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        Establishing In Vitro Models to Study Endogenous Neurotoxicants

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        Advances in molecular genetics over the last decade have resulted in the identification of genetic mutations responsible for several inherited neurological diseases. Not only has cloning of these genes led to methods for diagnosis of patients and identification of carriers but also to the establishment of animal and cell culture models to study mechanisms by which mutant proteins induce toxicity in vulnerable cell types. Early neuropathological studies of autopsy tissue from patients with degenerative neurological diseases commonly revealed the presence of inclusion bodies in affected neuronal populations (see Table 1 ; 1 44 ). These include tangles and plaques in Alzheimer’s disease, Lewy bodies in Parkinson’s disease, and nuclear or cytoplasmic aggregates in the trinucleotide repeat diseases (spinal bulbar muscular atrophy, Huntington’s disease, spinocerebellar ataxia 1 and 3, dentato-pallidoluysian atrophy) and cytoplasmic inclusions in familial and sporadic motor neuron diseases (45 ,46 ). That similar inclusions are observed in both sporadic and hereditary forms of neurological diseases suggested that similar pathways might be involved in pathogenesis whether protein abnormalities result from inherited sequence differences, DNA damage, or posttranslational modifications. The presence in inclusions of ubiquitin, a stress protein required for targeting abnormal proteins for degradation, suggested failure of proteolytic processing to rid cells of aberrant proteins. However, the primary or secondary role of these inclusions in the pathogenesis of disease could not be surmised from studies of postmortem tissue at end-stage disease.
        Table 1  Examples of Proteotoxicants Resulting in Genetic Mutations Responsible for Human Neurological Disease

        Mutant protein

        Human disease

        Inclusion bodies

        Cells most affected

        Ref.

        Amyloid precursor protein

        Alzheimer’s

        Extracellular β-amyloid in plagues, neurofibrillary tangles

        Limbic and association cortices, hippocampus

        1 4

        Tau

        Frontotemporal dementias Multisystem atrophy

        Paired helical filaments in neurofibrillary tangles

        Frontotemporal cortical neurons

        5 7

        Presenilin 1 and 2

        Alzheimer’s

        Amyloid plaques

        Limbic and association cortices, hippocampus

        3 ,4 ,8 10

        α -Synuclein

        Parkinson’s Lewy body dementia

        Lewy bodies

        Substantia nigra Cortical pyramidal neurons

        6 ,11

        Cu/Zn-superoxide dismutase (SOD-1)

        Chromosome 21-linked amyotrophic lateral sclerosis (ALS)

        Cytoplasmic inclusions

        Upper and motor motor neurons, astrocytes

        12 15

        High-molecular-weight neurofilament protein (NF-H)

        Rare cases of familial ALS

        Hyaline and keinlike inclusions, Bunina bodies

        Upper and lower motor neurons

        16

        ~undefinedHuntingtin

        Huntington’s

        Nuclear and cytoplasmic inclusions

        Striatum, cerebral cortex

        17 20

        ~undefinedAndrogen receptor

        Kennedy’s disease

        Nuclear and cytoplasmic inclusions

        Lower motor neurons, dorsal root ganglia

        18 22

        ~undefinedAtaxin-1

        Spinocerebellar ataxia (SCA1)

        Eosinophillic spheroids, nuclear inclusion body

        Cerebellar Purkinje, dentate nucleus, brainstem

        18 20 ,23

        ~undefinedAtaxin-2

        SCA2

        Increased mutant protein, but no inclusions

        Cerebellar Purkinje, brain-stem, fronto- temporal lobes

        18 20 , 24 26

        ~undefinedAtaxin-3

        SCA3 / Machado-Joseph disease

        Nuclear inclusions

        Cerebellar dentate neurons, basal ganglia, brainstem, spinal cord

        18 20 , 27

        1A -subunit of voltage-dependent calcum channel

        SCA6

        Cytoplasmic inclusions

        Cerebellar Purkinje and Granule neurons, dentate nucleus, inferior olive

        18 20 , 28 ,29

        ~undefinedAtaxin-7

        SCA7

        Nuclear inclusion

        Cerebellum, brainstem, macula, visual cortex

        18 20 , 30

        ~undefinedAtrophin-1

        Dentorubropallidoluysianatrophy

        Nuclear inclusion

        Cerebellum, cerebral cortex, basal ganglia

        18 20 , 31 ,32

        ~undefined *Poly(A)binding protein 2

        Oculopharyngeal dystrophy

        Nuclear inclusion

        Skeletal muscle

        33

        Neuroserpin

        Familial dementia/progressive myoclonus epilepsy

        Collins bodies

        Cortical neurons, subcortical nuclei

        34 36

        Prion protein

        Creutzfeld-Jacob (CJD), Gerstmann-St�ussler-Scheinker disease

        PrPSc deposition in plaques

        Cortex, basal ganglia Cerebellum, cerebrum, brainstem

        2 ,37 39

        Fatal familial insomnia

        Kuru

        Multiple

        Cerebellum, cerebrum, brainstem

         

        PMP22, P0

        Charcot-Marie-Tooth

        Accumulation in endoplasmic reticulum

        Schwann cells

        40 44

        Note : Trinucleotide repeat diseases with expansion of *polyglutamine or * *polyalanine tracts.
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