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1.
Sci Adv ; 10(16): eadi8419, 2024 Apr 19.
Article in English | MEDLINE | ID: mdl-38630824

ABSTRACT

We generated Japanese Encyclopedia of Whole-Genome/Exome Sequencing Library (JEWEL), a high-depth whole-genome sequencing dataset comprising 3256 individuals from across Japan. Analysis of JEWEL revealed genetic characteristics of the Japanese population that were not discernible using microarray data. First, rare variant-based analysis revealed an unprecedented fine-scale genetic structure. Together with population genetics analysis, the present-day Japanese can be decomposed into three ancestral components. Second, we identified unreported loss-of-function (LoF) variants and observed that for specific genes, LoF variants appeared to be restricted to a more limited set of transcripts than would be expected by chance, with PTPRD as a notable example. Third, we identified 44 archaic segments linked to complex traits, including a Denisovan-derived segment at NKX6-1 associated with type 2 diabetes. Most of these segments are specific to East Asians. Fourth, we identified candidate genetic loci under recent natural selection. Overall, our work provided insights into genetic characteristics of the Japanese population.


Subject(s)
Diabetes Mellitus, Type 2 , Humans , Japan , Selection, Genetic , Whole Genome Sequencing , Exome
2.
Mol Biol Evol ; 40(10)2023 Oct 04.
Article in English | MEDLINE | ID: mdl-37903429

ABSTRACT

Natural selection signatures across Japanese subpopulations are under-explored. Here we conducted genome-wide selection scans with 622,926 single nucleotide polymorphisms for 20,366 Japanese individuals, who were recruited from the main-islands of Japanese Archipelago (Hondo) and the Ryukyu Archipelago (Ryukyu), representing two major Japanese subpopulations. The integrated haplotype score (iHS) analysis identified several signals in one or both subpopulations. We found a novel candidate locus at IKZF2, especially in Ryukyu. Significant signals were observed in the major histocompatibility complex region in both subpopulations. The lead variants differed and demonstrated substantial allele frequency differences between Hondo and Ryukyu. The lead variant in Hondo tags HLA-A*33:03-C*14:03-B*44:03-DRB1*13:02-DQB1*06:04-DPB1*04:01, a haplotype specific to Japanese and Korean. While in Ryukyu, the lead variant tags DRB1*15:01-DQB1*06:02, which had been recognized as a genetic risk factor for narcolepsy. In contrast, it is reported to confer protective effects against type 1 diabetes and human T lymphotropic virus type 1-associated myelopathy/tropical spastic paraparesis. The FastSMC analysis identified 8 loci potentially affected by selection within the past 20-150 generations, including 2 novel candidate loci. The analysis also showed differences in selection patterns of ALDH2 between Hondo and Ryukyu, a gene recognized to be specifically targeted by selection in East Asian. In summary, our study provided insights into the selection signatures within the Japanese and nominated potential sources of selection pressure.


Subject(s)
East Asian People , Selection, Genetic , Humans , Aldehyde Dehydrogenase, Mitochondrial/genetics , Alleles , Asian People/genetics , Gene Frequency , Haplotypes , Polymorphism, Single Nucleotide , Selection, Genetic/genetics , Japan
4.
N Engl J Med ; 388(13): 1181-1190, 2023 Mar 30.
Article in English | MEDLINE | ID: mdl-36988593

ABSTRACT

BACKGROUND: Helicobacter pylori infection is a well-known risk factor for gastric cancer. However, the contribution of germline pathogenic variants in cancer-predisposing genes and their effect, when combined with H. pylori infection, on the risk of gastric cancer has not been widely evaluated. METHODS: We evaluated the association between germline pathogenic variants in 27 cancer-predisposing genes and the risk of gastric cancer in a sample of 10,426 patients with gastric cancer and 38,153 controls from BioBank Japan. We also assessed the combined effect of pathogenic variants and H. pylori infection status on the risk of gastric cancer and calculated the cumulative risk in 1433 patients with gastric cancer and 5997 controls from the Hospital-based Epidemiologic Research Program at Aichi Cancer Center (HERPACC). RESULTS: Germline pathogenic variants in nine genes (APC, ATM, BRCA1, BRCA2, CDH1, MLH1, MSH2, MSH6, and PALB2) were associated with the risk of gastric cancer. We found an interaction between H. pylori infection and pathogenic variants in homologous-recombination genes with respect to the risk of gastric cancer in the sample from HERPACC (relative excess risk due to the interaction, 16.01; 95% confidence interval [CI], 2.22 to 29.81; P = 0.02). At 85 years of age, persons with H. pylori infection and a pathogenic variant had a higher cumulative risk of gastric cancer than noncarriers infected with H. pylori (45.5% [95% CI, 20.7 to 62.6] vs. 14.4% [95% CI, 12.2 to 16.6]). CONCLUSIONS: H. pylori infection modified the risk of gastric cancer associated with germline pathogenic variants in homologous-recombination genes. (Funded by the Japan Agency for Medical Research and Development and others.).


Subject(s)
Helicobacter Infections , Helicobacter pylori , Homologous Recombination , Stomach Neoplasms , Humans , Helicobacter Infections/complications , Helicobacter Infections/genetics , Helicobacter Infections/microbiology , Helicobacter pylori/genetics , Risk Factors , Stomach Neoplasms/etiology , Stomach Neoplasms/genetics , Germ-Line Mutation/genetics , Genetic Predisposition to Disease/genetics , Homologous Recombination/genetics
5.
Cytotherapy ; 21(5S): S1-S2, 2019 05.
Article in English | MEDLINE | ID: mdl-31130175
6.
J Neurosci Res ; 94(11): 965-72, 2016 11.
Article in English | MEDLINE | ID: mdl-27638581

ABSTRACT

In this hybrid of a personal essay and a subjective review, I am attempting to convey the sense of an adventure I myself experienced in exploring various aspects of Krabbe disease, which occupied a significant portion of my life as a biomedical researcher. This is meant to be a personal summary, and I have no pretense of this being an objective scholarly review. Since the first description of the disease by Krabbe 100 years ago, knowledge about the disease has advanced significantly. The main contributions from my laboratory, always the fruits of dedicated efforts of talented young colleagues, include the identification of the genetic defect as deficiency of galactosylceramidase, proposal of the psychosine hypothesis as the pathogenetic mechanism to explain the unique phenotypic characteristics of the disease, detailed delineations of the substrate specificities of the two lysosomal ß-galactosidases, discovery of the twitcher mutant as a convenient and useful mouse model, and identification of saposin A as a specific galactosylceramide activator protein and as the second causative gene for globoid cell leukodystrophy. Now, attempts are being made in many laboratories for meaningful therapy, unthinkable when I started working on this disease. Despite these advances, there are still many unknowns and uncertainties about Krabbe disease waiting to be clarified. © 2016 Wiley Periodicals, Inc.


Subject(s)
Autobiographies as Topic , Biomedical Research/history , Cooperative Behavior , Leukodystrophy, Globoid Cell , Animals , Disease Models, Animal , Galactosylceramidase/deficiency , Galactosylceramidase/genetics , History, 19th Century , History, 20th Century , History, 21st Century , Humans , Leukodystrophy, Globoid Cell/genetics , Leukodystrophy, Globoid Cell/history , Mice
7.
J Neurochem ; 139 Suppl 2: 17-23, 2016 10.
Article in English | MEDLINE | ID: mdl-27534728

ABSTRACT

Scientific journals that are owned by a learned society, like the Journal of Neurochemistry (JNC), which is owned by the International Society for Neurochemistry (ISN), benefit the scientific community in that a large proportion of the income is returned to support the scientific mission of the Society. The income generated by the JNC enables the ISN to organize conferences as a platform for members and non-members alike to share their research, supporting researchers particularly in developing countries by travel grants and other funds, and promoting education in student schools. These direct benefits and initiatives for ISN members and non-members distinguish a society journal from pure commerce. However, the world of scholarly publishing is changing rapidly. Open access models have challenged the business model of traditional journal subscription and hence provided free access to publicly funded scientific research. In these models, the manuscript authors pay a publication cost after peer review and acceptance of the manuscript. Over the last decade, numerous new open access journals have been launched and traditional subscription journals have started to offer open access (hybrid journals). However, open access journals follow the general scheme that, of all participating parties, the publisher receives the highest financial benefit. The income is generated by researchers whose positions and research are mostly financed by taxpayers' or funders' money, and by reviewers and editors, who frequently are not reimbursed. Last but not least, the authors pay for the publication of their work after a rigorous and sometimes painful review process. JNC itself has an open access option, at a significantly reduced cost for Society members as an additional benefit. This article provides first-hand insights from two former Editors-in-Chief, Kunihiko Suzuki and Leslie Iversen, about the history of JNC's ownership and about the difficulties and battles fought along the way to its current success and reputation. Scientific journals that are owned by a learned society, like the Journal of Neurochemistry (JNC) which is owned by the International Society for Neurochemistry (ISN), benefit the scientific community in that a large proportion of the income is returned to support the scientific mission of the Society. The income generated by the JNC enables the ISN to organize conferences as a platform for members and non-members alike to share their research, supporting researchers particularly in developing countries by travel grants and other funds, and to promote education in student schools. These direct benefits and initiatives for ISN members and non-members distinguish a society journal from pure commerce. However, the world of scholarly publishing is changing rapidly. Open access models have challenged the business model of traditional journal subscription and hence provide free access to publicly funded scientific research. In these models, the manuscript authors pay a publication cost after peer review and acceptance of the manuscript. Over the last decade, numerous new open access journals have been launched and traditional subscription journals have started to offer open access (hybrid journals). However, open access journals pertain to the general scheme that, of all participating parties, the publisher receives the highest financial benefit. The income is generated by researchers whose positions and research are mostly financed by tax payers' or funders' money, reviewers and editors, who frequently are not reimbursed. Last but not least, the authors pay for the publication of their work after a rigorous and sometimes painful review process. JNC itself has an open access option, at a significantly reduced cost for Society members as an additional benefit. This article provides first-hand insights from a long-standing Editor-in-Chief, Kunihiko Suzuki, about the history of JNC's ownership and about difficulties and battles fought on the way to its current success and reputation today. This article is part of the 60th Anniversary special issue.


Subject(s)
Editorial Policies , Neurochemistry/trends , Periodicals as Topic/trends , Societies, Scientific/trends , Humans , Learning , Neurochemistry/methods , Peer Review/methods , Peer Review/trends , Publishing/trends
8.
Japan Med Assoc J ; 59(4): 154-158, 2016 Dec.
Article in English | MEDLINE | ID: mdl-28638752
9.
Biosci Biotechnol Biochem ; 74(5): 939-45, 2010.
Article in English | MEDLINE | ID: mdl-20460726

ABSTRACT

Twenty-seven elderly subjects (mean age 86.7+/-6.6 years) were pre-administered a test food containing 1x10(11) cfu of BB536 daily for 5 weeks (P1), during which they also received influenza vaccination at week 3. The subjects were then randomized to a BB536 group and a placebo group for 14 weeks (P2). The proportion of subjects who contracted influenza was significantly lower in BB536 group than in the to placebo group. The proportion of subjects with fever was also significantly lower in the BB536 group than in the placebo group. In the P1 period, the NK cell activity and the bactericidal activity of the neutrophils were significantly higher at week 5 than to before BB536 administration. In the P2 period, although NK cell activity and neutrophilic activities declined at the end of the study in both the placebo and the BB536 group, neutrophil phagocytic activity and NK cell activity tended to maintain slightly higher levels in the BB536 group than in the placebo group. These results suggest that continuous ingestion of BB536 reduces the incidence of influenza and fever, probably by potentiating innate immunity.


Subject(s)
Antibodies, Viral/immunology , Bifidobacterium/immunology , Influenza Vaccines/immunology , Influenza, Human/immunology , Aged, 80 and over , Anti-Bacterial Agents/therapeutic use , Blood Bactericidal Activity , Female , Fever/complications , Hematologic Tests , Humans , Immunity, Cellular/immunology , Influenza, Human/drug therapy , Influenza, Human/epidemiology , Influenza, Human/microbiology , Killer Cells, Natural/immunology , Male , Neutrophils/immunology
10.
J Neurosci Res ; 88(10): 2118-34, 2010 Aug 01.
Article in English | MEDLINE | ID: mdl-20175216

ABSTRACT

Saposins A, B, C, and D are small amphiphatic glycoproteins that are encoded in tandem within a precursor protein (prosaposin, PSAP), and are required for in vivo degradation of sphingolipids. Humans with saposin C deficiency exhibit the clinical presentation of Gaucher-like disease. We generated two types of saposin C mutant mice, one carrying a homozygous missense mutation (C384S) in the saposin C domain of prosaposin (Sap-C(-/-)) and the other carrying the compound heterozygous mutation with a second null Psap allele (Psap(-/C384S)). During early life stages, both Sap-C(-/-) and Psap(-/C384S) mice grew normally; however, they developed progressive motor and behavioral deficits after 3 months of age and the majority of affected mice could scarcely move by about 15 months. They showed no signs of hepatosplenomegaly throughout their lives. No accumulation of glucosylceramide and glucosylsphingosine was detected in the brain or liver of both Sap-C(-/-) and Psap(-/C384S) mice. Neuropathological analyses revealed patterned loss of cerebellar Purkinje cells, widespread axonal spheroids filled with membrane-derived concentric or lamellar electron-dense bodies, and lipofuscin-like deposition in the neurons. Soap-bubble-like inclusion bodies were detected in the trigeminal ganglion cells and the vascular endothelial cells. Compound heterozygous Psap(-/C384S) mice showed qualitatively identical but faster progression of the neurological phenotypes than Sap-C(-/-) mice. These results suggest the in vivo role of saposin C in axonal membrane homeostasis, the disruption of which leads to neurodegeneration in lysosomal storage disease.


Subject(s)
Neurodegenerative Diseases/metabolism , Saposins/metabolism , Aging , Animals , Base Sequence , Brain/metabolism , Brain/pathology , Disease Progression , Female , Liver/metabolism , Mice , Mice, Knockout , Mice, Transgenic , Motor Activity , Mutation , Mutation, Missense , Neurodegenerative Diseases/genetics , Neurodegenerative Diseases/pathology , Phenotype , Saposins/deficiency , Saposins/genetics
11.
Article in English | MEDLINE | ID: mdl-19907127

ABSTRACT

Prosaposin is a precursor of saposins A, B, C, and D. Saposins are indispensable for lysosomal hydrolysis of sphingolipids. The notion that prosaposin itself is likely involved in brain development led us to generate an anti-mouse prosaposin-specific antibody that do not cross-react with any of the processed saposins. We have used it to study expression of prosaposin in the brain of wild-type (WT) and saposin D knockout mice (Sap-D(-/-)). Immunoblot studies indicated that prosaposin, already abundant in the brain of WT, was dramatically increased in Sap-D(-/-). By immunohistochemistry, the brain of WT was rich in prosaposin in hippocampal CA3 pyramidal neurons, tufted cells and mitral cells in olfactory bulb, and cerebellar Purkinje cells. In Sap-D(-/-), immunoreactivity of prosaposin was increased in these neurons, most notably in the CA3 pyramidal neurons which contained prosaposin immuno-positive inclusion bodies in the endoplasmic reticulum. Further characterization of these prosaposin-rich neurons may provide new insights into the physiological functions of prosaposin in the nervous system.


Subject(s)
Antibodies/immunology , Brain/metabolism , Saposins/deficiency , Saposins/metabolism , Animals , Antigen-Antibody Reactions/immunology , Brain/pathology , Gene Expression Regulation , Immunoblotting , Immunohistochemistry , Mice , Mice, Knockout , Neurons/metabolism , Neurons/pathology , Saposins/analysis , Saposins/genetics , Saposins/immunology
12.
J Neurochem ; 103 Suppl 1: 32-8, 2007 Nov.
Article in English | MEDLINE | ID: mdl-17986137

ABSTRACT

We have generated specific saposin A and D deficient mouse mutants by the gene targeting technology. Saposin A deficient mice showed the clinical, biochemical and pathological phenotype of a chronic form of globoid cell leukodystrophy (Krabbe disease) establishing that saposin A is essential for in vivo degradation of galactosylceramide. Saposin D deficient mice showed an accumulation of ceramides containing alpha-hydroxy fatty acids (HFA/d18:1) in the brain and kidney and showed renal tubular degeneration and cerebellar Purkinje cell loss. Here we review the current information which we have learnt from these mouse models of specific sphingolipid activator protein deficiencies. Collectively, the information provides support for the potential importance of sphingolipids in the function of the nervous system.


Subject(s)
Nervous System/metabolism , Saposins/deficiency , Sphingolipids/physiology , Animals , Mice , Mice, Knockout/physiology , Models, Animal
13.
Proc Jpn Acad Ser B Phys Biol Sci ; 82(6): 189-96, 2006 Sep.
Article in English | MEDLINE | ID: mdl-25792782

ABSTRACT

Gangliosides in the brain of the knockout mouse deficient in the activity of ß1,4 N-acetylgalactosaminyl transferase (ß1,4 GalNAc-T)(GM2 synthase) consisted of nearly exclusively of GM3- and GD3-gangliosides as expected from the known substrate specificity of the enzyme and in confirmation of the initial reports from two laboratories that generated the mutant mouse experimentally. The total molar amount of gangliosides was approximately 30% higher in the mutant mouse brain than that in the wild-type brain. However, contrary to the initial reports, one-fourth of total GD3-ganglioside was O-acetylated. It reacted positively with an anti-O-acetylated GD3 monoclonal antibody and disappeared with a corresponding increase in GD3-ganglioside after mild alkaline treatment. The absence of O-acetylated GD3 in the initial reports can be explained by the saponification step included in their analytical procedures. Although quantitatively much less and identification tentative, we also detected GT3 and O-acetylated GT3. Anti-GD3 and anti-O-acetylated GD3 monoclonal antibodies gave positive reactions in the brain of mutant mouse as expected from the analytical results. Either antibody barely stained wild-type brain except for immunoreactivity of GD3 in the cerebellar Purkinje cells. The distributions of GD3 and O-acetylated GD3 in the brain of mutant mouse were similar but differential localization was noted in the cerebellar Purkinje cells and cerebral cortex.

14.
J Neuropathol Exp Neurol ; 64(7): 565-75, 2005 Jul.
Article in English | MEDLINE | ID: mdl-16042308

ABSTRACT

Krabbe disease is a genetic demyelinating disease caused by a deficiency of galactosylceramidase. The majority of cases are of infantile onset with rapid clinical course. A rare late onset form with milder clinical symptoms also exists. The latter form has been reported to respond well to the bone marrow transplantation (BMT) therapy. We tested whether the BMT could be an effective therapy for the mouse model of the late onset form, saposin-A-/- (SAP-A-/-) mice. We used green fluorescent protein transgenic mice as the donors. Chimeric SAP-A-/- mice that received BMT showed very little evidence of neurologic symptoms. At postnatal day 190 when severe demyelination was evident in naive SAP-A-/- mice, demyelination was virtually absent in the brain of chimeric SAP-A-/- mice. Presence of residual enzyme activity, at the time of rapid myelination in SAP-A-/- mice, appears to limit initial inflammatory responses and macrophage infiltration, thereby preventing progression of demyelination in the CNS in SAP-A-/- mice. In contrast, the peripheral nerves showed features of hypertrophic neuropathy with hypomyelination and onion bulb formation, suggesting that there are different cellular responses to the BMT in the CNS and PNS.


Subject(s)
Bone Marrow Transplantation , Brain/pathology , Leukodystrophy, Globoid Cell/genetics , Leukodystrophy, Globoid Cell/therapy , Phenotype , Age of Onset , Animals , Brain Chemistry , Chimera , Disease Models, Animal , Flow Cytometry , Immunohistochemistry , Mice , Mice, Neurologic Mutants , Mice, Transgenic , Microscopy, Fluorescence , Peripheral Nerves/pathology , Psychosine/analysis , Saposins/deficiency , Saposins/genetics , Viscera/pathology
16.
Hum Mol Genet ; 13(21): 2709-23, 2004 Nov 01.
Article in English | MEDLINE | ID: mdl-15345707

ABSTRACT

The sphingolipid activator proteins (saposins A, B, C and D) are small homologous glycoproteins that are encoded by a single gene in tandem within a large precursor protein (prosaposin) and are required for in vivo degradation of some sphingolipids with relatively short carbohydrate chains. Human patients with prosaposin or specific saposin B or C deficiency are known, and prosaposin- and saposin A-deficient mouse lines have been generated. Experimental evidence suggests that saposin D may be a lysosomal acid ceramidase activator. However, no specific saposin D deficiency state is known in any mammalian species. We have generated a specific saposin D(-/-) mouse by introducing a mutation (C509S) into the saposin D domain of the mouse prosaposin gene. Saposin D(-/-) mice developed progressive polyuria at around 2 months and ataxia at around 4 months. Pathologically, the kidney of saposin D(-/-) mice showed renal tubular degeneration and eventual hydronephrosis. In the nervous system, progressive and selective loss of the cerebellar Purkinje cells in a striped pattern was conspicuous, and almost all Purkinje cells disappeared by 12 months. Biochemically, ceramides, particularly those containing hydroxy fatty acids accumulated in the kidney and the brain, most prominently in the cerebellum. These results not only indicate the role of saposin D in in vivo ceramide metabolism, but also suggest possible cytotoxicity of ceramide underlying the cerebellar Purkinje cell and renal tubular cell degeneration.


Subject(s)
Ceramides/biosynthesis , Mutation , Purkinje Cells/pathology , Saposins/genetics , Sphingolipid Activator Proteins/genetics , Urologic Diseases/genetics , Animals , Ataxia/genetics , Calbindins , Ceramides/chemistry , Cerebral Cortex/cytology , Chromosome Mapping , Immunohistochemistry , Mice , Mice, Knockout , Microscopy, Confocal , Polyuria/etiology , Polyuria/genetics , Protein Structure, Tertiary , S100 Calcium Binding Protein G/metabolism , Saposins/chemistry , Spectrometry, Mass, Electrospray Ionization , Time Factors , Tissue Distribution , Urologic Diseases/pathology
17.
J Neuropathol Exp Neurol ; 63(7): 721-34, 2004 Jul.
Article in English | MEDLINE | ID: mdl-15290897

ABSTRACT

The Twitcher mouse (twi/twi) has been widely used as an animal model of globoid cell leukodystrophy (GLD; Krabbe disease), a hereditary leukodystrophy due to genetic galactosylceramidase deficiency. Recently, we generated a new mouse model of late-onset, chronic GLD (SAP-A-/- mice) by introducing a mutation (C106F) in the saposin A domain of the sphingolipid activator protein gene. Comparative study of SAP-A-/- and twi/twi mice revealed delay in the onset of neurological symptoms in SAP-A-/- mice (90 days vs 20 to 25 days), milder symptoms, and prolonged average survival (134.4 +/- 29.1 days vs 47.5 +/- 3.9 days). However, in both, the earliest sites of demyelination and macrophage infiltration were in regions of the 8th nerve and the spinal tract of the 5th nerve and spinal-cord, where macrophages could be detected as early as day 30 in asymptomatic SAP-A-/- mice. Furthermore, spacio-temporal pattern of demyelination/macrophage infiltration and the extent of neuropathology at the terminal stage are closely similar in both. These results suggest that peripheral macrophages are readily accessible in these sites and participate in the demyelinating process in the central nervous system.


Subject(s)
Central Nervous System/pathology , Galactosylceramidase/deficiency , Glycoproteins/deficiency , Leukodystrophy, Globoid Cell/pathology , Nerve Degeneration/pathology , Age of Onset , Animals , Astrocytes/metabolism , Astrocytes/pathology , Blood-Brain Barrier/physiology , Central Nervous System/metabolism , Central Nervous System/physiopathology , Chemotaxis, Leukocyte/genetics , Demyelinating Diseases/genetics , Demyelinating Diseases/pathology , Demyelinating Diseases/physiopathology , Disease Models, Animal , Female , Glycoproteins/genetics , Glycoproteins/metabolism , Leukodystrophy, Globoid Cell/genetics , Leukodystrophy, Globoid Cell/physiopathology , Macrophages/metabolism , Male , Mice , Mice, Knockout , Mice, Neurologic Mutants , Nerve Degeneration/metabolism , Oligodendroglia/metabolism , Oligodendroglia/pathology , Protein Structure, Tertiary/genetics , Saposins , Sphingolipid Activator Proteins , Survival Rate
18.
J Neurosci Res ; 77(4): 507-16, 2004 Aug 15.
Article in English | MEDLINE | ID: mdl-15264220

ABSTRACT

The twitcher mouse is well known as a naturally occurring authentic mouse model of human globoid cell leukodystrophy (GLD; Krabbe disease) due to genetic deficiency of lysosomal galactosylceramidase. The twitcher mice used most commonly are on the C57BL/6J background. We generated twitcher mice that were on the mixed background of C57BL/6J and 129SvEv, the standard strain for production of targeted mutations. Twitcher mice on the mixed background were smaller and had a shorter lifespan than were those on the C57BL/6J background. Many twitcher mice on the mixed background developed generalized seizures around 30 days that were never seen in twitcher mice on the C57BL/6J background. Neuropathologically, although the degree of the typical demyelination with infiltration of macrophages was similar in the central and peripheral nervous systems, in both strains, marked neuronal cell death was observed only in twitcher mice on the mixed background. In the hippocampus, the neuronal cell death occurred prominently in the CA3 region in contrast to the relatively well-preserved CA1 and CA2 areas. This neuropathology has never been seen in twitcher mice on the C57BL/6J background. Biochemically, the brain of twitcher mice on the mixed background showed much greater accumulation of lactosylceramide. Genetic background must be carefully taken into consideration when phenotype of mutant mice is evaluated, particularly because most targeted mutants are initially on a mixed genetic background and gradually moved to a pure background. These findings also suggest an intriguing possibility of important function of some sphingolipids in the hippocampal neuronal organization and maintenance.


Subject(s)
Genetic Predisposition to Disease/genetics , Hippocampus/pathology , Leukodystrophy, Globoid Cell/genetics , Nerve Degeneration/genetics , Neurons/metabolism , Sphingolipids/metabolism , Animals , Disease Models, Animal , Female , Genotype , Hippocampus/metabolism , Hippocampus/physiopathology , Lactosylceramides/metabolism , Leukodystrophy, Globoid Cell/metabolism , Leukodystrophy, Globoid Cell/pathology , Male , Mice , Mice, Inbred C57BL , Mice, Neurologic Mutants , Mutation/genetics , Nerve Degeneration/pathology , Nerve Degeneration/physiopathology , Neurons/pathology , Phenotype , Species Specificity
19.
J Child Neurol ; 18(9): 595-603, 2003 Sep.
Article in English | MEDLINE | ID: mdl-14572137

ABSTRACT

The classic globoid cell leukodystrophy (Krabbe's disease) is caused by genetic defects in a lysosomal enzyme, galactosylceramidase. It is one of the two classic genetic leukodystrophies, together with metachromatic leukodystrophy. The mode of inheritance is autosomal recessive. Typically, the disease occurs among infants and takes a rapidly fatal course, but rarer late-onset forms also exist. Clinical manifestations are exclusively neurologic with prominent white-matter signs. The pathology is unique, consisting of a rapid and nearly complete disappearance of myelin and myelin-forming cells--the oligodendrocytes in the central nervous system and the Schwann cells in the peripheral nervous system, reactive astroytic gliosis, and infiltration of the unique and often multinucleated macrophages ("globoid cells") that contain strongly periodic acid-Schiff (PAS)-positive materials. A normally insignificant but highly cytotoxic metabolite, galactosylsphingosine (psychosine), is also a substrate of galactosylceramidase and is considered to play a critical role in the pathogenesis. The galactosylceramidase gene has been cloned, and a large number of disease-causing mutations have been identified. Equivalent genetic galactosylceramidase deficiency occurs in several mammalian species, such as mouse, dog, and monkey. Recently, deficiency of one of the sphingolipid activator proteins, saposin A, was demonstrated to cause a late-onset, slowly progressive globoid cell leukodystrophy at least in the mouse, with all of the phenotypic consequences of impaired degradation of galactosylceramidase substrates. Human globoid cell leukodystrophy owing to saposin A deficiency might be anticipated and should be suspected in human patients with a late-onset leukodystrophy with normal galactosylceramidase activity when other possibilities are also excluded. The only serious attempt at treating human patients is bone marrow transplantation, which can provide significant alleviation of symptoms, particularly in those patients with later-onset, more slowly progressive globoid cell leukodystrophy.


Subject(s)
Galactosylceramidase/genetics , Leukodystrophy, Globoid Cell/genetics , Leukodystrophy, Globoid Cell/therapy , Mutation , Humans , Leukodystrophy, Globoid Cell/enzymology , Phenotype
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