Feeney S J, McKelvie P A, Austin L, Jean-Francois M J, Kapsa R, Tombs S M, Byrne E
Melbourne Neuromuscular Research Institute, St. Vincent's Hospital, Fitzroy, Victoria 3065, Australia.
Muscle Nerve. 2001 Nov;24(11):1510-9. doi: 10.1002/mus.1176.
In familial amyotrophic lateral sclerosis (fALS), there is a need to establish more precisely the progression of the disease, particularly whether there is gradual presymptomatic neuronal loss or an abrupt loss coinciding with the symptomatic stage. To elucidate this, we investigated the progression of motor neuron loss through morphological techniques, reactive astrocytosis, and expression of ubiquitin and neurofilament proteins, by immunohistochemistry, in SOD1 G93A mice with a protracted disease course and control mice. Loss of motor neurons in SOD1 G93A mice followed a biphasic progression, with an initial loss at 126 days of age, followed by a gradual loss from onset of symptoms through to end-stage disease. Reactive astrocytosis was first observed at 70 days of age and showed a gradual increase through to end-stage disease. This suggests that there is a need for early detection of fALS cases, and potential therapeutic treatments may be more beneficial if administered at an early stage.
在家族性肌萎缩侧索硬化症(fALS)中,需要更精确地确定疾病的进展情况,特别是是否存在逐渐的症状前神经元丧失,或者与症状阶段同时发生的突然丧失。为了阐明这一点,我们通过免疫组织化学,利用形态学技术、反应性星形胶质细胞增生以及泛素和神经丝蛋白的表达,对病程较长的SOD1 G93A小鼠和对照小鼠的运动神经元丧失进展进行了研究。SOD1 G93A小鼠的运动神经元丧失呈双相进展,在126日龄时出现初始丧失,随后从症状出现到疾病终末期逐渐丧失。反应性星形胶质细胞增生在70日龄时首次观察到,并在疾病终末期逐渐增加。这表明需要早期检测fALS病例,并且如果在早期进行潜在的治疗,可能会更有益。