Department of Neurology and Neurological Science, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.
Neuropathology. 2012 Dec;32(6):595-603. doi: 10.1111/j.1440-1789.2012.01302.x. Epub 2012 Mar 7.
Spinocerebellar ataxia type 6 (SCA6) is an autosomal-dominant neurodegenerative disorder caused by a small expansion of tri-nucleotide (CAG) repeat encoding polyglutamine (polyQ) in the gene for α(1A) voltage-dependent calcium channel (Ca(v) 2.1). Thus, this disease is one of the nine neurodegenerative disorders called polyQ diseases. The Purkinje cell predominant neuronal loss is the characteristic neuropathology of SCA6, and a 75-kDa carboxy-terminal fragment (CTF) of Ca(v) 2.1 containing polyQ, which remains soluble in normal brains, becomes insoluble in the cytoplasm of SCA6 Purkinje cells. Because the suppression of the brain-derived neurotrophic factor (BDNF) expression is a potentially momentous phenomenon in many other polyQ diseases, we implemented BDNF expression analysis in SCA6 human cerebellum using quantitative RT-PCR for the BDNF mRNA, and by immunohistochemistry for the BDNF protein. We observed significantly reduced BDNF mRNA levels in SCA6 cerebellum (n = 3) compared to controls (n = 6) (Mann-Whitney U-test, P = 0.0201). On immunohistochemistry, BDNF protein was only weakly stained in control cerebellum. On the other hand, we found numerous BDNF-immunoreactive granules in dendrites of SCA6 Purkinje cells. We did not observe similar BDNF-immunoreactive granules in other polyQ diseases, such as Huntington's disease or SCA2. As we often observed that the 1C2-positive Ca(v) 2.1 aggregates existed more proximally than the BDNF-positive granules in the dendrites, we speculated that the BDNF protein trafficking in dendrites may be disturbed by Ca(v) 2.1 aggregates in SCA6 Purkinje cells. We conclude that the SCA6 pathogenic mechanism associates with the BDNF mRNA expression reduction and abnormal localization of BDNF protein.
脊髓小脑性共济失调 6 型(SCA6)是一种常染色体显性遗传性神经退行性疾病,由编码α(1A)电压依赖性钙通道(Ca(v)2.1)的聚谷氨酰胺(polyQ)的三核苷酸(CAG)重复扩增引起。因此,这种疾病是九种神经退行性疾病之一,称为 polyQ 疾病。SCA6 的特征性神经病理学是浦肯野细胞为主的神经元丢失,而 Ca(v)2.1 的羧基末端片段(CTF)含有 polyQ,在正常大脑中保持可溶性,在 SCA6 浦肯野细胞的细胞质中变得不溶性。由于脑源性神经营养因子(BDNF)表达的抑制是许多其他 polyQ 疾病中的一个重要现象,我们使用定量 RT-PCR 分析 SCA6 人脑小脑的 BDNF mRNA,并通过免疫组织化学分析 BDNF 蛋白,来实现 SCA6 中的 BDNF 表达分析。与对照组(n=6)相比,我们观察到 SCA6 小脑(n=3)中的 BDNF mRNA 水平显著降低(Mann-Whitney U 检验,P=0.0201)。在免疫组织化学中,对照组小脑中的 BDNF 蛋白仅微弱染色。另一方面,我们在 SCA6 浦肯野细胞的树突中发现了许多 BDNF-免疫反应性颗粒。我们在其他 polyQ 疾病(如亨廷顿病或 SCA2)中没有观察到类似的 BDNF-免疫反应性颗粒。由于我们经常观察到 1C2 阳性的 Ca(v)2.1 聚集存在于树突中的 BDNF 阳性颗粒更接近,我们推测 BDNF 蛋白在 SCA6 浦肯野细胞中的树突中的运输可能受到 Ca(v)2.1 聚集的干扰。我们的结论是,SCA6 的发病机制与 BDNF mRNA 表达减少和 BDNF 蛋白的异常定位有关。