Takikita Shoichi, Fukuda Takahiro, Mohri Ikuko, Yagi Takashi, Suzuki Kinuko
Department of Pathology and Laboratory Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7525, USA.
J Neuropathol Exp Neurol. 2004 Jun;63(6):660-73. doi: 10.1093/jnen/63.6.660.
Niemann-Pick disease type C (NPC) is an autosomal recessive neurovisceral lipid storage disease caused by a loss of NPCI function, which results in perturbation of intracellular cholesterol transport. In BALB/c npc(nih) mice, the murine ortholog of NPCI gene is mutated. In NPC mouse, hypomyelination is conspicuous in the cerebral white matter and corpus callosum in addition to neuronal storage. However, the pathogenesis on hypomyelination is not well elucidated. We hypothesized that the hypomyelination in NPC mice resulted from either defective differentiation of oligodendrocyte lineage cells or a failure of proper axon-glial interaction. Myelin basic protein immunohistochemistry disclosed severe hypomyelination of cerebral cortex as well. NG2- or O4-positive progenitor cells and premyelinating oligodendrocytes (OLs) were abundant. However, pi-glutathione-S-transferase-positive mature OLs were considerably reduced. In hypomyelinated white matter, strong immunoreactivity of polysialylated-neural cell adhesion molecule, a negative regulator of myelination, was observed in axons. Given the fact that neuro-axonal degeneration has been observed in NPC mouse as early as 9 days of age prior to the commencement of myelination in the corpus callosum and that axonal signals are essential for the proper myelination, subtle axonal injury might be contributing to the pathogenesis of disturbed myelination in the NPC mouse.
尼曼-匹克C型病(NPC)是一种常染色体隐性神经内脏脂质贮积病,由NPC1功能丧失引起,导致细胞内胆固醇转运紊乱。在BALB/c npc(nih)小鼠中,NPC1基因的鼠类同源基因发生了突变。在NPC小鼠中,除了神经元贮积外,大脑白质和胼胝体中的髓鞘形成不足也很明显。然而,髓鞘形成不足的发病机制尚未完全阐明。我们推测,NPC小鼠的髓鞘形成不足是由于少突胶质细胞谱系细胞分化缺陷或轴突与神经胶质细胞之间的正常相互作用失败所致。髓鞘碱性蛋白免疫组织化学也显示大脑皮质存在严重的髓鞘形成不足。NG2或O4阳性祖细胞和前髓鞘形成少突胶质细胞(OLs)数量丰富。然而,谷胱甘肽S转移酶阳性的成熟OLs数量明显减少。在髓鞘形成不足的白质中,观察到轴突中有强免疫反应性的多唾液酸神经细胞粘附分子,它是髓鞘形成的负调节因子。鉴于早在胼胝体髓鞘形成开始前9天就在NPC小鼠中观察到神经轴突退变,且轴突信号对正常髓鞘形成至关重要,轻微的轴突损伤可能是NPC小鼠髓鞘形成紊乱发病机制的一个因素。