2006
DOI: 10.1007/s00018-006-6182-8
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Pelizaeus-Merzbacher disease: Genetic and cellular pathogenesis

Abstract: Pelizaeus-Merzbacher disease (PMD) and the allelic spastic paraplegia type 2 (SPG2) arise from mutations in the X-linked gene encoding myelin proteolipid protein (PLP). Analysis of mutations affecting PLP, the major protein in central nervous system myelin, has revealed previously unsuspected roles for myelinating glia in maintaining the integrity of the nervous system. The disease spectrum for PMD and SPG2 is extraordinarily broad and can be best understood by accounting not only for the wide range of mutatio… Show more

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Cited by 162 publications
(159 citation statements)
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References 166 publications
(222 reference statements)
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“…For example, the daily amount of protein synthesized at the peak of myelination in a single OL myelinating multiple axonal segments can be up to three times the weight of its perikaryon [29] . Even when myelination is completed, mature OLs continuously require a high energy supply for the maintenance of their lipid-rich myelin membrane.…”
Section: Discussionmentioning
confidence: 99%
“…For example, the daily amount of protein synthesized at the peak of myelination in a single OL myelinating multiple axonal segments can be up to three times the weight of its perikaryon [29] . Even when myelination is completed, mature OLs continuously require a high energy supply for the maintenance of their lipid-rich myelin membrane.…”
Section: Discussionmentioning
confidence: 99%
“…Patient 3 showed a novel missense mutation, c.636G4C (Tyr212Cys), which is in the extramembrane region of the PLP1 protein. 2 A missense substitution in the same codon, but resulting in a change into a different amino acid, c.634T4C (Tyr212Arg), has been reported to be a pathogenetic mutation by others. 13 Frequently, a cysteine residue changes the three-dimensional protein conformation drastically owing to disulfide bond formation with other cysteines.…”
Section: Discussionmentioning
confidence: 99%
“…Previous genotype-phenotype correlation study have shown that patients with PLP1 missense mutations show severe manifestation associated with severe hypomyelination, which is recognized as the consequence of accumulated mutant protein in the endoplasmic reticulum as a gain-of-toxic function of the mutant protein. 2 Excessive PLP1 protein resulting from genomic duplications may accumulate in late endosomes/lysosomes, promoting its incorporation into other myelin components. 1 In contrast, patients with PLP1 null mutations escape severe impairments because of the absence of any gain-of-toxic function.…”
Section: Discussionmentioning
confidence: 99%
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