Galán Lucía, Gómez-Pinedo Ulises, Guerrero Antonio, García-Verdugo Jose Manuel, Matías-Guiu Jorge
Amyotrophic Lateral Sclerosis Unit, Department of Neurology, Hospital Clínico San Carlos, Calle Profesor Martín Lagos s/n, 28040, Madrid, Spain.
Institute of Neurosciences, Hospital Clínico San Carlos, Madrid, Spain.
BMC Neurol. 2017 Sep 6;17(1):173. doi: 10.1186/s12883-017-0956-5.
Adult neurogenesis persists through life at least in classic neurogenic niches. Neurogenesis has been previously described as reduced in neurodegenerative diseases. There is not much knowledge about is adult neurogenesis is or not modified in amyotrophy lateral sclerosis (ALS). All previous publications has studied the ALS SOD1 (superoxide dismutase) transgenic mouse model. The purpose of this study is to examine the process of adult neurogenesis in classic niches (subventricular zone [SVZ] and subgranular zone [SGZ] of the dentate gyrus) in patients with amyotrophic lateral sclerosis (ALS), both with (ALS-FTD) and without associated frontotemporal dementia (FTD).
We studied 9 autopsies of patients with ALS (including 2 with ALS-FTD) and 4 controls. ALS was confirmed histologically. Studies of the SVZ and SGZ were conducted using markers of proliferation (Ki-67, PCNA), of pluripotent neural progenitor cells (GFAPδ), neuroblasts (PSA-NCAM, DCX, TUJ1), and an astrocyte marker (GFAP). Results were analyzed with non-parametric tests. We then studied correlations between the different markers and the percentage of phosphorylated TDP-43 (pTDP-43).
We observed a statistically significant increase in proliferation in the SVZ in all patients with ALS. While this increase was more marked in ALS forms associated with dementia, the small sample size does not permit a statistical subgroup analysis. In contrast, proliferation in the SGZ was decreased in all patients. These alterations showed a positive and direct correlation with the percentage of pTDP-43 in the SVZ, and a negative, exponential correlation with that percentage in the SGZ.
We observed alterations of the proliferation of neural progenitor in classic adult neurogenic niches in patients with ALS. The 2 neurogenic niches exhibited opposite changes such that proliferation increased in the SVZ and decreased in the SGZ.
至少在典型的神经发生微环境中,成体神经发生会持续终生。先前已有研究表明神经发生在神经退行性疾病中会减少。关于肌萎缩侧索硬化症(ALS)中成人神经发生是否改变,目前了解不多。此前所有的研究都集中在ALS超氧化物歧化酶1(SOD1)转基因小鼠模型上。本研究的目的是检查肌萎缩侧索硬化症(ALS)患者(伴有或不伴有额颞叶痴呆(FTD))在典型微环境(脑室下区[SVZ]和齿状回颗粒下区[SGZ])中的成体神经发生过程。
我们研究了9例ALS患者(包括2例伴有ALS-FTD的患者)的尸检样本以及4例对照样本。通过组织学检查确诊ALS。使用增殖标志物(Ki-67、PCNA)、多能神经祖细胞标志物(GFAPδ)、神经母细胞标志物(PSA-NCAM、DCX、TUJ1)和星形胶质细胞标志物(GFAP)对SVZ和SGZ进行研究。结果采用非参数检验进行分析。然后我们研究了不同标志物与磷酸化TDP-43(pTDP-43)百分比之间的相关性。
我们观察到所有ALS患者的SVZ增殖均有统计学意义的增加。虽然这种增加在与痴呆相关的ALS类型中更为明显,但样本量较小,无法进行统计学亚组分析。相比之下,所有患者的SGZ增殖均减少。这些改变与SVZ中pTDP-43的百分比呈正相关且直接相关,与SGZ中该百分比呈负指数相关。
我们观察到ALS患者在典型的成人神经发生微环境中神经祖细胞增殖发生改变。两个神经发生微环境呈现出相反的变化,即SVZ增殖增加,SGZ增殖减少。