1
|
Estrada-Sánchez AM, Rebec GV, Galvan L. Editorial: New insight into Huntington's disease: From neuropathology to possible therapeutic targets. Front Neurosci 2023; 17:1138712. [PMID: 36816128 PMCID: PMC9933495 DOI: 10.3389/fnins.2023.1138712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 01/20/2023] [Indexed: 02/05/2023] Open
Affiliation(s)
- Ana María Estrada-Sánchez
- División de Biología Molecular, Laboratorio de Neurobiología, Instituto Potosino de Investigación Científica y Tecnológica (IPICYT), San Luis Potosí, Mexico,*Correspondence: Ana María Estrada-Sánchez ✉
| | - George V. Rebec
- Program in Neuroscience, Department of Psychological and Brain Sciences, Indiana University, Bloomington, IN, United States
| | - Laurie Galvan
- Sciences Department, Université de Nîmes, Nîmes, France
| |
Collapse
|
2
|
Bond T, Mims A, Davis C. An Unusual Kidney Lesion Presenting with Facial Edema, Hematuria, and AKI. Kidney360 2022; 3:1118-1119. [PMID: 35845344 PMCID: PMC9255883 DOI: 10.34067/kid.0000782022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Accepted: 02/14/2022] [Indexed: 01/10/2023]
Affiliation(s)
- Tanner Bond
- Department of Internal Medicine, University of Tennessee Health Sciences Center Chattanooga, Chattanooga, Tennessee
| | - Andrew Mims
- Department of Internal Medicine, University of Tennessee Health Sciences Center Chattanooga, Chattanooga, Tennessee
| | - Cameron Davis
- Department of Internal Medicine, University of Tennessee Health Sciences Center Chattanooga, Chattanooga, Tennessee
| |
Collapse
|
3
|
Werning M, Dobretzberger V, Brenner M, Müllner EW, Mlynek G, Djinovic-Carugo K, Baron DM, Fragner L, Bischoff AT, Büchner B, Klopstock T, Weckwerth W, Salzer U. A Potential Citrate Shunt in Erythrocytes of PKAN Patients Caused by Mutations in Pantothenate Kinase 2. Biomolecules 2022; 12:325. [PMID: 35204826 DOI: 10.3390/biom12020325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 02/07/2022] [Accepted: 02/15/2022] [Indexed: 02/04/2023] Open
Abstract
Pantothenate kinase-associated neurodegeneration (PKAN) is a progressive neurodegenerative disease caused by mutations in the pantothenate kinase 2 (PANK2) gene and associated with iron deposition in basal ganglia. Pantothenate kinase isoforms catalyze the first step in coenzyme A (CoA) biosynthesis. Since PANK2 is the only isoform in erythrocytes, these cells are an excellent ex vivo model to study the effect of PANK2 point mutations on expression/stability and activity of the protein as well as on the downstream molecular consequences. PKAN erythrocytes containing the T528M PANK2 mutant had residual enzyme activities but variable PANK2 abundances indicating an impaired regulation of the protein. Patients with G521R/G521R, G521R/G262R, and R264N/L275fs PANK2 mutants had no residual enzyme activity and strongly reduced PANK2 abundance. G521R inactivates the catalytic activity of the enzyme, whereas G262R and the R264N point mutations impair the switch from the inactive to the active conformation of the PANK2 dimer. Metabolites in cytosolic extracts were analyzed by gas chromatography–mass spectrometry and multivariate analytic methods revealing changes in the carboxylate metabolism of erythrocytes from PKAN patients as compared to that of the carrier and healthy control. Assuming low/absent CoA levels in PKAN erythrocytes, changes are consistent with a model of altered citrate channeling where citrate is preferentially converted to α-ketoglutarate and α-hydroxyglutarate instead of being used for de novo acetyl-CoA generation. This finding hints at the importance of carboxylate metabolism in PKAN pathology with potential links to reduced cytoplasmic acetyl-CoA levels in neurons and to aberrant brain iron regulation.
Collapse
|
4
|
Rabe A, Kihm A, Darras A, Peikert K, Simionato G, Dasanna AK, Glaß H, Geisel J, Quint S, Danek A, Wagner C, Fedosov DA, Hermann A, Kaestner L. The Erythrocyte Sedimentation Rate and Its Relation to Cell Shape and Rigidity of Red Blood Cells from Chorea-Acanthocytosis Patients in an Off-Label Treatment with Dasatinib. Biomolecules 2021; 11:biom11050727. [PMID: 34066168 PMCID: PMC8151862 DOI: 10.3390/biom11050727] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 05/07/2021] [Accepted: 05/10/2021] [Indexed: 11/24/2022] Open
Abstract
Background: Chorea-acanthocytosis (ChAc) is a rare hereditary neurodegenerative disease with deformed red blood cells (RBCs), so-called acanthocytes, as a typical marker of the disease. Erythrocyte sedimentation rate (ESR) was recently proposed as a diagnostic biomarker. To date, there is no treatment option for affected patients, but promising therapy candidates, such as dasatinib, a Lyn-kinase inhibitor, have been identified. Methods: RBCs of two ChAc patients during and after dasatinib treatment were characterized by the ESR, clinical hematology parameters and the 3D shape classification in stasis based on an artificial neural network. Furthermore, mathematical modeling was performed to understand the contribution of cell morphology and cell rigidity to the ESR. Microfluidic measurements were used to compare the RBC rigidity between ChAc patients and healthy controls. Results: The mechano-morphological characterization of RBCs from two ChAc patients in an off-label treatment with dasatinib revealed differences in the ESR and the acanthocyte count during and after the treatment period, which could not directly be related to each other. Clinical hematology parameters were in the normal range. Mathematical modeling indicated that RBC rigidity is more important for delayed ESR than cell shape. Microfluidic experiments confirmed a higher rigidity in the normocytes of ChAc patients compared to healthy controls. Conclusions: The results increase our understanding of the role of acanthocytes and their associated properties in the ESR, but the data are too sparse to answer the question of whether the ESR is a suitable biomarker for treatment success, whereas a correlation between hematological and neuronal phenotype is still subject to verification.
Collapse
Affiliation(s)
- Antonia Rabe
- Theoretical Medicine and Biosciences, Saarland University, 66424 Homburg, Germany;
- Experimental Physics, Saarland University, 66123 Saarbruecken, Germany; (A.K.); (A.D.); (G.S.); (S.Q.); (C.W.)
| | - Alexander Kihm
- Experimental Physics, Saarland University, 66123 Saarbruecken, Germany; (A.K.); (A.D.); (G.S.); (S.Q.); (C.W.)
| | - Alexis Darras
- Experimental Physics, Saarland University, 66123 Saarbruecken, Germany; (A.K.); (A.D.); (G.S.); (S.Q.); (C.W.)
| | - Kevin Peikert
- Translational Neurodegeneration Section “Albrecht-Kossel”, Department of Neurology, University Medical Center Rostock, University of Rostock, 18051 Rostock, Germany; (K.P.); (H.G.); (A.H.)
- Department of Neurology, Technische Universität Dresden, 01307 Dresden, Germany
| | - Greta Simionato
- Experimental Physics, Saarland University, 66123 Saarbruecken, Germany; (A.K.); (A.D.); (G.S.); (S.Q.); (C.W.)
- Institute for Clinical and Experimental Surgery, Saarland University, 66424 Homburg, Germany
| | - Anil Kumar Dasanna
- Institute of Biological Information Processing and Institute for Advanced Simulation, Forschungszentrum Jülich, 52425 Jülich, Germany; (A.K.D.); (D.A.F.)
| | - Hannes Glaß
- Translational Neurodegeneration Section “Albrecht-Kossel”, Department of Neurology, University Medical Center Rostock, University of Rostock, 18051 Rostock, Germany; (K.P.); (H.G.); (A.H.)
| | - Jürgen Geisel
- Central Laboratory, Saarland University Medical Centre, 66424 Homburg, Germany;
| | - Stephan Quint
- Experimental Physics, Saarland University, 66123 Saarbruecken, Germany; (A.K.); (A.D.); (G.S.); (S.Q.); (C.W.)
- Cysmic GmbH, 66123 Saarbrücken, Germany
| | - Adrian Danek
- Neurologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, 81366 Munich, Germany;
| | - Christian Wagner
- Experimental Physics, Saarland University, 66123 Saarbruecken, Germany; (A.K.); (A.D.); (G.S.); (S.Q.); (C.W.)
- Physics and Materials Science Research Unit, University of Luxembourg, 1511 Luxembourg, Luxembourg
| | - Dmitry A. Fedosov
- Institute of Biological Information Processing and Institute for Advanced Simulation, Forschungszentrum Jülich, 52425 Jülich, Germany; (A.K.D.); (D.A.F.)
| | - Andreas Hermann
- Translational Neurodegeneration Section “Albrecht-Kossel”, Department of Neurology, University Medical Center Rostock, University of Rostock, 18051 Rostock, Germany; (K.P.); (H.G.); (A.H.)
- Department of Neurology, Technische Universität Dresden, 01307 Dresden, Germany
- DZNE, German Center for Neurodegenerative Diseases, Research Site Rostock/Greifswald, 18051 Rostock, Germany
- Center for Transdisciplinary Neurosciences Rostock (CTNR), University Medical Center Rostock, University of Rostock, 18051 Rostock, Germany
| | - Lars Kaestner
- Theoretical Medicine and Biosciences, Saarland University, 66424 Homburg, Germany;
- Experimental Physics, Saarland University, 66123 Saarbruecken, Germany; (A.K.); (A.D.); (G.S.); (S.Q.); (C.W.)
- Correspondence: ; Tel.: +49-681-302-2417
| |
Collapse
|
5
|
Kedarisetty CK, Kumar R. Spur Cells Causing Severe and Transfusion-Refractory Anemia in Patients With Acute-on-Chronic Liver Failure. Cureus 2020; 12:e10568. [PMID: 33110713 PMCID: PMC7579423 DOI: 10.7759/cureus.10568] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/21/2020] [Indexed: 01/09/2023] Open
Abstract
Acute-on-chronic liver failure (ACLF) is characterized by acute decompensation of chronic liver disease associated with organ failures. Anemia of diverse etiology is common in patients with ACLF. Spur cell anemia (SCA) is a form of acquired hemolytic anemia that occurs rarely in such patients due to dysregulated lipids metabolism. Spur cells are large erythrocytes with spike-like projections, which predispose them for sequestration and destruction in splenic canaliculi. There is a paucity of data on SCA in patients with ACLF. Here we report a series of five ACLF patients who had severe (hemoglobin level < 8 g/dL) and transfusion-refractory SCA with aggressive clinical course and high mortality rate.
Collapse
Affiliation(s)
| | - Ramesh Kumar
- Gastroenterology, All India Institute of Medical Sciences, Patna, IND
| |
Collapse
|
6
|
Anderson DG, Carmona S, Naidoo K, Coetzer TL, Carr J, Rudnicki DD, Walker RH, Margolis RL, Krause A. Absence of Acanthocytosis in Huntington's Disease-like 2: A Prospective Comparison with Huntington's Disease. Tremor Other Hyperkinet Mov (N Y) 2017; 7:512. [PMID: 29226019 PMCID: PMC5721130 DOI: 10.7916/d81j9pdx] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Accepted: 11/15/2017] [Indexed: 12/27/2022]
Abstract
Background Huntington’s Disease-like 2 (HDL2) is classified as a neuroacanthocytosis; however, this remains unverified. We aim to determine if acanthocytes are present in HDL2 and whether acanthocytes can differentiate HDL2 from Huntington’s disease (HD). Methods We prospectively compared 13 HD and 12 HDL2 cases against 21 unaffected controls in Johannesburg. Blood smears were prepared using international standards and reviewed by at least two blinded reviewers. An acanthocytosis rate of greater than 1.2% in the dry smear or greater than 3.7% in the wet smear was designated a priori as the threshold for clinical significance based on previously established standards. Flow cytometry was performed on all but four of the cases. Red cell membrane protein analysis was performed on all participants. Results There were 12 HDL2, 13 HD, and 21 controls enrolled. None of the HD or HDL2 participants had defined acanthocytosis or other morphological abnormalities. None of the HD or HDL2 cases had evidence of an abnormal band 3. Discussion Acanthocytosis was not identified in either HDL2 or HD in our patient population. Our results, based on the first prospective study of acanthocytes in HDL2 or HD, suggest that screening for acanthocytes will not help establish the diagnosis of HD or HDL2, nor differentiate between the two disorders and raises the question if HDL2 should be placed within the neuroacanthocytosis syndromes.
Collapse
Affiliation(s)
- David G Anderson
- Department of Neurology, The University of the Witwatersrand Donald Gordon Medical Center, Johannesburg, South Africa.,Division of Human Genetics, University of the Witwatersrand, Johannesburg, South Africa
| | - Sergio Carmona
- Department of Molecular Medicine and Haematology, University of the Witwatersrand, Johannesburg, South Africa
| | - Kubendran Naidoo
- Department of Molecular Medicine and Haematology, University of the Witwatersrand, Johannesburg, South Africa
| | - Theresa L Coetzer
- Department of Molecular Medicine and Haematology, University of the Witwatersrand, Johannesburg, South Africa
| | - Jonathan Carr
- Department of Neurology, University of Stellenbosch, Cape Town, South Africa
| | - Dobrila D Rudnicki
- Office of Special Initiatives, National Center for Advancing Translational Sciences, NIH, Bethesda, MD, USA.,Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Ruth H Walker
- Department of Neurology, James J. Peters Veterans Affairs Medical Center, New York, NY, USA.,Department of Neurology, Mount Sinai School of Medicine, New York City, NY, USA
| | - Russell L Margolis
- Departments of Psychiatry and Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Amanda Krause
- Division of Human Genetics, University of the Witwatersrand, Johannesburg, South Africa.,Division of Human Genetics, National Health Laboratory Service, Johannesburg, South Africa
| |
Collapse
|
7
|
Abstract
Neuroacanthocytosis is a group of rare disorders. We report a 36-year-old right-handed female who presented with gradually progressive abnormal facial movements, generalized weakness, and lower-lip biting starting 4 years ago. On examination, she had lower-lip ulcer, orofacial dyskinesias, and peripheral neuropathy. Her peripheral blood smears showed acanthocytosis and magnetic resonance imaging revealed atrophied head of caudate nuclei and putaminal hyperintensities on T2-weighted and fluid attenuated inversion recovery images. Work-up for autoimmune and metabolic causes was negative. She was diagnosed with chorea-acanthocytosis, an entity under neuroacanthocytosis syndrome and the patient was offered symptomatic treatment.
Collapse
Affiliation(s)
- Lekhjung Thapa
- Department of Neurology, National Institute of Neurological and Allied Sciences, Kathmandu, Nepal
| | - Suman Bhattarai
- Department of Neurology, National Institute of Neurological and Allied Sciences, Kathmandu, Nepal
| | - Milan P Shrestha
- Department of Neurology, National Institute of Neurological and Allied Sciences, Kathmandu, Nepal
| | - Rajesh Panth
- Department of Pathology, National Institute of Neurological and Allied Sciences, Kathmandu, Nepal
| | - Dinesh Nath Gongal
- Department of Neurosurgery, National Institute of Neurological and Allied Sciences, Kathmandu, Nepal
| | - Upendra Prasad Devkota
- Department of Neurosurgery, National Institute of Neurological and Allied Sciences, Kathmandu, Nepal
| |
Collapse
|
8
|
Nagappa M, Bindu PS, Adwani S, Seshagiri SK, Saini J, Sinha S, Taly AB. Clinical, hematological, and imaging observations in a 25-year-old woman with abetalipoproteinemia. Ann Indian Acad Neurol 2014; 17:113-6. [PMID: 24753676 PMCID: PMC3992748 DOI: 10.4103/0972-2327.128574] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2013] [Revised: 04/21/2013] [Accepted: 07/07/2013] [Indexed: 11/22/2022] Open
Abstract
Abetalipoproteinemia is an uncommon cause of ataxia and retinitis pigmentosa (RP). Most of the neurological and ocular manifestations occur secondary to deficiency syndromes that is consequent to fat malabsorption from the small intestine. In this report, we have described the phenotype of a young adult female who manifested with recurrent diarrheal illness in her first decade, followed by anemia, RP, and neurological involvement with progressive deafness, cerebellar and sensory ataxia, and subclinical neuropathy in her second decade of life. While RP and sensory ataxia due to vitamin E deficiency are well-recognized features of abetalipoproteinemia, deafness is rarely described. In addition, we have highlighted the abnormal posterior column signal changes in the cervical cord in this patient. Early recognition avoids unnecessary investigations and has a potential to retard the disease progression by replacing some of the deficient vitamins.
Collapse
Affiliation(s)
- Madhu Nagappa
- Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India
| | - Parayil S Bindu
- Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India
| | - Sikandar Adwani
- Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India
| | - Sangeeta K Seshagiri
- Department of Neuropathology, National Institute of Mental Health and Neurosciences, Bangalore, India
| | - Jitender Saini
- Department of Neuroimaging and Interventional Radiology, National Institute of Mental Health and Neurosciences, Bangalore, India
| | - Sanjib Sinha
- Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India
| | - Arun B Taly
- Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India
| |
Collapse
|
9
|
Galgli RB, Srinivasan K, Kurpad SS, Neerakal I. Neuroacanthocytosis : a case report. Indian J Psychiatry 2001; 43:87-9. [PMID: 21407849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
An adult male with severe tic disorder presented with recurrent injury to tongue and dysphagia. There were a significant excess of acanthocytes in the peripheral blood smear. Treatment with lithium resulted in a considerable reduction in the severity of tics and self-injurious behaviour.
Collapse
|