Brizzolara Antonella, Torre Michele, Favre Anna, Pini Prato Alessio, Bocciardi Renata, Martucciello Giuseppe
Department of Pediatric Surgery, G. Gaslini Children's Hospital, University of Genova, Genoa, Italy.
J Pediatr Surg. 2004 Jul;39(7):1098-103. doi: 10.1016/j.jpedsurg.2004.03.046.
BACKGROUND/PURPOSE: The spontaneous mouse mutant Dominant megacolon (Dom) represents the model of the Waardenburg-Hirschsprung's disease, a syndromic pathology, characterized by the association of pigmentation defects (PD), deafness, and Hirschsprung's disease (HD). The defect in Dom mouse is caused by a spontaneous mutation of the gene encoding the Sry-related transcription factor Sox10. This mutation affects several aspects of neural crest development leading to combined enteric innervation and pigmentation defects, both in mouse and human. The purpose of this report is to define, by enzymo-histochemical techniques routinely used for the diagnosis of human Hirschsprung's disease (AChE, LDH, NADPH-diaphorase), the innervative patterns of the affected gut.
Fifty-four siblings of Heterozygous Dom/+ mice underwent autopsy and were genotyped by direct sequencing of polymerase chain reaction (PCR) products for Sox10 mutations. The enteric nervous system of all the mice was studied by histochemical techniques indicated above.
Genotyping showed that 43 mice were Dom/+ and 11 were Wild type +/+. Wild-type +/+ mice were used as control. The correspondence between genotype and at least 1 phenotypic aspect (PD or dysganglionosis) was present in 93% of cases (41 of 43). Among the Dom/+ mice, dysganglionosis was present in 79% of cases and PD in 90% of cases. Moreover, among Dom/+ mice, excluding those whose mantle was not evaluated as dead just after birth, PD and dysganglionosis (complete phenotype) were present in 68% of cases.
The histochemical methods that we used proved to be useful for identification of different aganglionic (AG), hypoganglionic (HG), and normoganglionic segments of Dom/+ mouse gut studied in longitudinal sections. Unlike humans, control mice (Wild type +/+) presented a rich component of AChE nerve fibers, whereas Dom/+ mice with dysganglionosis presented a decrease in AChE-positive nerve fibers. These data confirm the variable phenotypic penetrance in heterozygous mice. Because dysganglionosis in this animal model (Dom/+) was evident in 79% of cases (AG or HG), we concluded that Dom mice could represent important models for further experimental studies.
背景/目的:自发突变小鼠显性巨结肠(Dom)代表了瓦登伯格-赫希施普龙病的模型,这是一种综合征性疾病,其特征为色素沉着缺陷(PD)、耳聋和赫希施普龙病(HD)同时出现。Dom小鼠的缺陷是由编码Sry相关转录因子Sox10的基因自发突变引起的。这种突变影响神经嵴发育的多个方面,导致小鼠和人类均出现肠神经支配和色素沉着联合缺陷。本报告的目的是通过常用于诊断人类赫希施普龙病的酶组织化学技术(乙酰胆碱酯酶、乳酸脱氢酶、还原型辅酶Ⅱ-黄递酶)来确定受影响肠道的神经支配模式。
对54只杂合Dom/+小鼠的同胞进行尸检,并通过对聚合酶链反应(PCR)产物进行直接测序来确定Sox10突变的基因型。所有小鼠的肠神经系统均采用上述组织化学技术进行研究。
基因分型显示,43只小鼠为Dom/+,11只为野生型+/+。野生型+/+小鼠用作对照。93%的病例(43例中的41例)存在基因型与至少1个表型方面(PD或神经节减少症)的对应关系。在Dom/+小鼠中,79%的病例存在神经节减少症,90%的病例存在PD。此外,在Dom/+小鼠中,排除出生后即刻被评估为濒死的小鼠,68%的病例存在PD和神经节减少症(完整表型)。
我们使用的组织化学方法被证明有助于识别在纵切面上研究的Dom/+小鼠肠道中不同的无神经节(AG)、神经节减少(HG)和神经节正常的节段。与人类不同,对照小鼠(野生型+/+)呈现丰富的乙酰胆碱酯酶神经纤维成分,而存在神经节减少症的Dom/+小鼠乙酰胆碱酯酶阳性神经纤维减少。这些数据证实了杂合小鼠中可变的表型外显率。由于在该动物模型(Dom/+)中79%的病例(AG或HG)出现了神经节减少症,我们得出结论,Dom小鼠可能代表用于进一步实验研究的重要模型。