Suzuki Kinuko
Department of Pathology and Laboratory Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27278, USA.
Brain Dev. 2007 Apr;29(3):129-41. doi: 10.1016/j.braindev.2006.08.006. Epub 2006 Sep 25.
Varieties of neuropathological disorders are caused by a perturbation of normal developmental processes, resulting from insults by heterogeneous etiologic factors. These factors trigger the sequence of molecular, biochemical, and morphologic alterations of the brain, resulting morphologically and/or functionally abnormal brain. The resulting brain contains basic components of the normal brain but is assembled in an abnormal way. The developmental stage when the insults occur appears to largely dictate the outcome of the pathological processes. Depending on the developmental stage involved, the morphology of the brain may be grossly abnormal or is apparently normal but functionally abnormal. The brain development progresses in an orderly fashion and can be divided into several major developmental stages; the neurulation (neural tube formation), ventral induction (formation of prosencephalon), neuroepithelial cell proliferation and migration, neuroglial differentiation and establishment of neuronal circuits. The perturbation of these developmental stages results in uniquely specific pathological outcome, regardless of the etiologic factors/agents. In this review, I will briefly discuss the normal pattern of brain development and neuropathology of the representative disorders resulting from the deviation of normal developmental processes in the individual developmental stage.
多种神经病理学疾病是由正常发育过程受到干扰引起的,这些干扰源于多种病因因素的损害。这些因素引发大脑分子、生化和形态学改变的序列,导致大脑在形态和/或功能上出现异常。由此产生的大脑包含正常大脑的基本组成部分,但组装方式异常。损伤发生时的发育阶段似乎在很大程度上决定了病理过程的结果。根据所涉及的发育阶段,大脑的形态可能严重异常,或者外观正常但功能异常。大脑发育以有序的方式进行,可分为几个主要发育阶段:神经胚形成(神经管形成)、腹侧诱导(前脑形成)、神经上皮细胞增殖和迁移、神经胶质分化以及神经回路的建立。这些发育阶段的干扰会导致独特的特定病理结果,而与病因因素/致病因子无关。在本综述中,我将简要讨论大脑发育的正常模式以及因个体发育阶段正常发育过程偏离而导致的代表性疾病的神经病理学。