Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2006-4-14
pubmed:abstractText
Hereditary diffuse leukoencephalopathy with spheroids (HDLS) is a rare autosomal dominant disorder characterized by cerebral white matter degeneration with axonal spheroids leading to progressive cognitive and motor dysfunction. We report clinical and pathological features, as well as molecular genetic analysis, of a family with HDLS. A pedigree consisting of 27 persons in 5 generations contained 6 affected individuals. Dementia and depression were common; two individuals presented with a syndrome resembling corticobasal degeneration (CBD). Postmortem neuropathologic evaluation of three affected individuals revealed enlargement of the lateral ventricles and marked attenuation of cerebral white matter, but preservation of white matter in brainstem and cerebellum, except for the corticospinal tract. Histopathologic studies showed a loss of myelinated fibers, lipid-laden macrophages and bizarre astrocytes, as well as abundant axonal spheroids that were immunoreactive for phosphorylated neurofilament protein and amyloid precursor protein (APP), but not alphaB-crystallin and variably with ubiquitin. By electron microscopy, axonal spheroids contained aggregates of intermediate filaments or of organelles that were predominantly vesicular and lamellar. The cerebral cortex had focal neuronal degeneration with alphaB-crystallin-immunoreactive ballooned neurons. In summary, the present report describes a previously unreported kindred with HDLS with individuals presenting as CBD. Immunohistochemistry for APP and alphaB-crystallin demonstrates distinctive neurodegeneration in cerebral axons and perikarya.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0001-6322
pubmed:author
pubmed:issnType
Print
pubmed:volume
111
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
300-11
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:16523341-Adult, pubmed-meshheading:16523341-Aged, pubmed-meshheading:16523341-Aged, 80 and over, pubmed-meshheading:16523341-Amyloid beta-Protein Precursor, pubmed-meshheading:16523341-Axons, pubmed-meshheading:16523341-Brain, pubmed-meshheading:16523341-Dementia, pubmed-meshheading:16523341-Depression, pubmed-meshheading:16523341-Eukaryotic Initiation Factor-2B, pubmed-meshheading:16523341-Female, pubmed-meshheading:16523341-Humans, pubmed-meshheading:16523341-Immunohistochemistry, pubmed-meshheading:16523341-Male, pubmed-meshheading:16523341-Microscopy, Electron, Transmission, pubmed-meshheading:16523341-Middle Aged, pubmed-meshheading:16523341-Mutation, pubmed-meshheading:16523341-Neurodegenerative Diseases, pubmed-meshheading:16523341-Pedigree, pubmed-meshheading:16523341-Polymerase Chain Reaction, pubmed-meshheading:16523341-alpha-Crystallin B Chain
pubmed:year
2006
pubmed:articleTitle
Hereditary diffuse leukoencephalopathy with spheroids: clinical, pathologic and genetic studies of a new kindred.
pubmed:affiliation
Department of Neurology, Mayo Clinic College of Medicine, Jacksonville, FL, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, Non-P.H.S., Case Reports, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural