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Microglial activation precedes acute neurodegeneration in Sandhoff disease and is suppressed by bone marrow transplantation.

Abstract
Sandhoff disease is a lysosomal storage disorder characterized by the absence of beta-hexosaminidase and storage of G(M2) ganglioside and related glycolipids in the central nervous system. The glycolipid storage causes severe neurodegeneration through a poorly understood pathogenic mechanism. In symptomatic Sandhoff disease mice, apoptotic neuronal cell death was prominent in the caudal regions of the brain. cDNA microarray analysis to monitor gene expression during neuronal cell death revealed an upregulation of genes related to an inflammatory process dominated by activated microglia. Activated microglial expansion, based on gene expression and histologic analysis, was found to precede massive neuronal death. Extensive microglia activation also was detected in a human case of Sandhoff disease. Bone marrow transplantation of Sandhoff disease mice suppressed both the explosive expansion of activated microglia and the neuronal cell death without detectable decreases in neuronal G(M2) ganglioside storage. These results suggest a mechanism of neurodegeneration that includes a vigorous inflammatory response as an important component. Thus, this lysosomal storage disease has parallels to other neurodegenerative disorders, such as Alzheimer's and prion diseases, where inflammatory processes are believed to participate directly in neuronal cell death.
AuthorsR Wada, C J Tifft, R L Proia
JournalProceedings of the National Academy of Sciences of the United States of America (Proc Natl Acad Sci U S A) Vol. 97 Issue 20 Pg. 10954-9 (Sep 26 2000) ISSN: 0027-8424 [Print] United States
PMID11005868 (Publication Type: Journal Article)
Chemical References
  • beta-N-Acetylhexosaminidases
Topics
  • Animals
  • Bone Marrow Transplantation
  • Humans
  • Inflammation
  • Mice
  • Microglia (metabolism, pathology, physiology)
  • Neurons (metabolism, pathology, physiology)
  • Sandhoff Disease (metabolism, pathology, physiopathology, therapy)
  • Transplantation, Homologous
  • beta-N-Acetylhexosaminidases (metabolism)

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