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Autophagy-lysosome pathway associated neuropathology and axonal degeneration in the brains of alpha-galactosidase A-deficient mice.
[fabry disease]
Mutations
in
the
gene
for
alpha-galactosidase
A
result
in
Fabry
disease
,
a
rare
,
X-
linked
lysosomal
storage
disorder
characterized
by
a
loss
of
alpha-galactosidase
A
enzymatic
activity
.
The
resultant
accumulation
of
glycosphingolipids
throughout
the
body
leads
to
widespread
vasculopathy
with
particular
detriment
to
the
kidneys
,
heart
and
nervous
system
.
Disruption
in
the
autophagy-lysosome
pathway
has
been
documented
previously
in
Fabry
disease
but
its
relative
contribution
to
nervous
system
pathology
in
Fabry
disease
is
unknown
.
Using
an
experimental
mouse
model
of
Fabry
disease
,
alpha-galactosidase
A
deficiency
,
we
examined
brain
pathology
in
20
-
24
month
old
mice
with
particular
emphasis
on
the
autophagy-lysosome
pathway
.
Alpha
-galactosidase
A-
deficient
mouse
brains
exhibited
enhanced
punctate
perinuclear
immunoreactivity
for
the
autophagy
marker
microtubule-associated
protein
light-chain
3
(
LC
3
)
in
the
parenchyma
of
several
brain
regions
,
as
well
as
enhanced
parenchymal
and
vascular
immunoreactivity
for
lysosome-associated
membrane
protein-
1
(
LAMP-
1
)
.
Ultrastructural
analysis
revealed
endothelial
cell
inclusions
with
electron
densities
and
a
pronounced
accumulation
of
electron-
dense
lipopigment
.
The
pons
of
alpha-galactosidase
A-
deficient
mice
in
particular
exhibited
a
striking
neuropathological
phenotype
,
including
the
presence
of
large
,
swollen
axonal
spheroids
indicating
axonal
degeneration
,
in
addition
to
large
interstitial
aggregates
positive
for
phosphorylated
alpha-synuclein
that
co
-
localized
with
the
axonal
spheroids
.
Double
-label
immunofluorescence
revealed
co
-localization
of
phosphorylated
alpha-synuclein
aggregates
with
ubiquitin
and
LC
3
.
Together
these
findings
indicate
widespread
neuropathology
and
focused
axonal
neurodegeneration
in
alpha-galactosidase
A-
deficient
mouse
brain
in
association
with
disruption
of
the
autophagy-lysosome
pathway
,
and
provide
the
basis
for
future
mechanistic
assessment
of
the
contribution
of
the
autophagy-lysosome
pathway
to
this
histologic
phenotype
.
Diseases
Validation
Diseases presenting
"deficient mice"
symptom
achondroplasia
allergic bronchopulmonary aspergillosis
benign recurrent intrahepatic cholestasis
canavan disease
classical phenylketonuria
cystinuria
epidermolysis bullosa simplex
fabry disease
harlequin ichthyosis
holt-oram syndrome
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
junctional epidermolysis bullosa
kallmann syndrome
omenn syndrome
papillon-lefèvre syndrome
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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