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[神经退行性疾病中基底神经节的病理学]

[Pathology of basal ganglia in neurodegenerative diseases].

作者信息

Wakabayashi Koichi, Tanji Kunikazu, Mori Fumiaki

机构信息

Department of Neu ropathology, Institute of Brain Science, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki 036-8562, Japan.

出版信息

Brain Nerve. 2009 Apr;61(4):429-39.

Abstract

Intra- and/or extracellular proteinaceous inclusions in the brain tissue are characteristic pathological markers of many neurodegenerative diseases. Tau protein in neurofibrillary tangles and beta-amyloid in senile plaques are associated with Alzheimer's disease. Tau is associated with various neurological conditions, which are collectively referred to as tauopathies. Alpha-synucleinopathy is a term that collectively refers to a set of diseases in which neurodegeneration is accompanied by intracellular accumulation of alpha-synuclein in neurons or glial cells. Recently, TDP-43 has been identified as a major disease protein in the ubiquitinated inclusions in deseases such as amyotrophic lateral sclerosis and frontotemporal lobar degeneration with tau-negative, ubiquitin-positive inclusions. Thus, these neurodegenerative disorders comprise a new disease class, namely, TDP-43 proteinopathy. In this article, we review the present understanding of histopathological features of basal ganglia lesions in protein conformation disorders, including tauopathy, alpha-synucleinopathy, and TDP-43 proteinopathy.

摘要

脑组织中的细胞内和/或细胞外蛋白质包涵体是许多神经退行性疾病的典型病理标志物。神经原纤维缠结中的tau蛋白和老年斑中的β-淀粉样蛋白与阿尔茨海默病有关。Tau与多种神经系统疾病相关,这些疾病统称为tau蛋白病。α-突触核蛋白病是一个术语,指的是一组神经退行性变伴有神经元或神经胶质细胞内α-突触核蛋白积累的疾病。最近,TDP-43已被确定为肌萎缩侧索硬化症和tau蛋白阴性、泛素阳性包涵体的额颞叶痴呆等疾病中泛素化包涵体的主要疾病蛋白。因此,这些神经退行性疾病构成了一种新的疾病类别,即TDP-43蛋白病。在本文中,我们综述了目前对蛋白质构象障碍中基底节病变组织病理学特征的认识,包括tau蛋白病、α-突触核蛋白病和TDP-43蛋白病。

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