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1.
Nat Genet ; 8(3): 221-8, 1994 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-7874163

RESUMO

We have identified a novel gene containing CAG repeats and mapped it to chromosome 14q32.1, the genetic locus for Machado-Joseph disease (MJD). In normal individuals the gene contains between 13 and 36 CAG repeats, whereas most of the clinically diagnosed patients and all of the affected members of a family with the clinical and pathological diagnosis of MJD show expansion of the repeat-number (from 68-79). Southern blot analyses and genomic cloning demonstrates the existence of related genes. These results raise the possibility that similar abnormalities in related genes may give rise to diseases similar to MJD.


Assuntos
Cromossomos Humanos Par 14 , Doença de Machado-Joseph/genética , Repetições Minissatélites , Proteínas do Tecido Nervoso , Proteínas/genética , Adulto , Sequência de Aminoácidos , Ataxina-3 , Sequência de Bases , Southern Blotting , Clonagem Molecular , Feminino , Genes , Humanos , Hibridização in Situ Fluorescente , Masculino , Pessoa de Meia-Idade , Dados de Sequência Molecular , Família Multigênica , Proteínas Nucleares , Linhagem , Proteínas Repressoras
2.
Neuropathol Appl Neurobiol ; 36(4): 331-44, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20202124

RESUMO

AIMS: HtrA2/Omi is a mitochondrial serine protease that promotes the apoptotic processes, but the relationship between HtrA2/Omi and amyotrophic lateral sclerosis (ALS) is still unknown. The purpose of the present study was to determine whether abnormal expression of HtrA2/Omi occurs in patients with ALS. METHODS: We prepared autopsied spinal cord tissues from 7 control subjects, 11 patients with sporadic ALS (SALS) and 4 patients with Cu/Zn superoxide dismutase (SOD1)-related familial ALS (FALS). We then performed immunohistochemical studies on HtrA2/Omi using formalin-fixed, paraffin-embedded sections from all of the cases. RESULTS: In the control subjects, the anterior horn cells were mildly to moderately immunostained with HtrA2/Omi. In the patients with SALS, strong HtrA2/Omi immunoreactivity was found in some skein-like inclusions and round hyaline inclusions as well as many spheroids, but Bunina bodies were immunonegative for HtrA2/Omi. In the patients with SOD1-related FALS, Lewy body-like hyaline inclusions were observed in three cases and conglomerate inclusions were observed in the remaining case, and both types of inclusions were intensely immunopositive for HtrA2/Omi. CONCLUSIONS: These results suggest that abnormal accumulations of HtrA2/Omi may occur in several types of motor neuronal inclusions in the anterior horn from SALS and SOD1-linked FALS cases, and that HtrA2/Omi may be associated with the pathogenesis of both types of ALS.


Assuntos
Esclerose Lateral Amiotrófica/genética , Esclerose Lateral Amiotrófica/metabolismo , Proteínas Mitocondriais/metabolismo , Neurônios/metabolismo , Serina Endopeptidases/metabolismo , Medula Espinal/metabolismo , Superóxido Dismutase/genética , Adulto , Idoso , Idoso de 80 Anos ou mais , Esclerose Lateral Amiotrófica/patologia , Estudos de Casos e Controles , Família , Feminino , Serina Peptidase 2 de Requerimento de Alta Temperatura A , Humanos , Imuno-Histoquímica , Corpos de Inclusão/metabolismo , Corpos de Inclusão/patologia , Vértebras Lombares , Masculino , Pessoa de Meia-Idade , Neurônios Motores/metabolismo , Neurônios Motores/patologia , Mutação , Neurônios/patologia , Medula Espinal/patologia , Superóxido Dismutase-1
3.
Clin Neuropathol ; 27(5): 309-16, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18808062

RESUMO

MSA is a neurodegenerative disease and GCIs are specific pathological hallmarks in the brain of MSA patients. Recently, Cdk5 immunopositive GCIs were reported, but the function of Cdk5 in the adult human brain is not clear. Cdk5 has several substrates such as neurofilament and tau proteins. Among these substrates, tau and MAP 1B are immunopositive in GCIs. DARPP32 has been identified as a target for dopamine and PKA in the striatum. DARPP32 has multiple phosphorylation sites, and Cdk5 can phosphorylate DARPP32 at Thr75. The phosphorylation ofThr75 converts DARPP32 into an inhibitor of PKA. DARPP32 is also one of the major substrates of Cdk5, and DARPP32 is widely expressed in both neurons and glial cells. In this study, we determined the immunohistochemical localization of DARPP32 in the brains of a normal control group and patients with MSA. An anti-DARPP32 antibody revealed immunopositive oligodendrocytes and astrocytes widely distributed in the brains of the normal control group and the brain of patients with MSA. Neurons in the caudate, globus pallidus, substantia nigra, hypothalamus, neocortex layers II and III, and cerebellar Purkinje cells were all immunopositive for DARPP32 in the normal control brains, and the immunostaining patterns were very similar to those observed in patients with MSA. We found that DARPP32 was immunopositive in GCIs, and the localization of DARPP32 and Cdk5 was very similar in GCIs. We suggest that Cdk5 and its substrate DARPP32 may be involved in the formation of GCIs through the phosphorylation of DARPP32 in the oligodendrocytes of brains with MSA.


Assuntos
Fosfoproteína 32 Regulada por cAMP e Dopamina/metabolismo , Corpos de Inclusão/metabolismo , Corpos de Inclusão/patologia , Atrofia de Múltiplos Sistemas/metabolismo , Atrofia de Múltiplos Sistemas/patologia , Idoso , Anticorpos , Western Blotting , Encéfalo/metabolismo , Encéfalo/patologia , Humanos , Imuno-Histoquímica , Pessoa de Meia-Idade , Oligodendroglia/metabolismo , Oligodendroglia/patologia
5.
Neuroscience ; 130(3): 657-66, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15590150

RESUMO

Accumulating evidences indicate that ceramide is closely involved in apoptotic cell death in neurodegenerative disorders and aging. We examined ceramide levels in the cerebrospinal fluid (CSF) or brain tissues from patients with neurodegenerative disorders and the mechanism of how intra- and extracellular ceramide was regulated during neuronal apoptosis. We screened the ceramide levels in the CSF of patients with neurodegenerative disorders, and found that ceramide was significantly increased in patients with Alzheimer's disease (AD) than in patients with age-matched amyotrophic lateral sclerosis (ALS) and other neurological controls. With immunohistochemistry in AD brains, ceramide was aberrantly expressed in astroglia in the frontal cortices, but not detected in ALS and control brains. To explore for the regulation of ceramide in astroglia in Alzheimer's disease brains, we examined the metabolism of ceramide during neuronal apoptosis. In retinoic acid (RA)-induced neuronal apoptosis, RA slightly increased de novo synthesis of ceramide, but interestingly, RA dramatically inhibited conversion of [14C] ceramide to glucosylceramide (GlcCer), suggesting that the increase of ceramide mass is mainly due to inhibition of the ceramide-metabolizing enzyme GlcCer synthase. In addition, a significant increase of the [14C] ceramide level in the culture medium was detected by chasing and turnover experiments without alteration of extracellular [14C] sphingomyelin levels. A 2.5-fold increase of ceramide mass in the supernatant was also detected after 48 h of treatment with RA. These results suggest a regulatory mechanism of intracellular ceramide through inhibition of GlcCer synthase and a possible role of ceramide as an extracellular/intercellular mediator for neuronal apoptosis. The increased ceramide level in the CSF from AD patients, which may be derived from astroglia, raises a possibility of neuronal apoptosis by the response to intercellular ceramide in AD.


Assuntos
Doença de Alzheimer/metabolismo , Apoptose/fisiologia , Astrócitos/metabolismo , Ceramidas/biossíntese , Neurônios/patologia , Idoso , Doença de Alzheimer/líquido cefalorraquidiano , Doença de Alzheimer/patologia , Esclerose Lateral Amiotrófica/líquido cefalorraquidiano , Esclerose Lateral Amiotrófica/metabolismo , Animais , Linhagem Celular Tumoral , Células Cultivadas , Ceramidas/líquido cefalorraquidiano , Espaço Extracelular/metabolismo , Glucosiltransferases/análise , Glucosiltransferases/biossíntese , Humanos , Imuno-Histoquímica , Indicadores e Reagentes , Metabolismo dos Lipídeos , Camundongos , Serina/metabolismo , Solventes , Transferases (Outros Grupos de Fosfato Substituídos)/análise , Transferases (Outros Grupos de Fosfato Substituídos)/biossíntese , Tretinoína/metabolismo , Tretinoína/farmacologia
6.
J Neuropathol Exp Neurol ; 51(4): 440-50, 1992 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-1619443

RESUMO

We developed a novel inbred strain of mouse with age-related brain atrophy and it was named "Senescence Accelerated Mouse (SAM)-P/10." Macroscopic morphometry indicated that the brains of SAM-P/10 showed age-dependent involutional changes mainly in the frontal portion of the cerebrum. The brain weight decreased by 8.6% throughout the life-span. There were no obvious defects in postnatal development. Semi-macroscopic morphometry revealed a prominent atrophy in the neocortex, olfactory cortex and amygdala. Microscopic morphometry showed that the neocortical neurons were lost with aging, with mostly the large neurons being affected which were lost by 35.6% throughout the life-span. Somata of the neocortical neurons shrank with advancing age. In a control SAM-R/1 strain with only a slight macroscopic involutional change in the brain without weight loss, neither loss of the neocortical large neurons nor shrinkage of the neocortical neurons was evident with aging. Learning and memory skills were evaluated using the one-trial passive avoidance task and conditional avoidance task. Young SAM-P/10 mice performed well in both tasks but older SAM-P/10 showed a poorer performance in both tasks, and this was even poorer than the performance of very old SAM-R/1 mice. Thus, SAM-P/10 can serve as a spontaneous animal model of brain atrophy for a variety of studies of aging of the brain. A better understanding of neurodegenerative diseases with dementia should be forthcoming.


Assuntos
Envelhecimento/fisiologia , Encéfalo/patologia , Camundongos Mutantes Neurológicos/anatomia & histologia , Animais , Atrofia , Aprendizagem da Esquiva , Contagem de Células , Condicionamento Psicológico , Camundongos , Camundongos Mutantes Neurológicos/crescimento & desenvolvimento , Camundongos Mutantes Neurológicos/fisiologia
7.
J Neuropathol Exp Neurol ; 57(9): 822-30, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9737545

RESUMO

Brain-derived neurotrophic factor (BDNF) has a trophic effect on several neuronal subtypes including motor neurons. To localize and assess BDNF in the human spinal cord with particular reference to amyotrophic lateral sclerosis (ALS), we immunohistochemically studied spinal cords from 8 ALS and 13 non-ALS patients. Punctate staining for BDNF was observed in neuronal somata and proximal processes of large-sized anterior horn cells of non-ALS patients, as were distal axons immunolabeled in the neuropil. The same immunostaining pattern was found in the anterior horn cells of ALS patients. Neurons of the dorsal nucleus of Clarke, intermediolateral nucleus, and posterior horn sensory system were also stained in both groups. The results suggest that BDNF may act widely as a trophic factor in the human spinal cord, and motor neurons in ALS patients might be sufficiently supplied with endogenous BDNF from other neuronal subpopulations in the spinal cord.


Assuntos
Esclerose Lateral Amiotrófica/patologia , Fator Neurotrófico Derivado do Encéfalo/análise , Medula Espinal/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Esclerose Lateral Amiotrófica/metabolismo , Anticorpos , Epitopos/análise , Epitopos/química , Feminino , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , Doenças do Sistema Nervoso/patologia , Valores de Referência
8.
J Neuropathol Exp Neurol ; 58(7): 765-72, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10411346

RESUMO

Brain-derived neurotrophic factor (BDNF) has a neurotrophic effect not only on mesencephalic dopaminergic neurons, but also on striatal neurons. To investigate whether the abnormal expression of BDNF occurs in the basal ganglia of patients with Parkinson disease (PD) and multiple system atrophy (MSA), we compared the BDNF levels in the striatum and globus pallidus of patients with PD or MSA to controls using immunohistochemistry. Furthermore, to quantitatively evaluate the immunohistochemical changes in the striatum, image analysis of the putamen was performed. BDNF-positive nerve fiber bundles and fine granular structures were scattered throughout the striatum and globus pallidus of all samples. Most of these granular structures were observed in glial fibrillary acidic protein-positive astrocytes. In addition, BDNF-positive neurites were abundant in the striatum of all MSA patients, and numerous BDNF-positive varicose fibers were found in the globus pallidus of some MSA cases with particularly severe striatal involvement. These observations suggest that the upregulated expression of BDNF may occur as a protective mechanism in the striatum of MSA patients, and that severe striatal degeneration may cause the aberrant accumulation of BDNF in the striatal projection areas of the globus pallidus of MSA patients.


Assuntos
Axônios/metabolismo , Gânglios da Base/metabolismo , Fator Neurotrófico Derivado do Encéfalo/metabolismo , Atrofia de Múltiplos Sistemas/metabolismo , Adulto , Idoso , Idoso de 80 Anos ou mais , Western Blotting , Corpo Estriado/metabolismo , Feminino , Globo Pálido/metabolismo , Humanos , Imuno-Histoquímica , Corpos de Inclusão/metabolismo , Masculino , Pessoa de Meia-Idade , Neuritos/metabolismo , Neuroglia/metabolismo
9.
J Neuropathol Exp Neurol ; 56(8): 850-6, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9258254

RESUMO

The pathological process in myofibrillar myopathy (MFM) (previously also referred to as "desmin storage" or "intermediate filament myopathy") results in dissolution of myofibrils, accumulation of products of the degradative process, and abnormal ectopic expression of desmin, dystrophin, gelsolin, NCAM, and N-terminal components of beta-amyloid precursor protein. We now demonstrate that the abnormal fiber regions in MFM immunoreact strongly for (a) CDC2 kinase, the mitotic kinase that phosphorylates and disassembles intermediate filaments; (b) cyclin-dependent kinases CDK2, CDK4, and CDK7, which are involved in regulation of the cell cycle; (c) lamin B, which normally supports the inner nuclear membrane; and (d) the nuclear matrix associated protein. The normal muscle fiber lies in a terminally differentiated state and is refractory to reentry into the cell cycle. The abnormal expression of multiple cyclin-dependent kinases in the terminally differentiated muscle fiber implies inappropriate activation of positive regulators of mitosis and may signal a mitotic catastrophe. The dissolution of myofibrils may be due to hyperphosphorylation occurring during this event.


Assuntos
Quinases Ciclina-Dependentes/metabolismo , Doenças Musculares/metabolismo , Miofibrilas , Proteínas Nucleares/metabolismo , Adulto , Idoso , Antígenos Nucleares , Humanos , Immunoblotting , Imuno-Histoquímica , Lamina Tipo B , Laminas , Pessoa de Meia-Idade , Valores de Referência , Distribuição Tecidual
10.
J Neuropathol Exp Neurol ; 57(7): 690-8, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9690673

RESUMO

Glial cytoplasmic inclusions (GCI) characteristically occur in the oligodendrocytes of patients with multiple system atrophy (MSA). However, the molecular mechanisms underlying GCI formation are unknown. To investigate whether these inclusions are related to proline-directed protein kinases that have been associated with neuronal inclusion bodies in some other neurodegenerative diseases, we immunohistochemically probed tissue samples from MSA brains with a panel of antibodies against cyclin-dependent kinases and mitogen-activated protein kinase. We unexpectedly detected cyclin-dependent kinase 5- (cdk5) and mitogen-activated protein kinase- (MAPK) immunoreactivities in GCI. We also found TAU1 immunoreactivity in GCI, and a strong expression of microtubule-associated protein (MAP) 2 immunoreactivity in oligodendrocytes of MSA brains. This immunoreactivity was not observed in the normal or neurological controls. The accumulated evidence suggest a close association between GCI and the microtubular cytoskeleton. Cdk5 phosphorylates tau and MAP2, and MAPK is capable of phosphorylating MAP2. The present results suggest that the aberrant or ectopic expression of cdk5 and MAPK causes abnormal phosphorylation of microtubular cytoskeletal proteins, thus leading to GCI formation in affected oligodendrocytes.


Assuntos
Encéfalo/patologia , Proteínas Quinases Dependentes de Cálcio-Calmodulina/análise , Quinases Ciclina-Dependentes , Corpos de Inclusão/enzimologia , Atrofia de Múltiplos Sistemas/enzimologia , Neuroglia/enzimologia , Proteínas Serina-Treonina Quinases/análise , Adulto , Idoso , Idoso de 80 Anos ou mais , Esclerose Lateral Amiotrófica/enzimologia , Esclerose Lateral Amiotrófica/patologia , Axônios/ultraestrutura , Encéfalo/enzimologia , Quinase 5 Dependente de Ciclina , Feminino , Humanos , Corpos de Inclusão/patologia , Masculino , Pessoa de Meia-Idade , Atrofia de Múltiplos Sistemas/patologia , Neuroglia/patologia , Atrofias Olivopontocerebelares/enzimologia , Atrofias Olivopontocerebelares/patologia , Síndrome de Shy-Drager/genética , Síndrome de Shy-Drager/patologia , Paralisia Supranuclear Progressiva/enzimologia , Paralisia Supranuclear Progressiva/patologia
11.
J Neuropathol Exp Neurol ; 48(5): 577-90, 1989 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-2769310

RESUMO

A spontaneous spongy degeneration of the brain stem and spinal cord was discovered in a murine model of accelerated senescence (SAM), cared for under both conventional (SAM-P/8) and specific pathogen-free (SAM-P/8/Ta) conditions. SAM-P/8 and SAM-P/8/Ta showed no clinical neurological abnormalities, yet there was a deterioration in learning and memory abilities. Light microscopic examination revealed a spongy degeneration in the brain stem and spinal cord, in the reticular formation, and proliferation of hypertrophic astrocytes in the spongy area. The spongiform degeneration progressed with advancing age from four to eight months, after which the entire brain was involved. Astrocytosis increased with advancing degeneration. Ultrastructurally, mild dendritic swelling occurred at one month of age. At two months of age, moderate postsynaptic swelling and a widening of intracellular membrane structure were observed, and at age five months there were large vacuoles circumscribed by membranous lamellae, identifiable as myelin. Vacuoles in SAM-P/8 proved to be swollen neuronal processes and oligodendroglial processes. These SAM-P/8 and SAM-P/8/Ta strains of mice are new memory-deficient strains with spontaneous spongy degeneration associated with aging.


Assuntos
Tronco Encefálico/patologia , Transtornos da Memória/genética , Camundongos Mutantes Neurológicos/anatomia & histologia , Degeneração Neural , Animais , Astrócitos/patologia , Tronco Encefálico/ultraestrutura , Macrófagos/patologia , Transtornos da Memória/patologia , Camundongos , Microscopia Eletrônica , Bainha de Mielina/ultraestrutura , Organelas/ultraestrutura , Medula Espinal/patologia , Medula Espinal/ultraestrutura , Vacúolos/ultraestrutura
12.
Endocrinology ; 131(3): 1279-87, 1992 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-1324156

RESUMO

Specific thyroid hormone (T3) receptors are present in thyroid follicular cells, including the rat FRTL5 clonal line, but little is known about the effects of T3 on the growth and differentiated function of the thyroid. Unlike primary cultures of animal or human thyroid cells, FRTL5 do not secrete appreciable amounts of thyroid hormones. We now have studied the effects of T3 by itself and in combination with TSH and insulin-like growth factor-I (IGF-I) on [3H]thymidine incorporation into DNA, iodide uptake, and cAMP production in FRTL5. We also have investigated the expression of different c-erbA mRNAs in these cells. Specific binding of T3 to FRTL5 cell nuclei in intact cells occurred with a binding capacity of 0.1-0.15 ng T3/mg DNA and an apparent Kd of 0.4 nM. Using an RNase protection assay on total cellular FRTL5 RNA and specific cRNA probes, we demonstrated the presence of c-erbA alpha and -beta mRNAs, both encoding T3 receptors. Biological effects were assessed in serum-free medium or buffer containing 0.1% BSA after maintaining quiescent culture of cells for at least 5 days in hormone-free medium containing 5% calf serum. T3 alone stimulated a dose-dependent increase in [3H]thymidine incorporation that reached a plateau at 188% of the control value at 10 nM T3. At 10(-11) M TSH, T3 potentiated TSH-stimulated [3H]thymidine incorporation (2.2-fold), but at TSH concentrations greater than 5 x 10(-11) M, T3 had no effect or reduced the response to TSH. T3 potentiated the [3H]thymidine response to 2 and 10 ng/ml IGF-I by 1.5- to 1.7-fold. T3 alone had no effect on iodide uptake, but attenuated iodide uptake stimulated by TSH. T3 was more potent in inhibiting TSH-stimulated iodide uptake than in enhancing TSH-stimulated DNA synthesis. T3 did not affect either basal or TSH-stimulated cAMP accumulation. Thus, in FRTL5 thyroid follicular cells 1) T3 receptors are expressed, as measured by direct binding assays and by the expression of c-erbA mRNAs; and 2) T3 acts as a growth factor and weak antidifferentiation factor. We suggest that T3 may modulate the actions of TSH and growth factors in thyroid epithelium.


Assuntos
Replicação do DNA/efeitos dos fármacos , DNA/biossíntese , Proteínas Proto-Oncogênicas/genética , Receptores dos Hormônios Tireóideos/metabolismo , Glândula Tireoide/fisiologia , Tri-Iodotironina/metabolismo , Tri-Iodotironina/farmacologia , Animais , Transporte Biológico/efeitos dos fármacos , Linhagem Celular , Núcleo Celular/metabolismo , AMP Cíclico/metabolismo , Interações Medicamentosas , Expressão Gênica/efeitos dos fármacos , Fator de Crescimento Insulin-Like I/farmacologia , Iodetos/metabolismo , Cinética , Proto-Oncogenes , Sondas RNA , RNA Mensageiro/metabolismo , Ratos , Receptores dos Hormônios Tireóideos/genética , Timidina/metabolismo , Glândula Tireoide/efeitos dos fármacos , Glândula Tireoide/metabolismo , Tireotropina/farmacologia
13.
Stroke ; 33(1): 297-305, 2002 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11779928

RESUMO

BACKGROUND AND PURPOSE: A long-term follow-up study was conducted in patients with lacunar infarct to assess how 24-hour blood pressure monitoring values and MRI findings, in particular lacunar infarcts and diffuse white matter lesions, can predict subsequent development of dementia and vascular events, which include cerebrovascular and cardiovascular events. METHODS: One hundred seventy-seven patients were tracked for a mean of 8.9 years of follow-up. Documented events comprise the development of dementia and the occurrence of vascular events. The predictors for developing dementia and vascular events were separately evaluated by Cox proportional hazards analysis. RESULTS: Twenty-six patients developed dementia (0.17/100 patient-years). Male sex (relative risk [RR], 4.2; 95% CI, 1.2 to 14.7), cognitive impairment (RR, 3.0; 95% CI, 1.0 to 8.5), confluent DWML (moderate: RR, 7.1; 95% CI, 1.6 to 31.5; severe: RR, 35.8; 95% CI, 7.2 to 177.3), and nondipping status (RR, 7.1; 95% CI, 2.2 to 22.0) were independent predictors for dementia. Forty-six patients suffered from vascular events (3.11/100 patient-years). Diabetes mellitus (RR, 5.7; 95% CI, 2.7 to 11.9), multiple lacunae (moderate: RR, 6.4; 95% CI, 2.5 to 15.8; severe: RR, 8.5; 95% CI, 3.1 to 23.3), and high 24-hour systolic blood pressure (>145 mm Hg versus <130 mm Hg) (RR, 10.3; 95% CI, 1.3 to 81.3) were independent predictors for vascular events. CONCLUSIONS: Predictors for developing dementia and vascular events appear to differ. Male sex, confluent diffuse white matter lesions, and nondipping status were independent predictors for subsequent development of dementia, while diabetes mellitus, multiple lacunae, and high 24-hour systolic blood pressure were independent predictors for vascular events.


Assuntos
Monitorização Ambulatorial da Pressão Arterial/métodos , Infarto Encefálico/diagnóstico , Demência Vascular/diagnóstico , Imageamento por Ressonância Magnética/métodos , Idoso , Doenças Cardiovasculares/diagnóstico , Transtornos Cerebrovasculares/diagnóstico , Feminino , Seguimentos , Previsões , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Modelos de Riscos Proporcionais
14.
Stroke ; 32(12): 2920-5, 2001 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-11739996

RESUMO

BACKGROUND AND PURPOSE: Postoperative brain dysfunction, such as delirium, is a common complication of anesthesia and is sometimes prolonged, especially in patients with cerebrovascular disease. In the present study we investigated the effect of hypocapnia during anesthesia on neuronal damage using a rat model of chronic cerebral hypoperfusion. METHODS: Chronic cerebral hypoperfusion was induced by clipping the bilateral common carotid arteries in male Wistar rats. Fourteen days after the operation, these animals were mechanically ventilated for 2 hours and then kept in suitable conditions for an additional 14 days. Twenty-four rats were assigned to 4 groups: those with chronic cerebral hypoperfusion with either hypocapnia or normocapnia during anesthesia, and those given sham operation with either hypocapnia or normocapnia. White matter lesions in the brain sections were evaluated with Klüver-Barrera staining. Proliferation of glial cells was estimated with the use of immunohistochemistry of glial fibrillary acidic protein, a marker for astroglia, and CD11b, a marker for microglia. Computer-assisted morphometry was applied to the immunohistochemical results of microtubule-associated protein 2 to evaluate the loss of neurons. RESULTS: The histological damage was localized almost exclusively in the white matter in the rats subjected to chronic cerebral hypoperfusion but without hypocapnia. Neuronal damage and astroglial proliferation occurred with aggravated white matter lesions in the caudoputamen in the rats with chronic cerebral hypoperfusion and hypocapnia. No lesions were observed in sham-operated rats with either hypocapnia or normocapnia. CONCLUSIONS: These results indicate that hypocapnia during anesthesia causes tissue damage in the caudoputamen, which may be responsible for long-lasting postoperative delirium in patients with stroke and/or dementia.


Assuntos
Doenças dos Gânglios da Base/patologia , Isquemia Encefálica/patologia , Hipocapnia/patologia , Respiração Artificial , Anestesia , Animais , Antígenos de Diferenciação/biossíntese , Doenças dos Gânglios da Base/etiologia , Doenças dos Gânglios da Base/metabolismo , Velocidade do Fluxo Sanguíneo , Isquemia Encefálica/complicações , Isquemia Encefálica/metabolismo , Núcleo Caudado/metabolismo , Núcleo Caudado/patologia , Circulação Cerebrovascular , Doença Crônica , Demência Vascular/etiologia , Modelos Animais de Doenças , Hipocapnia/complicações , Hipocapnia/metabolismo , Imuno-Histoquímica , Masculino , Neuroglia/metabolismo , Neuroglia/patologia , Neurônios/metabolismo , Neurônios/patologia , Putamen/metabolismo , Putamen/patologia , Ratos , Ratos Wistar , Taxa de Sobrevida , Tempo
15.
J Cereb Blood Flow Metab ; 14(4): 565-73, 1994 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-8014202

RESUMO

The neurons that accumulate beta/A4 amyloid protein precursor (APP) after transient cerebral ischemia were characterized by comparing their distribution with those destined to suffer delayed neuronal death or those with induction of 72-kDa heat-shock protein. With immunohistochemistry of APP in gerbil brains, no alterations were detected after ischemia for 2 min and subsequent reperfusion for up to 7 days, whereas after ischemia for 3 min and reperfusion for 48 h, a small number of neurons, intensely immunoreactive for APP, were found to be scattered in the CA1 subfield of the hippocampus and the layer V/VI of the frontoparietal cortex. After reperfusion for 24 h following ischemia for 5 or 15 min, a large number of densely stained neurons appeared in the subiculum, and CA3 subfield of the hippocampus, and layers III and V/VI of the frontoparietal cortex. The majority of these neurons did not undergo delayed neuronal death after reperfusion for 72 h and thereafter. APP and heat-shock protein were upregulated in the same regions, but mostly in distinct neurons. These results indicate that APP accumulates in the neurons marginating the regions destined to die, and the majority of these neurons seem to survive after ischemic insult.


Assuntos
Peptídeos beta-Amiloides/metabolismo , Precursor de Proteína beta-Amiloide/metabolismo , Isquemia Encefálica/metabolismo , Animais , Encéfalo/metabolismo , Encéfalo/patologia , Isquemia Encefálica/patologia , Gerbillinae , Proteínas de Choque Térmico/metabolismo , Imuno-Histoquímica , Masculino , Necrose , Neurônios/patologia , Fatores de Tempo
16.
J Cereb Blood Flow Metab ; 14(6): 930-8, 1994 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-7523431

RESUMO

The distribution of nitric oxide synthase was investigated in human cerebral blood vessels and brain tissues. NADPH-diaphorase histochemistry, which is a marker for nitric oxide synthase in neurons and endothelial cells, revealed periadventitial nerve fibers in the arteries of the circle of Willis and their cortical branches, as well as the common carotid and subclavian arteries. The fibers were mostly nonvaricose in the periadventitial nerve trunk and were varicose within the adventitia. Patchy reaction products were distributed in the perinuclear region of each endothelial cell. Smooth muscle cells in the tunica media were weakly stained. Staining was particularly intense in regions with atherosclerotic changes, which consist of macrophage infiltration and proliferation of fibroblasts. In the neural parenchyma, two types of NADPH-diaphorase reactive neurons were differentiated. Type I neurons were intensely stained, medium-sized, and bipolar or multipolar. They were distributed in the cerebral cortex and white matter, mostly in the subcortical white matter. Type II neurons were lightly stained, small oval neurons with fine processes and were distributed in the cerebral cortex. Endothelial cells were intensely reactive for NADPH-diaphorase in the arteries, arterioles, and capillaries but weakly in veins. Immunohistochemistry for neural nitric oxide synthase labeled perivascular nerves in the larger arteries and those in the neural parenchyma. Both type I and type II neurons were labeled. Nitric oxide synthase in endothelial cells and the nerve encircling blood vessels further suggests a dual control of cerebral circulation by nitric oxide in human brain.


Assuntos
Aminoácido Oxirredutases/metabolismo , Encéfalo/enzimologia , Circulação Cerebrovascular , Idoso , Idoso de 80 Anos ou mais , Vasos Sanguíneos/enzimologia , Encéfalo/citologia , Feminino , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , NADPH Desidrogenase/metabolismo , Neurônios/classificação , Neurônios/enzimologia , Óxido Nítrico Sintase , Distribuição Tecidual
17.
J Cereb Blood Flow Metab ; 21(7): 828-34, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11435795

RESUMO

White matter lesions are closely associated with cognitive impairment and motor dysfunction in the aged. To explore the pathophysiology of these lesions, the authors examined the expression of matrix metalloproteinase-2 (MMP-2) and MMP-9 in the white matter in a rat model of chronic cerebral hypoperfusion. After bilateral clipping of the common carotid arteries, myelin staining revealed demyelinating changes in the optic tract and the corpus callosum on day 7. Zymographic analyses indicated an increase in the level of MMP-2, but not MMP-9, after the hypoperfusion. Immunohistochemical analyses revealed the presence (most abundantly on day 3) of MMP-2-expressing activated microglia in the optic tract and corpus callosum. In contrast, the capillary endothelial cells expressed MMP-2 later. IgM-immunoreactive glial cells were absent in the sham-operated animals, but were present in the hypoperfused animals by day 3, reflecting the disrupted blood-brain barrier. These findings suggest that the main sources of the elevated MMP-2 were the microglia and the endothelium, and that these cells may contribute to the remodeling of the white matter myelin and microvascular beds in chronic cerebral hypoperfusion.


Assuntos
Encéfalo/irrigação sanguínea , Endotélio Vascular/enzimologia , Expressão Gênica , Metaloproteinase 2 da Matriz/genética , Metaloproteinase 9 da Matriz/genética , Microglia/enzimologia , Animais , Northern Blotting , Encéfalo/enzimologia , Capilares/enzimologia , Artéria Carótida Primitiva , Constrição , Corpo Caloso/enzimologia , Imunoglobulina M/análise , Imuno-Histoquímica , Masculino , Bainha de Mielina/enzimologia , RNA Mensageiro/análise , Ratos , Ratos Wistar , Vias Visuais/enzimologia
18.
Neurobiol Aging ; 11(3): 185-92, 1990.
Artigo em Inglês | MEDLINE | ID: mdl-2362651

RESUMO

Age-related changes of reduced nicotinamide adenine dinucleotide phosphate diaphorase (NADPH-d)-containing neurons were examined quantitatively in the laterodorsal tegmental nucleus (TLD) and the caudate-putamen of mice. Six 2-month-old and six 25- to 30-month-old DDD mice were studied using computer-assisted image analysis. Although no age-related changes in neuronal counts were found in the TLD, the cell size in this nucleus showed a statistically significant reduction with aging. In addition, the degree of the age-related neuronal shrinkage differed within the TLD; the most significant occurring in the rostral, less in the caudal third and no significant alteration being found in the middle third portion of TLD. In contrast, NADPH-d-positive neurons in the striatum did not show distinct age-related changes. NADPH-d-containing neurons in the TLD correspond to cholinergic cells, which project to the forebrain. Thus, the age-related shrinkage of NADPH-d neurons in the TLD may be related to the cholinergic dysfunctions seen in the forebrain of senescent mice.


Assuntos
Envelhecimento/metabolismo , Corpo Estriado/enzimologia , NADH NADPH Oxirredutases/metabolismo , NADPH Desidrogenase/metabolismo , Ponte/enzimologia , Animais , Corpo Estriado/citologia , Corpo Estriado/crescimento & desenvolvimento , Masculino , Camundongos
19.
Neurobiol Aging ; 22(3): 469-78, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11378254

RESUMO

We previously reported that the accumulation of blood-borne radiolabelled serum albumin in brain parenchyma increased with aging, especially in senescence-accelerated mice (SAMP8), which showed age-related deficits in learning and memory. In this study, in order to examine morphological events related to the age-related increase of the brain accumulation of serum albumin, the transvascular passage of blood-borne horseradish peroxidase (HRP) and ultrastructural features of microvessels were examined in the hippocampus, cerebellum and pons of SAMP8 and SAMR1 (control) mice. Ultrastructural examination of the hippocampus showed that the staining for HRP was occasionally spreading throughout the parajunctional cytoplasm of the endothelial cell of aged SAMP8 mice, but not in young SAMP8 mice nor in SAMR1 mice. The number of vessels showing the staining reaction for HRP in the parajunctional cytoplasm of the endothelial cells in aged SAMP8 mice increased significantly compared with that in the others. Electron microscopic morphometry showed that there were no significant differences among the number of HRP-positive vesicles per unit area of the endothelial cell cytoplasm in young and old mice of both strains. The staining reaction for HRP was not seen in the basal lamina of microvessels and the perivascular neuropil in all mice examined. Perivascular lipofuscin-like granules and collagen deposits, swelling of astroglial perivascular endfeet and perivascular cells containing foamy, lipid-like droplets were frequently found in several brain regions of aged SAMP8 mice. The perivascular cells with a few lipid-like droplets and more electron-homogeneous lysosomes were occasionally seen in SAMR1 and young SAMP8, while the other findings were scarcely observed in SAMR1 and young SAMP8 mice. These findings suggest that the blood-brain barrier to HRP was preserved in microvessels in three brain regions of SAM mice but the blood microvessels showed some age-related ultrastructural alterations in SAMP8 brains. Uncontrolled passage of HRP through the parajunctional cytoplasm of the endothelial cells may partly contribute to the age-related increase of accumulation of serum albumin in SAMP8 brains.


Assuntos
Envelhecimento/fisiologia , Permeabilidade Capilar , Cerebelo/irrigação sanguínea , Circulação Cerebrovascular , Hipocampo/irrigação sanguínea , Microcirculação , Ponte/irrigação sanguínea , Animais , Barreira Hematoencefálica , Cerebelo/ultraestrutura , Endotélio Vascular/citologia , Endotélio Vascular/ultraestrutura , Hipocampo/ultraestrutura , Camundongos , Microscopia Eletrônica , Ponte/ultraestrutura
20.
Neurobiol Aging ; 22(3): 479-84, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11378255

RESUMO

This study examined age-dependent deficits in the learning and memory of fear conditioning, using a newly developed senescence-accelerated mouse (SAMP8) model of age-related brain dysfunction and its genetically related inbred strain (SAMR1). The mice were classically conditioned to tone by giving aversive foot shocks in a distinct experimental box (context). After conditioning, fear in response to the original context without the tone and to the tone in a different context were tested with no shocks. Freezing behavior was used as a reliable index of fear. At 4 and 8 months, contextual fear was weaker in the accelerated senescence-prone SAMP8 mice than in the accelerated senescence-resistant SAMR1 mice. However, at 1 and 2 months, both SAMP8 and SAMR1 mice showed significant contextual fear to equivalent levels. Aging did not affect the fear response to tone. These results indicate that SAMP8 mice have age-related learning and memory deficits in their fear response evoked by contextual but not explicit tone stimuli. Age-related hippocampal dysfunction is suggested to be the cause of these age-related deficits in contextual fear conditioning in SAMP8 mice.


Assuntos
Envelhecimento/fisiologia , Condicionamento Clássico/fisiologia , Medo/fisiologia , Hipocampo/fisiopatologia , Transtornos da Memória/fisiopatologia , Análise de Variância , Animais , Comportamento Animal/fisiologia , Eletrochoque , Masculino , Camundongos , Camundongos Endogâmicos , Som , Fatores de Tempo
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