Kuzdas-Wood Daniela, Irschick Regina, Theurl Markus, Malsch Philipp, Mair Norbert, Mantinger Christine, Wanschitz Julia, Klimaschewski Lars, Poewe Werner, Stefanova Nadia, Wenning Gregor K
Department of Neurology, Medical University of Innsbruck, Innsbruck, Tirol, Austria.
Department of Anatomy, Histology and Embryology, Division of Clinical and Functional Anatomy, Medical University of Innsbruck, 6020 Innsbruck, Austria; Department of Anatomy, Histology and Embryology, Division of Neuroanatomy, Medical University of Innsbruck, 6020 Innsbruck, Austria.
PLoS One. 2015 Oct 23;10(10):e0136575. doi: 10.1371/journal.pone.0136575. eCollection 2015.
Multiple system atrophy (MSA) is a fatal, rapidly progressive neurodegenerative disease with (oligodendro-)glial cytoplasmic α-synuclein (α-syn) inclusions (GCIs). Peripheral neuropathies have been reported in up to 40% of MSA patients, the cause remaining unclear. In a transgenic MSA mouse model featuring GCI-like inclusion pathology based on PLP-promoter driven overexpression of human α-syn in oligodendroglia motor and non-motor deficits are associated with MSA-like neurodegeneration. Since α-syn is also expressed in Schwann cells we aimed to investigate whether peripheral nerves are anatomically and functionally affected in the PLP-α-syn MSA mouse model.
To this end, heat/cold as well as mechanical sensitivity tests were performed. Furthermore, in vivo and ex vivo nerve conduction and the G-ratios of the sciatic nerve were analyzed, and thermosensitive ion channel mRNA expression in dorsal root ganglia (DRG) was assessed. The presence of human α-syn in Schwann cells was associated with subtle behavioral impairments. The G-ratio of the sciatic nerve, the conduction velocity of myelinated and unmyelinated primary afferents and the expression of thermosensitive ion channels in the sensory neurons, however, were similar to wildtype mice.
Our results suggest that the PNS appears to be affected by Schwann cell α-syn deposits in the PLP-α-syn MSA mouse model. However, there was no consistent evidence for functional PNS perturbations resulting from such α-syn aggregates suggesting a more central cause of the observed behavioral abnormalities. Nonetheless, our results do not exclude a causal role of α-syn in the pathogenesis of MSA associated peripheral neuropathy.
多系统萎缩(MSA)是一种致命的、快速进展的神经退行性疾病,伴有(少突)胶质细胞胞质α-突触核蛋白(α-syn)包涵体(GCIs)。据报道,高达40%的MSA患者存在周围神经病变,其病因尚不清楚。在一个基于少突胶质细胞中PLP启动子驱动的人α-syn过表达的转基因MSA小鼠模型中,运动和非运动功能缺陷与MSA样神经退行性变相关。由于α-syn也在雪旺细胞中表达,我们旨在研究在PLP-α-syn MSA小鼠模型中周围神经在解剖学和功能上是否受到影响。
为此,进行了热/冷以及机械敏感性测试。此外,分析了体内和体外神经传导以及坐骨神经的G比值,并评估了背根神经节(DRG)中热敏离子通道mRNA的表达。雪旺细胞中存在人α-syn与轻微的行为障碍有关。然而,坐骨神经的G比值、有髓和无髓初级传入神经的传导速度以及感觉神经元中热敏离子通道的表达与野生型小鼠相似。
我们的结果表明,在PLP-α-syn MSA小鼠模型中,周围神经系统似乎受到雪旺细胞α-syn沉积的影响。然而,没有一致的证据表明这种α-syn聚集体会导致周围神经系统功能紊乱,这表明观察到的行为异常有更主要的原因。尽管如此,我们的结果并不排除α-syn在MSA相关周围神经病变发病机制中的因果作用。