Mason Eye Institute, University of Missouri School of Medicine, Columbia, MO 65212, USA.
Genes Brain Behav. 2011 Oct;10(7):798-804. doi: 10.1111/j.1601-183X.2011.00718.x. Epub 2011 Aug 7.
The neuronal ceroid lipofuscinoses (NCLs) are autosomal recessive lysosomal storage diseases characterized by progressive neurodegeneration and by accumulation of autofluorescent storage material in the central nervous system and other tissues. One of the most prominent clinical signs of NCL is progressive decline in cognitive function. We previously described a frame shift mutation of TPP1 in miniature long-haired Dachshunds which causes an early-onset form of NCL analogous to classical late-infantile onset NCL (CLN2) in children. Dogs homozygous for the TPP1 mutation exhibit progressive neurological signs similar to those exhibited by human patients. In order to establish biomarkers for evaluating the efficacy of ongoing therapeutic studies in this canine model, we characterized phenotypic changes in 13 dogs through 9 months of age. Cognitive function was assessed using a T-maze reversal learning (RL) task. Cognitive dysfunction was detected in affected dogs as early as 6 months of age and worsened as the disease progressed. Physical and neurological examination, funduscopy and electroretinography (ERG) were performed at regular intervals. Only the changes in ERG responses showed signs of disease progression earlier than the RL task. In the later stages of the disease clinical signs of visual and motor deficits became evident. The visual and motor deficits were not severe enough to affect the performance of dogs in the T-maze. Declining performance on the RL task is a sensitive measure of higher-order cognitive dysfunction which can serve as a useful biomarker of disease progression.
神经元蜡样脂褐质沉积症(NCLs)是一种常染色体隐性溶酶体贮积病,其特征是进行性神经退行性变和中枢神经系统及其他组织中积累自发荧光的贮存物质。NCL 的最突出临床特征之一是认知功能进行性下降。我们之前描述了一种 TPP1 的移码突变,它导致了一种小型长毛腊肠犬的早发性 NCL 形式,类似于儿童中的经典晚婴儿期发病 NCL(CLN2)。携带 TPP1 突变的犬表现出与人类患者相似的进行性神经症状。为了在这种犬模型中评估正在进行的治疗研究的疗效建立生物标志物,我们通过 9 个月龄来描述 13 只犬的表型变化。使用 T 迷宫反转学习(RL)任务评估认知功能。在 6 个月大时,受影响的犬就出现了认知功能障碍,并且随着疾病的进展而恶化。定期进行身体和神经检查、眼底检查和视网膜电图(ERG)。只有 ERG 反应的变化比 RL 任务更早显示出疾病进展的迹象。在疾病的后期,出现了视觉和运动功能缺陷的临床症状。视觉和运动功能缺陷还没有严重到足以影响犬在 T 迷宫中的表现。RL 任务表现的下降是一种对高级认知功能障碍的敏感测量方法,可作为疾病进展的有用生物标志物。