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过氧化物酶体β-氧化缺陷中的发育性和退行性小脑病变。

Developmental and Degenerative Cerebellar Pathologies in Peroxisomal β-Oxidation Deficiency.

机构信息

Department of Pharmaceutical and Pharmacological Sciences, Cell Metabolism, KU Leuven - University of Leuven, Leuven, Belgium.

出版信息

Adv Exp Med Biol. 2020;1299:105-115. doi: 10.1007/978-3-030-60204-8_9.

Abstract

The integrity of the cerebellum is exquisitely dependent on peroxisomal β-oxidation metabolism. Patients with peroxisomal β-oxidation defects commonly develop malformation, leukodystrophy, and/or atrophy of the cerebellum depending on the gene defect and on the severity of the mutation. By analyzing mouse models lacking the central peroxisomal β-oxidation enzyme, multifunctional protein-2 (MFP2), either globally or in selected cell types, insights into the pathomechanisms could be obtained. All mouse models developed ataxia, but the onset was earlier in global and neural-selective (Nestin) Mfp2 knockout mice as compared to Purkinje cell (PC)-selective Mfp2 knockouts.At the histological level, this was associated with developmental anomalies in global and Nestin-Mfp2 mice, including aberrant wiring of PCs by parallel and climbing fibers and altered electrical properties of PCs. In all mouse models, dystrophy of PC axons with swellings initiating in the deep cerebellar nuclei and evolving to the proximal axon, preceded death of PCs. These degenerative features are in part mediated by deficient peroxisomal β-oxidation within PCs but are accelerated when MFP2 is also absent from other neural cell types. The metabolic causes of the diverse cerebellar pathologies remain unknown.In conclusion, peroxisomal β-oxidation is required both for the development and for the maintenance of the cerebellum. This is mediated by PC autonomous and nonautonomous mechanisms.

摘要

小脑的完整性对过氧化物酶体β-氧化代谢极为依赖。过氧化物酶体β-氧化缺陷的患者通常会因基因缺陷和突变的严重程度而出现小脑畸形、白质营养不良和/或萎缩。通过分析缺乏中央过氧化物酶体β-氧化酶多官能蛋白-2(MFP2)的小鼠模型,可深入了解其发病机制。所有的小鼠模型都出现了共济失调,但与浦肯野细胞(PC)选择性 Mfp2 敲除小鼠相比,全身性和神经选择性(Nestin)Mfp2 敲除小鼠的发病更早。在组织学水平上,这与全身性和 Nestin-Mfp2 小鼠的发育异常有关,包括平行纤维和攀附纤维对 PC 的异常布线以及 PC 电生理特性的改变。在所有的小鼠模型中,PC 轴突的萎缩都伴有深部小脑核起始的肿胀,并向近端轴突发展,随后 PC 死亡。这些退行性特征部分是由 PC 内过氧化物酶体β-氧化不足引起的,但当 MFP2 也不存在于其他神经细胞类型时,会加速其发展。小脑多种病变的代谢原因尚不清楚。总之,过氧化物酶体β-氧化对小脑的发育和维持都是必需的。这种作用是通过 PC 自主和非自主机制介导的。

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