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Subcortical neurodegeneration in chorea: Similarities and differences between chorea-acanthocytosis and Huntington's disease

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机构: [a]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [b]Neurologische Klinik und Poliklinik, Ludwig-Maximilians-Universitat Munchen, Germany [c]Department of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital Würzburg, Germany [d]Departments of Pathology and Radiology, University of Sao Paulo Medical School, Sao Paulo, Brazil [e]Department of Neurology, University of California, San Francisco, USA [f]Praca Amadeu Amaral, 27, cj 31, Bela Vista, Sao Paulo, Brazil [g]Department of Radiology, University of Sao Paulo Medical School, Sao Paulo, Brazil [h]Dr. Senckenbergisches Chronomedizinisches Institut, Goethe-Universitat, Frankfurt/Main, Germany [i]Department of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands [j]Center for Neuropathology and Prion Research, Ludwig-Maximilians-University Munich, Germany [k]Department of Neuroanatomy, Ludwig-Maximilians-Universitat Munchen, Germany [l]Clienia Privatklinik fur Psychiatrie und Psychotherapie, Oetwil am See, Switzerland [m]Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University Munich, Germany
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关键词: Subcortical neurodegenerationin Chorea-acanthocytosis Huntington's disease Stereology

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Introduction: Chorea-acanthocytosis (ChAc) and Huntington's disease (HD) are neurodegenerative conditions that share clinical and neuropathological features, despite their distinct genetic etiologies. Methods: In order to compare these neuropathologies, serial gallocyanin-stained brain sections from three subjects with ChAc were analyzed and compared with our previous studies of eight HD cases, in addition to three hemispheres from two male controls. Results: Astrogliosis was much greater in the ChAc striatum, as compared to that found in HD, with dramatic increase in total striatal glia numbers and the number of glia per striatal neuron. Striatal astrocytes are most likely derived from the striatal subependymal layer in ChAc, which showed massive proliferation. The thalamic centromedian-parafascicular complex is reciprocally connected to the striatum and is more heavily affected in HD than in ChAc. Conclusion: The distinct patterns of selective vulnerability and gliosis observed in HD and ChAc challenge simplistic views on the pathogenesis of these two diseases with rather similar clinical signs. The particular roles played by astroglia in ChAc and in HD clearly need to be elucidated in more detail. (C) 2018 Elsevier Ltd. All rights reserved.

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基金编号: 2015

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出版当年[2017]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学
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出版当年[2016]版:
Q1 CLINICAL NEUROLOGY
最新[2023]版:
Q2 CLINICAL NEUROLOGY

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第一作者机构: [a]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [b]Neurologische Klinik und Poliklinik, Ludwig-Maximilians-Universitat Munchen, Germany
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通讯机构: [*1]Department of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital Würzburg, Germany
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