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Publication : Ultrastructural and diffusion tensor imaging studies reveal axon abnormalities in Pompe disease mice.

First Author  Lee NC Year  2020
Journal  Sci Rep Volume  10
Issue  1 Pages  20239
PubMed ID  33214573 Mgi Jnum  J:300230
Mgi Id  MGI:6491088 Doi  10.1038/s41598-020-77193-w
Citation  Lee NC, et al. (2020) Ultrastructural and diffusion tensor imaging studies reveal axon abnormalities in Pompe disease mice. Sci Rep 10(1):20239
abstractText  Pompe disease (PD) is caused by lysosomal glycogen accumulation in tissues, including muscles and the central nervous system (CNS). The intravenous infusion of recombinant human acid alpha-glucosidase (rhGAA) rescues the muscle pathologies in PD but does not treat the CNS because rhGAA does not cross the blood-brain barrier (BBB). To understand the CNS pathologies in PD, control and PD mice were followed and analyzed at 9 and 18 months with brain structural and ultrastructural studies. T2-weighted brain magnetic resonance imaging studies revealed the progressive dilatation of the lateral ventricles and thinning of the corpus callosum in PD mice. Electron microscopy (EM) studies at the genu of the corpus callosum revealed glycogen accumulation, an increase in nerve fiber size variation, a decrease in the g-ratio (axon diameter/total fiber diameter), and myelin sheath decompaction. The morphology of oligodendrocytes was normal. Diffusion tensor imaging (DTI) studies at the corpus callosum revealed an increase in axial diffusivity (AD) and mean diffusivity (MD) more significantly in 9-month-old PD mice. The current study suggests that axon degeneration and axon loss occur in aged PD mice and are probably caused by glycogen accumulation in neurons. A drug crossing the BBB or a treatment for directly targeting the brain might be necessary in PD.
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