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An analysis of the ultrastructural findings in infantile neuroaxonal dystrophy (Seitelberger's disease)

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Summary

Electron microscopic findings of a cortical biopsy from a four-year-old child suffering from muscular weakness and psychomotor retardation are presented. Morphological evidence obtained in this study suggests a unique pathogenetic mechanism underlying INAD. The spheroids appear to be caused by an accumulation of a macromolecular substance synthesized in the neuron and transported to the nerve endings. The abnormal substance initially takes the form of an amorphous material, it eventually aggregates into highly characteristic angulated membranous profiles. The selective involvement of the nerve endings, synapses and motor end plates in this disease suggests a derangement of the metabolic pathway in the synthesis or packaging of the neurotransmitters or their receptors.

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References

  1. Austin, L., Chubt, I. W., Livett, B. G.: The subcellular localization of catecholamines in nerve terminals in smooth muscle tissue. J. Neurochem.14, 473–478 (1967)

    Google Scholar 

  2. Barondes, S. H.: On the site of synthesis of the mitochondrial protein of nerve endings. J. Neurochem.13, 721–727 (1966)

    Google Scholar 

  3. Borondes, S. H.: Further studies on the transport of protein to nerve endings. J. Neurochem.15, 343–350 (1968)

    Google Scholar 

  4. Bérard-Badier, M., Gambarelli, D., Pinsard, N., Hassoum, J., Toga, M.: Infantile neuroaxonal dystrophy or Seitelberger's disease. II. peripheral nerve involvement: electron microscopic study in one case. Acta neuropath. (Berl.), Suppl.5, 30–39 (1971)

    Google Scholar 

  5. Carlton, W. W., Kreutzberg, G.: Isonicotinic acid hydrazid induced sponge degeneration of the white matter in the brains of Peking ducks. Amer. J. Path.48, 91–105 (1966)

    Google Scholar 

  6. Chou, S. M., Hartman, H. A.: Axonal lesions and waltzing syndrome after IDPN administration in rats with a concept “axostasis”. Acta neuropath. (Berl.)3, 428–450 (1964)

    Google Scholar 

  7. Coster, W. de, Roels, H., Eecken, H. vander: Electron microscopic study of neuroaxonal dystrophy. Europ. Neurol.5, 65–83 (1971)

    Google Scholar 

  8. Cowen, D., Olmstead, E. V.: Infantile neuroaxonal dystrophy. J. Neuropath. exp. Neurol.22, 175–236 (1963)

    Google Scholar 

  9. Crome, L., Weller, S. D. V.: Infantile neuroaxonal dystrophy. Arch. Childh.40, 502–507 (1965)

    Google Scholar 

  10. De Robertis, E.: Molecular biology of synaptic receptors. Science171, 963–971 (1971)

    Google Scholar 

  11. Droz, B., Leblond, C. P.: Axonal migration of proteins in central nervous system and peripheral nerves as shown by autoradiography. J. comp. Neurol.121, 325–345 (1963)

    Google Scholar 

  12. Duffy, P. E., Tennyson, V. M.: Phase and electron microscopic observations of Lewy bodies and melanin granules in the substantia nigra and locus ceruleus in Parkinson's disease. J. Neuropath. exp. Neurol.24, 398–414 (1965)

    Google Scholar 

  13. Ellis, W. G., McCulloch, J. R., Yatsu, F.: Infantile neuroaxonal dystrophy. An ultrastructural and biochemical studies. Abst. Neurology (Minneap.)19, 304 (1969)

    Google Scholar 

  14. Gonatas, N. K., Goldensohn, E. S.: Unusual neocortical presynaptic terminals in a patient with convulsion, mental retardartion and cortical blindness. An electron microscopy study. J. Neuropath. exp. Neurol.24, 539–562 (1965)

    Google Scholar 

  15. Grillo, M. A.: Electron microscopy of sympathetic tissue. Pharmacol. Rev.18, 387–399 (1966)

    Google Scholar 

  16. Haberland, C., Brunngraber, E., Witting, L. A.: Infantile neuroaxonal dystrophy. Neuropathological and biochemical study of a case. Arch. Neurol. (Chic.)26, 391–402 (1972)

    Google Scholar 

  17. Häggendal, J., Dahlstrom: The importance of axoplasmic transport of amine granules for the function of adrenergic neurons. Acta neuropath. (Berl.) Suppl.5, 238–248 (1971)

    Google Scholar 

  18. Hedley-Whyte, E. T., Gilles, F. H., Uzman, B. G.: Infantile neuroaxonal dystrophy, a disease characterized by altered terminal axons and synaptic endings. Neurology (Minneap.)18, 891–906 (1968)

    Google Scholar 

  19. Herman, M. M., Huttenlocker, P. R., Bensch, F.: Electron microscopy observation in infantile neuronaxonal dystrophy. Arch. Neurol. (Chic.)20, 19–34 (1969)

    Google Scholar 

  20. Hökfelt, T.: Distribution of noradrenaline storage particles in peripheral adrenergic neurons as revealed by electron microscopy. Acta physiol. scand.76, 427–440 (1969)

    Google Scholar 

  21. Jellinger, K., Jirasek, A.: Neuroaxonal dystrophy in man: character and natural history. Acta neuropath. (Berl.) Suppl.5, 3–16 (1971)

    Google Scholar 

  22. Kamoshita, S., Neustein, H. B., Landing, B. H.: Infantile neuroaxonal dystrophy with neonatal onset. Neuropathological and electron microscopic observations. J. Neuropath. exp. Neurol.27, 300–323 (1968)

    Google Scholar 

  23. Kent, G., Minick, O. T., Volini, F. I., Orfei, E., de la Huerga, J.: Iron storage in N-2 Fluorenylacetamide induced hepatic injury. Electron microscopic observation following the injection if iron dextran complex. J. Path. Bact.82, 453–470 (1961)

    Google Scholar 

  24. Koenig, H.: Some observations on the experimental production of acute neuroaxonal and synaptosomal dystrophy. Acta neuropath. (Berl.) Suppl.5, 121–131 (1971)

    Google Scholar 

  25. Koenig, E.: Synthetic mechanisms in the axon. 1. Local axonal synthesis of acetylcholinesterase. J. Neurochem.12, 343–355 (1965)

    Google Scholar 

  26. Lampert, P., Blumberg, J. M., Pentschew, A.: An electron microscopic study of dystrophic axons in the gracile and cuneate nuclei of vitamin E deficient rats. Axonal dystrophy in vitamin E deficiency. J. Neuropath. exp. Neurol.23, 60–77 (1964)

    Google Scholar 

  27. Leninger, A.: Biochemistry. Molecular basis of cell structure and function, p. 756. New York: Worth 1972

    Google Scholar 

  28. Liu, H. M.: Schwann cell properties: 1. Origin of Schwann cell during peripheral nerve regeneration. J. Neuropath. exp. Neurol. (in press).

  29. Liu, H. M.: Schwann cell properties: II. Identity of phagocytes in the degenerated nerve (in preparation)

  30. Livett, B. G., Greffen, L. B., Austin, L.: Proximo-distal transport of14C nordrenaline and protein in sympathetic nerves. J. Neurochem.15, 731–939 (1968)

    Google Scholar 

  31. Lubinska, L.: Axoplasmic streaming in regenerating and in normal nerve fibers. Progr. Brain Res.12, 1–16 (1964)

    Google Scholar 

  32. Martin, J. J., Martin, L.: Infantile neuroaxonal dystrophy, ultrastructural study of the peripheral nerves and of the motor end plates. Europ. Neurol.8, 239–250 (1972)

    Google Scholar 

  33. Pentschew, A., Schwarz, K.: Systemic axonal dystrophy in vitamin E deficient adult rats. Acta neuropyth. (Berl.)1, 313–334 (1962)

    Google Scholar 

  34. Sandbank, U., Lerman, P., Geiman: Infantile neuroaxonal dystrophy, cortical, axonic and presynaptic changes. Acta neuropath. (Berl.)16, 342–352 (1970)

    Google Scholar 

  35. Seitelberger, F.: Eine unbekannte Form von infantiler Lipoidspeicher-Krankheit des Gehirns. Proc. 1st. Internat. Congr. Neuropath. Rome, vol. 3, pp. 323–333. Torino: Rosenberg & Seller 1952

    Google Scholar 

  36. Seitelberger, F.: Eine eigenartige Stoffwechselerkrankung der Ganglienzellen im Zentralnervensystem. In: Proc. 5th Internat. Congr. Neurol. Lisbon, vol. 3, p. 484 (1954)

  37. Seitelberger, F.: Neuropathological conditions related to neuroaxonal dystrophy. Acta neuropath. (Berl.) Suppl.5, 17–29 (1971)

    Google Scholar 

  38. Taylor, A. C., Weiss, P.: Demonstration of axonal flow by the movement of tritium labeled protein in mature optic nerve fibers. Proc. nat. Acad. Sci. (Wash.)54, 1521–1527 (1965)

    Google Scholar 

  39. Terry, R. D., Gonatas, N. K., Weiss, M.: Alzheimer's presenile dementia. Amer. J. Path.44, 269–298 (1965)

    Google Scholar 

  40. Toga, M., Dubois, D., Hassoum, J.: Ultra-structure des corps de Lafora. Acta neuropath. (Berl.)10, 132–142 (1968)

    Google Scholar 

  41. Toga, M., Bérard-Bodier, M., Gambarelli, D.: La dystrophie neuroaxonale infantile ou Maladie de Seitelberger. Acta neuropath. (Berl.)15, 327–350 (1970)

    Google Scholar 

  42. Weiss, P.: Neuronal organelles in neuroplasmic “axonal” flow. Mitochondria. Acta. neuropath. (Berl.) Suppl.5, 187–197 (1971)

    Google Scholar 

  43. Zeman, W., Scapelli, D. G.: The non specific lesions of Hallervorden-Spatz disease. A histochemical study. J. Neuropath. exp. Neurol.17, 622–639 (1958)

    Google Scholar 

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Mei Liu, H., Larson, M. & Mizuno, Y. An analysis of the ultrastructural findings in infantile neuroaxonal dystrophy (Seitelberger's disease). Acta Neuropathol 27, 201–213 (1974). https://doi.org/10.1007/BF00687630

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