Krabbe s disease - case report

Noronha, Lúcia de; Sampaio, Gilberto Antunes; Bruck, Isac; Reis‐Filho, Jorge S.; Montemór-Netto, Mário R.; Bleggi-Torres, Luiz Fernando; Faoro, Leonardo; Gasparetto, Emerson L.; Antoniuk, Sérgio Antônio; Kasting, Gilda

doi:10.2223/jped.37

Cited by 2 publications

(1 citation statement)

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“…The nuclei of the pons and medulla are major relay zones in the brain, playing a critical role in swallowing and emesis . One of very first symptoms in infantile Krabbe disease is a growing difficulty in feeding, with impaired swallowing and vomiting . Swallowing movements are primarily controlled by two groups of neurons in the dorsal and ventrolateral medulla .…”

Section: Discussionmentioning

confidence: 99%

Neuronal inclusions of α‐synuclein contribute to the pathogenesis of Krabbe disease

Smith

Santos

Marshall

et al. 2014

The Journal of Pathology

115

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Demyelination is a major contributor to the general decay of neural functions in children with Krabbe disease. However, recent reports have indicated a significant involvement of neurons and axons in the neuropathology of the disease. In this study, we have investigated the nature of cellular inclusions in the Krabbe brain. Brain samples from the Twitcher mouse model for Krabbe disease and from patients affected with the infantile and late onset forms of the disease were examined for the presence of neuronal inclusions. Our experiments demonstrated the presence of cytoplasmic aggregates of thioflavin-S reactive material in both human and murine mutant brains. Most of these inclusions were associated with neurons. A few inclusions were detected to be associated with microglia and none were associated with astrocytes or oligodendrocytes. Thioflavin-S reactive inclusions increased in abundance paralleling the development of neurological symptoms and distributed throughout the Twitcher brain in areas of major involvement in cognition and motor functions. Electron microscopy confirmed the presence of aggregates of stereotypic β-sheet folded proteinaceous material. Immunochemical analyses identified the presence of aggregated forms of α-synuclein and ubiquitin, proteins involved in the formation of Lewy bodies in Parkinson’s disease and other neurodegenerative conditions. In vitro assays demonstrated that psychosine, the neurotoxic sphingolipid accumulated in Krabbe disease, accelerated the fibrillization of α-synuclein. This study demonstrates the occurrence of neuronal deposits of fibrillizated proteins including α-synuclein, identifying Krabbe disease as a new α-synucleinopathy.

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Section: Discussionmentioning

confidence: 99%