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神经元蜡样脂褐质沉积症:9只患病波兰低地牧羊犬(PON)的临床和形态学表现

Neuronal ceroid lipofuscinosis: clinical and morphologic findings in nine affected Polish Owczarek Nizinny (PON) dogs.

作者信息

Narfström K, Wrigstad A, Ekesten B, Berg A-L

机构信息

Department of Clinical Sciences, Swedish University of Agricultural Sciences, (SUAS), S-750 07 Uppsala, Sweden.

出版信息

Vet Ophthalmol. 2007 Mar-Apr;10(2):111-20. doi: 10.1111/j.1463-5224.2007.00527.x.

Abstract

OBJECTIVE

The aim of this study was to characterize the clinical and morphologic features of neuronal ceroid lipofuscinosis (NCL) in the Polish Owczarek Nizinny (PON) breed of dog.

ANIMALS

Nine Swedish PON dogs of both sexes were included in the study.

PROCEDURE

All dogs underwent a detailed clinical evaluation, with emphasis on ophthalmic exams. Histopathology and electron microscopy were performed on the eyes, brain and various internal organs. Immunohistochemical staining for detection of sphingolipid activator proteins (SAPs) and mitochondrial ATP synthase (SCMAS) was performed on the eyes and brain.

RESULTS

The dogs showed behavioral abnormalities, motor disturbances and visual impairment or blindness. Pupillary responses were abnormal while fundus changes varied from normal to severe retinal atrophy. Electroretinography (ERG) showed variable changes, from slight alterations in the process of dark adaptation to severely reduced or nonrecordable ERG a- and b-wave amplitudes. Histopathology revealed intracytoplasmic storage bodies within neurons of the brain and in retinal cells, especially the retinal pigment epithelium (RPE). Round to oval granular type of inclusion bodies, known as granular osmiophilic dense deposits (GRODS), were found in neuronal cells in the brain and in the retina. Immunohistochemistry identified the storage material in the brain and retina as consisting of SAPs.

CONCLUSION

The presently described NCL disease in PON dogs shows similarities to previously recorded cases in the Miniature Schnauzer. The closest human equivalent to this disease is infantile NCL (CLN1), in which the major stored proteins are SAPs and the ultrastructure of the inclusion bodies of neuronal cells is granular.

摘要

目的

本研究旨在描述波兰低地牧羊犬(PON)品种中神经元蜡样脂褐质沉积症(NCL)的临床和形态学特征。

动物

9只瑞典PON犬(雌雄均有)纳入本研究。

方法

所有犬均接受详细的临床评估,重点是眼科检查。对眼睛、大脑和各种内脏器官进行组织病理学和电子显微镜检查。对眼睛和大脑进行免疫组织化学染色以检测鞘脂激活蛋白(SAPs)和线粒体ATP合酶(SCMAS)。

结果

这些犬表现出行为异常、运动障碍以及视力损害或失明。瞳孔反应异常,而眼底变化从正常到严重视网膜萎缩不等。视网膜电图(ERG)显示出不同变化,从暗适应过程中的轻微改变到ERG a波和b波振幅严重降低或无法记录。组织病理学显示大脑神经元和视网膜细胞(尤其是视网膜色素上皮,RPE)内有胞质内储存体。在大脑神经元细胞和视网膜中发现了圆形至椭圆形颗粒状的包涵体,称为颗粒嗜锇致密沉积物(GRODS)。免疫组织化学鉴定出大脑和视网膜中的储存物质由SAPs组成。

结论

目前所描述的PON犬NCL疾病与先前在迷你雪纳瑞犬中记录的病例相似。与这种疾病最接近的人类疾病是婴儿型NCL(CLN1),其中主要储存蛋白是SAPs,神经元细胞包涵体的超微结构是颗粒状的。

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