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Alexander disease mutant glial fibrillary acidic protein compromises glutamate transport in astrocytes.
[alexander disease]
Alexander
disease
(
AxD
)
is
a
leukodystrophy
caused
by
heterozygous
mutations
in
the
gene
for
glial
fibrillary
acidic
protein
,
an
intermediate
filament
protein
expressed
by
astrocytes
.
The
mutation
causes
prominent
protein
aggregates
inside
astrocytes
;
there
is
also
loss
of
myelin
and
oligodendrocytes
and
neuronal
degeneration
.
We
show
that
immunohistochemical
staining
for
glutamate
transporter
1
,
the
major
brain
glutamate
transporter
expressed
primarily
in
astrocytes
suggests
decreased
levels
in
the
hippocampi
of
infantile
AxD
patients
.
A
knock-
in
mouse
model
of
AxD
also
shows
significant
reduction
of
glutamate
transporter
1
in
the
hippocampus
.
To
explore
this
phenomenon
at
the
cellular
level
,
wild-
type
and
R
239
C
mutant
glial
fibrillary
acidic
proteins
(
the
most
common
mutation
)
were
overexpressed
in
astrocytes
in
culture
.
Western
blotting
and
whole-cell
patch
clamp
recordings
demonstrated
that
the
R
239
C
astrocytes
exhibited
markedly
reduced
glutamate
transporter
1
protein
levels
;
this
resulted
in
attenuated
or
abolished
glutamate-induced
inward
transporter
current
.
Neurons
cocultured
with
the
R
239
C
astrocytes
exhibited
increased
death
after
glutamate
challenge
.
These
results
indicate
that
aberrant
astrocytes
have
decreased
glutamate
uptake
,
which
may
play
an
important
role
in
the
pathogenesis
of
neuronal
and
oligodendrocyte
injury
and
death
in
AxD
.
Diseases
Validation
Diseases presenting
"leukodystrophy"
symptom
achondroplasia
adrenomyeloneuropathy
alexander disease
cadasil
canavan disease
carcinoma of the gallbladder
classical phenylketonuria
coats disease
fabry disease
gm1 gangliosidosis
krabbe disease
neonatal adrenoleukodystrophy
phenylketonuria
pyruvate dehydrogenase deficiency
wiskott-aldrich syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
This symptom has already been validated