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Mitochondrial dysfunction and oxidative damage cooperatively fuel axonal degeneration in X-linked adrenoleukodystrophy.
[adrenomyeloneuropathy]
X-
linked
adrenoleukodystrophy
(
X-
ALD
)
is
the
most
frequent
inherited
monogenic
demyelinating
disease
(
minimal
incidence
1
:
17
,
000
)
.
It
is
often
lethal
and
currently
lacks
a
satisfactory
therapy
.
The
disease
is
caused
by
loss
of
function
of
the
ABCD
1
gene
,
a
peroxisomal
ATP-binding
cassette
transporter
,
resulting
in
the
accumulation
of
VLCFA
(
very
long
-chain
fatty
acids
)
in
organs
and
plasma
.
Understanding
of
the
aetiopathogenesis
is
a
prerequisite
for
the
development
of
novel
therapeutic
strategies
.
Functional
genomics
analysis
of
an
ABCD
1
null
mouse
,
a
mouse
model
for
adrenomyeloneuropathy
,
has
revealed
presymptomatic
alterations
in
several
metabolic
pathways
converging
on
redox
and
bioenergetic
homeostasis
,
with
failure
of
mitochondrial
OXPHOS
disruption
and
mitochondrial
depletion
.
These
defects
could
be
major
contributors
to
the
neurodegenerative
cascade
,
as
has
been
reported
in
several
neurodegenerative
disorders
.
Drugs
targeting
the
redox
imbalance
/
mitochondria
dysfunction
interplay
have
shown
efficacy
at
halting
axonal
degeneration
and
associated
disability
in
the
mouse
,
and
thus
offer
therapeutic
hope
.
Diseases
Validation
Diseases presenting
"functional genomics analysis of an abcd1"
symptom
adrenomyeloneuropathy
x-linked adrenoleukodystrophy
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