依赖于山梨糖醇途径第二步的反应),研究表明,与未治疗的糖尿病患者相比,接受sdi治疗的患者回肠肠系膜神经和SMG中NAD的频率显著增加。尽管病变在接受sdi治疗的糖尿病患者中发展较早且数量较多,但其独特的超微结构外观与先前报道的长期未经治疗的糖尿病患者相同。SDI效应首先在糖尿病大鼠的SMG中被证明,这些大鼠的SMG只持续了5周,并维持了至少7.5个月。与未治疗的糖尿病大鼠一样,SDI治疗的大鼠表现出较长的回肠神经受累,但没有较短的空肠肠系膜神经受累;ii)在血管旁肠系膜神经中发现NAD分布于肌肠神经节,同时保留血管外膜内分支的邻近血管周围轴突;iii)未在颈上神经节(SCG)发生NAD。sdi治疗仅2个月后,酪氨酸羟化酶免疫定位显示,与支配肠系膜外血管的轴突相比,血管旁回肠肠系膜神经和肠壁内的节后去肾上腺素能轴突明显扩张。同时给予醛糖还原酶抑制剂山梨醇,可以完全阻止SDI对糖尿病性糖尿病性糖尿病性NAD的影响。山梨醇对糖尿病大鼠的治疗也能预防未用SDI治疗的糖尿病大鼠的NAD。这些发现表明,山梨醇通路相关的代谢失衡在糖尿病交感自主神经病变模型中NAD的发展中起关键作用。
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引用次数: 24
Hypothalamic Lesions in Multiple Sclerosis 多发性硬化症的下丘脑病变
Pub Date : 2001-12-01 DOI: 10.1093/JNEN/60.12.1208
I. Huitinga, C. J. DE GROOT, P. Van Der Valk, W. Kamphorst, F. Tilders, D. Swaab
Demyelinating lesions of fiber bundles in and adjacent to the hypothalamus (i.e. the fornix, anterior commissure, internal capsule, and optic system) may be the basis for autonomic and endocrine alterations in multiple sclerosis (MS) patients. Therefore we investigated the presence and immunological activity of lesions in hypothalamic fiber bundles of 17 MS patients and 14 controls. In the MS group, 16 of 17 patients showed demyelinated lesions. The incidence of active lesions was high (60%) and outnumbered chronic inactive lesions in the internal capsule (p = 0.005). In 4 of 17 MS patients, axonal damage was observed and in 3 of 17 MS patients grey matter lesions were apparent. Duration of MS was inversely related to the active hypothalamic MS lesion score (r = −0.72, p = 0.001). Since comparison of hypothalamic lesions with MS lesions in other areas of the brain in the same patients (n = 7) showed a great similarity both as stage and appearance was concerned, this negative relation in all likelihood reflects the clinical consequences of high disease activity throughout the whole brain. In controls no demyelinating lesions were seen but in 11 control cases HLA expression was observed that was lower than that present in MS patients (p = 0.02). In the median eminence region that lacks a blood-brain barrier, all controls showed a strong HLA expression around the blood vessels. We conclude that systematic pathological investigation of the hypothalamus in MS patients reveals an unexpected high incidence of active lesions that may impact on hypothalamic functioning.
下丘脑及其附近的纤维束脱髓鞘病变(即穹窿、前连合、内囊和视系统)可能是多发性硬化症(MS)患者自主神经和内分泌改变的基础。因此,我们研究了17例MS患者和14例对照组下丘脑纤维束病变的存在和免疫活性。在MS组,17例患者中有16例出现脱髓鞘病变。活动性病变的发生率高(60%),超过内囊慢性非活动性病变(p = 0.005)。17例MS患者中4例可见轴突损伤,3例可见灰质损伤。MS持续时间与活动下丘脑MS病变评分呈负相关(r = - 0.72, p = 0.001)。由于将同一患者(n = 7)的下丘脑病变与大脑其他区域的MS病变进行比较,在分期和外观上都显示出很大的相似性,这种负相关很可能反映了整个大脑的高疾病活动性的临床后果。对照组未见脱髓鞘病变,但11例对照患者HLA表达低于MS患者(p = 0.02)。在缺乏血脑屏障的正中隆起区,所有对照均在血管周围表现出强烈的HLA表达。我们的结论是,对MS患者下丘脑的系统病理调查显示,活动性病变的发生率出乎意料地高,可能影响下丘脑的功能。
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引用次数: 127
A Programmed Ependymal Denudation Precedes Congenital Hydrocephalus in the hyh Mutant Mouse hyh突变小鼠先天性脑积水的程序性室管膜剥落
Pub Date : 2001-11-01 DOI: 10.1093/JNEN/60.11.1105
A. Jiménez, Mercedes Tomé, P. Páez, C. Wagner, S. Rodríguez, P. Fernández‐Llebrez, E. Rodríguez, J. Pérez-Fígares
Hydrocephalic hyh mice are born with moderate hydrocephalus and a normal cerebral aqueduct. At about the fifth postnatal day the aqueduct becomes obliterated and severe hydrocephalus develops. The aim of the present investigation was to investigate the mechanism of this hydrocephalus, probably starting during fetal life when the cerebral aqueduct is still patent. By use of immunocytochemistry and scanning electron microscopy, mutant (n = 54) and normal (n = 61) hyh mouse embryos were studied at various developmental stages to trace the earliest microscopic changes occurring in the brains of embryos becoming hydrocephalic. The primary defect begins at an early developmental stage (E-12) and involves cells lining the brain cavities, which detach following a well-defined temporo-spatial pattern. This ependymal denudation mostly involves the ependyma of the basal plate derivatives. There is a relationship between ependymal denudation and ependymal differentiation evaluated by the expression of vimentin and glial fibrillary acidic protein. The ependymal cells had a normal appearance before and after detachment, suggesting that their separation from the ventricular wall might be due to abnormalities in cell adhesion molecules. The process of detachment of the ventral ependyma, clearly visualized under scanning electron microscope, is almost completed before the onset of hydrocephalus. Furthermore, this ependymal denudation does not lead to aqueductal stenosis during prenatal life. Thus, the rather massive ependymal denudation appears to be the trigger of hydrocephalus in this mutant mouse, raising the question about the mechanism responsible for this hydrocephalus. It seems likely that an uncontrolled bulk flow of brain fluid through the extended areas devoid of ependyma may be responsible for the hydrocephalus developed by the hyh mutant embryos. The defect in these embryos also includes loss of the hindbrain floor plate and a delayed in the expression of Reissner fiber glycoproteins by the subcommissural organ.
脑积水小鼠出生时患有中度脑积水,脑导水管正常。大约在出生后的第五天,导水管被堵塞,严重的脑积水出现。本研究的目的是探讨这种脑积水的机制,可能开始于胎儿时期,当时大脑导水管仍未通畅。利用免疫细胞化学和扫描电镜技术,研究了不同发育阶段的突变体(n = 54)和正常体(n = 61) hyh小鼠胚胎,以追踪胚胎发生脑积水时大脑最早的微观变化。原发性缺陷开始于早期发育阶段(E-12),涉及到排列在脑腔内的细胞,这些细胞按照明确的时空模式分离。室管膜剥落主要累及基板衍生物室管膜。室管膜剥落与室管膜分化之间的关系可通过波形蛋白和胶质纤维酸性蛋白的表达来评价。室管膜细胞剥离前后外观正常,提示其与室壁分离可能是由于细胞粘附分子异常所致。腹侧室管膜脱离的过程,在扫描电镜下清晰可见,几乎在脑积水发生前完成。此外,这种室管膜剥落不会导致产前输水管狭窄。因此,在这种突变小鼠中,相当大的室管膜剥落似乎是脑积水的触发因素,这就提出了关于脑积水的机制的问题。似乎不受控制的大量脑液流通过无室管膜的扩展区域可能是由hyh突变胚胎产生的脑积水的原因。这些胚胎的缺陷还包括后脑底板的缺失和赖斯纳纤维糖蛋白在关节下器官的表达延迟。
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引用次数: 106
Spinal Cord Neurofibrillary Pathology in Alzheimer Disease and Guam Parkinsonism‐Dementia Complex 阿尔茨海默病和关岛帕金森病-痴呆复合体的脊髓神经原纤维病理学
Pub Date : 2001-11-01 DOI: 10.1093/JNEN/60.11.1075
M. Schmidt, V. Zhukareva, D. Perl, S. Sheridan, T. Schuck, V. Lee, J. Trojanowski
We examined spinal cords of neurodegenerative disease patients and controls living on the Island of Guam and in the continental United States. These patients had pathologically confirmed parkinsonism dementia-complex (PDC) with or without amyotrophic lateral sclerosis (ALS), or Alzheimer disease (AD), respectively. Nearly all of the spinal cords examined from both groups of patients contained neurofibrillary tangles (NFT). The immunohistochemical profile of these NFTs indicates that they are composed of hyperphosphorylated tau protein like their counterparts in the brains of these patients. Western blot analysis confirmed this by revealing that sarcosyl insoluble tau in spinal cord extracts from patients with NFTs exhibited the presence of all 6 tau isoforms similar to that from AD and ALS/PDC cortical gray matter.
我们检查了生活在关岛和美国大陆的神经退行性疾病患者和对照者的脊髓。这些患者分别患有或不伴有肌萎缩侧索硬化症(ALS)或阿尔茨海默病(AD)的帕金森性痴呆复合体(PDC)。两组患者几乎所有的脊髓检查都含有神经原纤维缠结(NFT)。这些nft的免疫组织化学图谱表明,它们是由过度磷酸化的tau蛋白组成的,就像这些患者大脑中的对应蛋白一样。Western blot分析证实了这一点,发现nft患者脊髓提取物中的肌基不溶性tau与AD和ALS/PDC皮质灰质中的6种tau亚型相似。
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引用次数: 54
Expression of Immune‐Related Molecules is Downregulated in Twitcher Mice following Bone Marrow Transplantation 骨髓移植后抽搐小鼠免疫相关分子表达下调
Pub Date : 2001-11-01 DOI: 10.1093/JNEN/60.11.1062
Yun-Ping Wu, E. McMahon, J. Matsuda, Kunihiko Suzuki, G. Matsushima, Kinuko Suzuki
Twitcher (twi/twi) is a murine model of a human genetic demyelinating disease, globoid cell leukodystrophy (Krabbe disease). The affected mice usually die before reaching age 45 days, having demyelination associated with extensive glial activation. The twi/twi mice that receive wild-type bone marrow transplantation (BMT) survive up to 3 times longer with improved pathology. We hypothesize that immune-related molecules such as cytokines and chemokines are partly responsible for the demyelination in twi/twi, and that the decrease in the expression of such molecules following BMT contributes to clinico-pathological improvement. Cells expressing TNF-α, MCP-1, and MIP-1β were conspicuous in the twi/twi CNS accompanied by infiltration of Ia+ and CD8+/CD3− hematogenous cells. These cells decreased gradually after BMT. TNF-α mRNA and mRNA of C-C chemokine families, including MCP-1, IP-10, MIP-1α, MIP-1β, and RANTES, were upregulated in the twi/twi CNS but downregulated gradually following BMT. In twi/twi that survived to 20 wk of age, cells expressing TNF-α, MCP-1, MIP-1β, Ia, or CD8 were hardly detected and pathology was clearly improved. These results are consistent with the hypothesis that cytokine expression in glial cells contributes (to some extent) to the pathogenesis of demyelinating lesions in the twi/twi mice.
Twitcher (twi/twi)是一种人类遗传性脱髓鞘疾病,球样细胞白质营养不良(Krabbe病)的小鼠模型。受影响的小鼠通常在45天前死亡,脱髓鞘与广泛的神经胶质激活有关。接受野生型骨髓移植(BMT)的双/双小鼠存活时间延长3倍,病理改善。我们假设免疫相关分子,如细胞因子和趋化因子,在一定程度上负责twi/twi脱髓鞘,并且BMT后这些分子表达的减少有助于临床病理改善。表达TNF-α、MCP-1和MIP-1β的细胞在双/双中枢神经系统中非常明显,并伴有Ia+和CD8+/CD3−造血细胞的浸润。BMT后这些细胞逐渐减少。TNF-α mRNA和C-C趋化因子家族mRNA,包括MCP-1、IP-10、MIP-1α、MIP-1β和RANTES,在双/双CNS中上调,但在BMT后逐渐下调。在存活至20周龄的双胞胎中,几乎没有检测到表达TNF-α、MCP-1、MIP-1β、Ia或CD8的细胞,病理明显改善。这些结果与假设一致,即胶质细胞中的细胞因子表达(在一定程度上)有助于双/双小鼠脱髓鞘病变的发病机制。
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引用次数: 65
Refsum Disease, Peroxisomes and Phytanic Acid Oxidation: A Review Refsum病,过氧化物酶体和植酸氧化:综述
Pub Date : 2001-11-01 DOI: 10.1093/JNEN/60.11.1021
R. Wanders, G. Jansen, O. Skjeldal
Refsum disease was first recognized as a distinct disease entity by Sigvald Refsum in the 1940s. The discovery of markedly elevated levels of the branched-chain fatty acid phytanic acid in certain patients marked Refsum disease as a disorder of lipid metabolism. Although it was immediately recognized that the accumulation of phytanic acid is due to its deficient breakdown in Refsum disease patients, the true enzymatic defect remained mysterious until recently. A major breakthrough in this respect was the resolution of the mechanism of phytanic acid α-oxidation in humans. In this review we describe the many aspects of Refsum disease from the clinical signs and symptoms to the enzyme and molecular defect plus the recent identification of genetic heterogeneity in Refsum disease.
20世纪40年代,Sigvald Refsum首次将Refsum病视为一种独特的疾病实体。在某些患者中发现支链脂肪酸植酸水平显著升高,这标志着Refsum病是一种脂质代谢紊乱。虽然人们立即认识到植酸的积累是由于其在Refsum病患者中缺乏分解,但直到最近,真正的酶缺陷仍然是一个谜。这方面的一个重大突破是确定了植酸α-氧化在人体中的作用机制。在这篇综述中,我们描述了Refsum病的许多方面,从临床体征和症状到酶和分子缺陷,以及最近发现的Refsum病的遗传异质性。
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引用次数: 87
Defective Mitochondrial Oxidative Phosphorylation in Myopathies with Tubular Aggregates Originating from Sarcoplasmic Reticulum 起源于肌浆网的小管聚集体肌病线粒体氧化磷酸化缺陷
Pub Date : 2001-11-01 DOI: 10.1093/JNEN/60.11.1032
S. Vielhaber
Abnormalities of the sarcotubular system presenting as tubular aggregates (TAs) have been described in a variety of neuromuscular disorders. Here, we report on immunohistochemical and biochemical findings in 7 patients (2 familial and 5 sporadic cases) suffering from myopathies with TAs. In muscle biopsy specimens from 5 of the 7 patients, TAs were immunopositive for the ryanodine receptor (RYR 1) of the sarcoplasmic reticulum (SR), the SR Ca2+ pump (SERCA2-ATPase), and the intraluminal SR Ca2+ binding protein calsequestrin, indicating an SR origin of these aggregates. Furthermore, these 5 cases showed decreased respiratory chain enzyme activities (NADH:CoQ oxidoreductase, complex I and cytochrome c oxidase [COX], complex IV), while the remaining 2 patients exhibited normal values. Our findings indicate a functional link between mitochondrial dysfunction and the presence of TAs originating from the sarcoplasmic reticulum.
异常的肌小管系统表现为管状聚集体(TAs)已被描述在各种神经肌肉疾病。在这里,我们报告了7例(2例家族性和5例散发性)肌病合并TAs的免疫组织化学和生化结果。在7例患者中5例的肌肉活检标本中,TAs对肌浆网(SR)的ryanodine受体(RYR 1)、SR Ca2+泵(serca2 - atp酶)和腔内SR Ca2+结合蛋白calsequestrin呈免疫阳性,表明这些聚集物起源于SR。5例呼吸链酶(NADH:CoQ氧化还原酶复合体I和细胞色素c氧化酶[COX]复合体IV)活性下降,其余2例正常。我们的研究结果表明,线粒体功能障碍与起源于肌浆网的TAs存在之间存在功能联系。
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引用次数: 20
Small Cell Architecture—A Histological Equivalent of EGFR Amplification in Glioblastoma Multiforme? 小细胞结构-多形性胶质母细胞瘤中EGFR扩增的组织学等效物?
Pub Date : 2001-11-01 DOI: 10.1093/JNEN/60.11.1099
P. Burger, D. Pearl, K. Aldape, A. Yates, B. Scheithauer, S. Passe, R. Jenkins, C. James
Although there is much written about the molecular definitions of “primary” glioblastomas (GBM), there is little known about the histological features of this predominant subtype. We hypothesized that the “small cell architecture” would represent a histological feature of most primary GBMs. This was tested by comparing the presence of the small cell phenotype with the presence or absence of amplification of the epidermal growth factor receptor (EGFR), a common event in primary GBMs. After a pilot study that found a correlation between this small cell phenotype and EGFR amplification, we selected 9 pure small cell GBMs (SCGBM) and 12 non-SCGBMs to be studied for EGFR amplification by fluorescence in situ hybridization (FISH). In this set of 21 cases, 8 of 9 SCGBMs and 5 of 12 non-SCGBMs were amplified for EGFR. We then correlated the EGFR status of 79 GBMs unselected for their histological features from a set that had been previously characterized in regard to EGFR amplification. Fourteen of 21 (67%) exclusively small cell neoplasms, 8 of 25 (32%) GBMs with both small cell and non-small cell areas, and 3 of 33 (9%) non-small cell GBMs were amplified for EGFR (p = 0.0004 with an exact test). We conclude that EGFR amplification is associated with a small cell phenotype in GBMs and that SCGBMs are an important component of “primary” GBMs.
虽然有很多关于“原发性”胶质母细胞瘤(GBM)的分子定义的文章,但对这种主要亚型的组织学特征知之甚少。我们假设“小细胞结构”将代表大多数原发性GBMs的组织学特征。通过比较小细胞表型的存在与表皮生长因子受体(EGFR)扩增的存在或不存在来验证这一点,EGFR是原发性GBMs的常见事件。在初步研究发现这种小细胞表型与EGFR扩增之间的相关性后,我们选择了9个纯小细胞GBMs (SCGBM)和12个非scgbms,通过荧光原位杂交(FISH)对EGFR扩增进行研究。在这21例病例中,9例SCGBMs中有8例和12例非SCGBMs中有5例进行了EGFR扩增。然后,我们将79例未因其组织学特征而被选择的GBMs的EGFR状态与先前已被表征为EGFR扩增的组相关联。21例纯小细胞肿瘤中有14例(67%),25例同时伴有小细胞和非小细胞区域的GBMs中有8例(32%),33例非小细胞GBMs中有3例(9%)的EGFR扩增(精确检测p = 0.0004)。我们得出结论,EGFR扩增与GBMs中的小细胞表型相关,SCGBMs是“原发性”GBMs的重要组成部分。
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引用次数: 114
期刊
JNEN: Journal of Neuropathology & Experimental Neurology
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