Kühl Thomas G, Dihanich Sybille, Wong Andrew M S, Cooper Jonathan D
Pediatric Storage Disorders Laboratory, Department of Neuroscience, Institute of Psychiatry, King's College London, King's Health Partners Centre for Neurodegeneration Research, London, UK.
J Child Neurol. 2013 Sep;28(9):1117-22. doi: 10.1177/0883073813494479.
The neuronal ceroid lipofuscinoses (Batten disease) are collectively the most common inherited neurodegenerative disorder of childhood. Mouse models of neuronal ceroid lipofuscinosis represent a powerful resource for investigating the underlying disease mechanisms, which remain poorly understood. Here we present a new rostrocaudal analysis of regional brain volume rather than focusing on central nervous system structures that can be affected. This has revealed an earlier onset of regional atrophy than was suspected in infantile neuronal ceroid lipofuscinosis (or CLN1 disease, infantile), with a greater involvement of rostral structures. We have also provided the first description of regional atrophy in severely affected mice with the juvenile variant (CLN3 disease, juvenile). These data reveal new perspectives on how the central nervous system is affected in these disorders, which have implications for judging the efficacy of therapeutic strategies in preclinical studies.
神经元蜡样脂褐质沉积症(巴滕病)是儿童期最常见的遗传性神经退行性疾病。神经元蜡样脂褐质沉积症的小鼠模型是研究潜在疾病机制的有力资源,而这些机制目前仍知之甚少。在此,我们对脑区体积进行了一项新的从嘴端到尾端的分析,而不是专注于可能受影响的中枢神经系统结构。这揭示了婴儿型神经元蜡样脂褐质沉积症(或CLN1病,婴儿型)的区域萎缩比之前怀疑的发病更早,嘴端结构受累更严重。我们还首次描述了患有青少年型变体(CLN3病,青少年型)的严重受影响小鼠的区域萎缩情况。这些数据揭示了关于这些疾病如何影响中枢神经系统的新观点,这对在临床前研究中判断治疗策略的疗效具有重要意义。