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Inhibition of angiogenesis by β-galactosylceramidase deficiency in globoid cell leukodystrophy.
[krabbe disease]
Globoid
cell
leukodystrophy
(
Krabbe
disease
)
is
a
neurological
disorder
of
infants
caused
by
genetic
deficiency
of
the
lysosomal
enzyme
β-
galactosylceramidase
leading
to
accumulation
of
the
neurotoxic
metabolite
1
-
β-d-galactosylsphingosine
(
psychosine
)
in
the
central
nervous
system
.
Angiogenesis
plays
a
pivotal
role
in
the
physiology
and
pathology
of
the
brain
.
Here
,
we
demonstrate
that
psychosine
has
anti-angiogenic
properties
by
causing
the
disassembling
of
endothelial
cell
actin
structures
at
micromolar
concentrations
as
found
in
the
brain
of
patients
with
globoid
cell
leukodystrophy
.
Accordingly
,
significant
alterations
of
microvascular
endothelium
were
observed
in
the
post-
natal
brain
of
twitcher
mice
,
an
authentic
model
of
globoid
cell
leukodystrophy
.
Also
,
twitcher
endothelium
showed
a
progressively
reduced
capacity
to
respond
to
pro-angiogenic
factors
,
defect
that
was
corrected
after
transduction
with
a
lentiviral
vector
harbouring
the
murine
β-
galactosylceramidase
complementary
DNA
.
Finally
,
RNA
interference-mediated
β-
galactosylceramidase
gene
silencing
causes
psychosine
accumulation
in
human
endothelial
cells
and
hampers
their
mitogenic
and
motogenic
response
to
vascular
endothelial
growth
factor
.
Accordingly
,
significant
alterations
were
observed
in
human
microvasculature
from
brain
biopsy
of
a
globoid
cell
leukodystrophy
case
.
Together
these
data
demonstrate
that
β-
galactosylceramidase
deficiency
induces
significant
alterations
in
endothelial
neovascular
responses
that
may
contribute
to
central
nervous
system
and
systemic
damages
that
occur
in
globoid
cell
leukodystrophy
.
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