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Publication : Contribution of brain inflammation to neuronal cell death in neuronopathic forms of Gaucher's disease.

First Author  Vitner EB Year  2012
Journal  Brain Volume  135
Issue  Pt 6 Pages  1724-35
PubMed ID  22566609 Mgi Jnum  J:279599
Mgi Id  MGI:6363604 Doi  10.1093/brain/aws095
Citation  Vitner EB, et al. (2012) Contribution of brain inflammation to neuronal cell death in neuronopathic forms of Gaucher's disease. Brain 135(Pt 6):1724-35
abstractText  Gaucher's disease, the most common lysosomal storage disorder, is caused by the defective activity of glucocerebrosidase, the lysosomal hydrolase that degrades glucosylceramide. The neuronopathic forms of Gaucher's disease are characterized by severe neuronal loss, astrocytosis and microglial proliferation, but the cellular and molecular pathways causing these changes are not known. In the current study, we delineate the role of neuroinflammation in the pathogenesis of neuronopathic Gaucher's disease and show significant changes in levels of inflammatory mediators in the brain of a neuronopathic Gaucher's disease mouse model. Levels of messenger RNA expression of interleukin -1beta, tumour necrosis factor-alpha, tumour necrosis factor-alpha receptor, macrophage colony-stimulating factor and transforming growth factor-beta were elevated by up to approximately 30-fold, with the time-course of the increase correlating with the progression of disease severity. The most significant elevation was detected for the chemokines CCL2, CCL3 and CCL5. Blood-brain barrier disruption was also evident in mice with neuronopathic Gaucher's disease. Finally, extensive elevation of nitrotyrosine, a hallmark of peroxynitrite (ONOO(-)) formation, was observed, consistent with oxidative damage caused by macrophage/microglia activation. Together, our results suggest a cytotoxic role for activated microglia in neuronopathic Gaucher's disease. We suggest that once a critical threshold of glucosylceramide storage is reached in neurons, a signalling cascade is triggered that activates microglia, which in turn releases inflammatory cytokines that amplify the inflammatory response, contributing to neuronal death.
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