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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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